1. Risk factors of mortality in the patients with hepatocellular carcinoma: A multicenter study in Indonesia
- Author
-
Cosmas Rinaldi A Lesmana, Saut Horas H. Nababan, Rino Alvani Gani, Juferdy Kurniawan, Kemal Fariz Kalista, Andri Sanityoso Sulaiman, Irsan Hasan, and Chyntia Olivia Maurine Jasirwan
- Subjects
Liver Cirrhosis ,Male ,0301 basic medicine ,Cancer Research ,Cirrhosis ,Kaplan-Meier Estimate ,Severity of Illness Index ,0302 clinical medicine ,Risk Factors ,Medicine ,Registries ,education.field_of_study ,Mortality rate ,Liver Neoplasms ,Palliative Care ,Middle Aged ,Sorafenib ,Treatment Outcome ,Liver ,Oncology ,030220 oncology & carcinogenesis ,Hepatocellular carcinoma ,Female ,Liver cancer ,Adult ,medicine.medical_specialty ,Carcinoma, Hepatocellular ,Population ,Risk Assessment ,03 medical and health sciences ,Hepatitis B, Chronic ,Internal medicine ,Hepatectomy ,Humans ,Chemoembolization, Therapeutic ,education ,Aged ,Neoplasm Staging ,Retrospective Studies ,Radiofrequency Ablation ,business.industry ,Odds ratio ,Hepatitis C, Chronic ,medicine.disease ,Cancer registry ,030104 developmental biology ,Indonesia ,Etiology ,business ,Follow-Up Studies - Abstract
Background and Aims Hepatocellular carcinoma (HCC) is considered a significant burden, and its associated rate of mortality is increasing. Therefore, a population-based cancer registry is considered an essential element in the baseline and comprehensive analysis of the risk factors associated with HCC. We present a multicenter analysis of HCC registry from 2 hospitals in Indonesia. Methods We performed a follow-up on patients with HCC who were admitted between January 2015 and November 2017 in Cipto Mangunkusumo National General Hospital and Dharmais Hospital, Jakarta, Indonesia. Patient's death was considered the primary outcome of the study. A multivariate analysis was conducted using logistic regression, and odds ratio (OR) with 95% confidence intervals (CIs) were calculated. Results A total of 282 patients with HCC included. At the last follow-up, 136 (48.2%) patients had died. Mortality rate was not significantly affected by sex, age, etiology, the presence of cirrhosis, nor surveillance of HCC. Based on the Child-Pugh (CP) classification, the OR increased progressively in CP C patients (OR 1.95; 95% CI 1.08-3.53; P = 0.026). The progressive increase was also found in patients with a higher Barcelona Clinic Liver Cancer stage, and the OR for CP C and D patients were 3.50 (95% CI 1.18-10.38; P = 0.024) and 3.41 (95% CI 1.02-11.41; P = 0.047), respectively. Supportive treatment was the most common treatment modality with an OR of 2.17 (95% CI 1.14-4.16; P = 0.019), and it was associated with the mortality rate of HCC. Conclusions The CP classification, Barcelona Clinic Liver Cancer staging system, and treatment modality might predict mortality in patients with HCC. Moreover, other parameters must be further evaluated.
- Published
- 2020
- Full Text
- View/download PDF