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Table 1 Demographic and clinical characteristics of patients in the derivation cohort

From: Tumor burden score and carcinoembryonic antigen predict outcomes in patients with intrahepatic cholangiocarcinoma following liver resection: a multi‑institutional analysis

N (%)

All

(n = 812, 100%)

Low CTC

(n = 332, 39.7%)

Intermediate CTC

(n = 354, 43.6%)

High CTC

(n = 126, 15.5%)

P value

Age, years*

54.0 ± 10.7

53.8 ± 10.5

54.7 ± 10.9

55.1 ± 10.6

0.084

Gender, Male

554 (68.2)

232 (69.8)

242 (68.3)

80 (63.4)

0.422

HBV (+)

310 (38.1)

134 (40.3)

139 (39.2)

37 (29.3)

0.082

ASA score ≥ 2

187 (23.0)

82 (24.6)

77 (21.7)

28 (22.2)

0.639

Cirrhosis

343 (42.2)

154 (46.3)

143 (40.3)

46 (36.5)

0.104

Child-Pugh grade B

44 (5.4)

18 (5.4)

20 (5.6)

6 (4.7)

0.931

Preoperative platelet counts, ×109/L*

192.6 ± 72.6

179.7 ± 74.0

198.6 ± 71.9

210.1 ± 65.2

< 0.001

Preoperative NLR*

2.5 (1.9–3.6)

2.1 (1.6–2.8)

2.9 (2.1–4.1)

3.0 (2.2–4.1)

< 0.001

Preoperative CA 19 − 9, U/mL*

39.5 (15.7–247.4)

28.8 (14.7–94.6)

41.2 (14.4–236.1)

378.9 (25.7–1000.0)

< 0.001

Preoperative CEA (ng/mL), n(%)

    

< 0.001

 Low

603 (74.3)

332 (100.0)

271 (76.5)

0 (0.0)

 

 High

209 (25.7)

0 (0.0)

83 (23.5)

126 (100.0)

 

Tumor Burden Score

    

< 0.001

 Low

415 (51.1)

332 (100.0)

83 (23.5)

0 (0.0)

 

 High

397 (48.9)

0 (0.0)

271 (76.5)

126 (100.0)

 

Maximum tumor size, cm*

6.3 ± 3.5

3.7 ± 1.2

7.9 ± 3.9

8.4 ± 2.0

< 0.001

Tumor number, multiple

82 (10.0)

30 (9.0)

37 (10.4)

15 (11.9)

0.633

Tumor differentiation

    

0.102

 Well

78 (9.6)

32 (9.6)

40 (11.3)

6 (4.8)

 

 Poor to moderate

734 (90.4)

300 (90.4)

314 (88.7)

120 (95.2)

 

Type of resection, Major

315 (38.7)

97 (29.2)

154 (43.5)

64 (50.7)

< 0.001

Macrovascular invasion

107 (13.1)

30 (9.0)

55 (15.5)

22 (17.4)

0.013

Microvascular invasion

125 (15.3)

46 (13.8)

65 (18.3)

14 (11.1)

0.092

Resection margin status

    

0.011

 R0

733 (90.3)

312 (94.0)

309 (87.3)

112 (88.8)

 

 R1

79 (9.7)

20 (6.0)

45 (12.7)

14 (11.2)

 

Postoperative adjuvant therapy

255 (31.4)

100 (30.1)

119 (33.6)

36 (28.5)

0.466

AJCC staging system8th

    

0.007

 I

437 (53.8)

204 (61.4)

175 (49.4)

58 (46.0)

 

 II

163 (20.1)

63 (19.0)

74 (20.9)

26 (20.6)

 

 III

189 (23.3)

60 (18.1)

91 (25.8)

38 (30.2)

 

 IV

23 (2.8)

5 (1.5)

14 (3.9)

4 (3.2)

 

Postoperative 30-day complication

343 (42.2)

128 (38.5)

157 (44.3)

58 (46.0)

0.198

 Minor morbidity

274 (33.7)

104 (31.3)

122 (34.4)

48 (38.1)

0.365

 Major morbidity

69 (8.5)

24 (7.2)

35 (9.9)

10 (7.9)

0.445

  1. ASA, American Society of Anesthesiologists; AJCC, American Joint Committee on Cancer; CA 19 − 9, carbohydrate antigen 19 − 9; CEA, carcinoembryonic antigen; CTC, combination of Tumor Burden Score and CEA; HBV, hepatitis B virus; NLR, neutrophil-to-lymphocyte ratio
  2. * Values are mean ± standard deviation or median (interquartile range) unless otherwise indicated