Obesity

Association between visceral obesity and tumor recurrence in hepatocellular carcinoma recipients undergoing liver transplantation

Int J Obes (Lond)Published Retrospective cohort study

Authors' conclusion

Both recipient VSR and donor VSR were significant risk factors for HCC recurrence and mortality in LDLT recipients. Preoperative donor VSR and recipient VSR may be strong predictors of the surgical outcomes of LDLT recipients with HCC.

Study context

Population
Donor–recipient sets undergoing living donor liver transplantation (LDLT) for hepatocellular carcinoma (HCC), January 2008–January 2018
Participants
1,386 donor–recipient sets
Exposure
High vs low visceral-to-subcutaneous fat area ratio (VSR) in donors and recipients
Outcome
Overall HCC recurrence and mortality in recipients

Main finding

As reported in the abstract

Estimate (95% CI)P value
High donor VSRvs Low donor VSR
aHR (HCC recurrence) 1.43(1.06–1.93)
P = 0.019
High donor VSRvs Low donor VSR
HR (mortality) 1.35(1.03–1.76)
P = 0.030
High recipient VSRvs Low recipient VSR
HR (HCC recurrence) 1.40(1.04–1.88)
P = 0.027
High recipient VSRvs Low recipient VSR
HR (mortality) 1.50(1.14–1.96)
P = 0.003

Observational data: associations, not effects.

Original publication

Association between visceral obesity and tumor recurrence in hepatocellular carcinoma recipients undergoing liver transplantation. Int J Obes (Lond). Published 28 August 2023. doi:10.1038/s41366-023-01367-5

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