J Res Med Sci. 2019 Oct 25;24:86. doi: 10.4103/jrms.JRMS_1017_18. eCollection 2019.
Predictors of 5 year survival rate in hepatocellular carcinoma patients.
Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences
Arash Sarveazad, Shahram Agah, Asrin Babahajian, Naser Amini, Mansour Bahardoust
Affiliations
Affiliations
- Colorectal Research Center, Iran University of Medical Sciences, Tehran, Iran.
- Liver and Digestive Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran.
- Cellular and Molecular Research Center, Iran University of Medical Sciences, Tehran, Iran.
- Department of Epidemiology, School of Public Health, Iran University of Medical Sciences, Tehran, Iran.
PMID: 31741658
PMCID: PMC6856560 DOI: 10.4103/jrms.JRMS_1017_18
Abstract
BACKGROUND: Hepatocellular carcinoma (HCC) is one of the most common primary hepatic malignancies and growing challenges of global health. In this study, for the first time in Iran, we investigated the 5-year survival rate and prognostic factors in patients with HCC.
MATERIALS AND METHODS: In this historical cohort study, we examined the medical records of 227 HCC patients who were registered in the central tumor registry of our institution from September 2007 to September 2017. Demographic data, clinical parameters, received treatments, and survival curves from time of diagnosis were evaluated. Kaplan-Meier was used for univariate analysis, and multivariable analysis was performed by Cox regression.
RESULTS: A total of 208 (91.63%) patients were dead. The 5-year survival rate was estimated 19 (8.37%). The average follow-up in this study was 14.3 months. Overall median survival rate was 12.1 months. Univariate analysis showed that tumor size, metastasis, number of involved lymph node, hepatitis type, and treatment were significantly related to the survival rate, and Cox regression analysis revealed that the tumor size >3 cm (hazard ratio [HR] = 3.06, 95% confidence interval [CI] = 1.68-4.97;
CONCLUSION: Results of this study will help estimate survival rates for patients with HCC according to their clinical status.
Copyright: © 2019 Journal of Research in Medical Sciences.
Keywords: Five-year survival rate; hepatocellular carcinomas; prognostic factors
Conflict of interest statement
There are no conflicts of interest.
References
- J Gastroenterol Hepatol. 2006 Mar;21(3):588-94 - PubMed
- Liver. 2000 Jul;20(4):312-8 - PubMed
- Cancer Lett. 2009 Dec 1;286(1):5-8 - PubMed
- Dtsch Med Wochenschr. 2004 Aug 13;129(33):1725-30 - PubMed
- World J Gastroenterol. 2001 Apr;7(2):208-15 - PubMed
- J Gastroenterol Hepatol. 2004 Aug;19(8):859-65 - PubMed
- Int J Cancer. 1998 Dec 18;79(6):601-5 - PubMed
- J Clin Gastroenterol. 2014 Mar;48(3):279-89 - PubMed
- Clin Epidemiol. 2011;3 Suppl 1:3-10 - PubMed
- Exp Neurol. 2012 Dec;238(2):254-64 - PubMed
- Ann Surg. 1998 Mar;227(3):424-32 - PubMed
- World J Gastroenterol. 2012 Apr 28;18(16):1926-32 - PubMed
- Am J Gastroenterol. 2007 Aug;102(8):1661-70; quiz 1660, 1671 - PubMed
- J Hepatocell Carcinoma. 2015 Jan 30;2:3-9 - PubMed
- Exp Clin Transplant. 2017 Mar;15(Suppl 2):45-49 - PubMed
- Liver Int. 2009 Apr;29(4):502-10 - PubMed
- Int J Clin Exp Med. 2010 Jun 10;3(2):169-79 - PubMed
- PLoS One. 2019 Apr 3;14(4):e0214721 - PubMed
- J Pak Med Assoc. 2008 Nov;58(11):602-7 - PubMed
- Asian Pac J Cancer Prev. 2018 Oct 26;19(10):2795-2802 - PubMed
- J Clin Oncol. 2009 Mar 20;27(9):1485-91 - PubMed
- J Hepatol. 2003;38 Suppl 1:S136-49 - PubMed
- Arch Surg. 2005 Jul;140(7):650-4; discussion 655 - PubMed
- Cancer Epidemiol. 2014 Dec;38(6):679-85 - PubMed
- J Hepatol. 2013 Mar;58(3):593-608 - PubMed
- Hepatology. 2002 Mar;35(3):519-24 - PubMed
- Am J Gastroenterol. 2001 Apr;96(4):1243-50 - PubMed
- Cancer Manag Res. 2019 Apr 08;11:2759-2768 - PubMed
- CA Cancer J Clin. 2013 Jan;63(1):11-30 - PubMed
- J Res Med Sci. 2018 Nov 28;23:101 - PubMed
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