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The Prognostic Impact of ABO Blood Group in Hepatocellular Carcinoma Following Hepatectomy

The effect of the ABO blood group on the survival of patients with hepatocellular carcinoma (HCC) is unclear. The aim of the present study is to determine the prognostic impact of ABO blood types on the survival of a Japanese population of patients with HCC who underwent surgical resection. Patients...

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Published in:Cancers 2023-05, Vol.15 (11), p.2905
Main Authors: Kaibori, Masaki, Yoshii, Kengo, Matsui, Kosuke, Matsushima, Hideyuki, Kosaka, Hisashi, Yamamoto, Hidekazu, Nakajima, Takayoshi, Aoi, Kazunori, Yamaguchi, Takashi, Yoshida, Katsunori, Sekimoto, Mitsugu
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cited_by cdi_FETCH-LOGICAL-c489t-989ed739660d9823ccd5c6da9e652c176d2dd8d857ab20ff8e286690cb02e6eb3
cites cdi_FETCH-LOGICAL-c489t-989ed739660d9823ccd5c6da9e652c176d2dd8d857ab20ff8e286690cb02e6eb3
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container_title Cancers
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creator Kaibori, Masaki
Yoshii, Kengo
Matsui, Kosuke
Matsushima, Hideyuki
Kosaka, Hisashi
Yamamoto, Hidekazu
Nakajima, Takayoshi
Aoi, Kazunori
Yamaguchi, Takashi
Yoshida, Katsunori
Sekimoto, Mitsugu
description The effect of the ABO blood group on the survival of patients with hepatocellular carcinoma (HCC) is unclear. The aim of the present study is to determine the prognostic impact of ABO blood types on the survival of a Japanese population of patients with HCC who underwent surgical resection. Patients with HCC ( = 480) who underwent an R0 resection between 2010 and 2020 were retrospectively analyzed. Survival outcomes were investigated according to ABO blood type (A, B, O, or AB). Outcomes for type A ( = 173) and non-type A ( = 173) groups after surgery were compared using 1-to-1 propensity score matching to control for variables. In the study cohort, 173 (36.0%), 133 (27.7%), 131 (27.3%), and 43 (9.0%) of participants had Type A, O, B, and AB, respectively. Type A and non-type A patients were successfully matched based on liver function and tumor characteristics. Recurrence-free survival (RFS; hazard ratio [HR] 0.75, 95% confidence interval [Cl] 0.58-0.98, = 0.038) and overall survival (OS; HR: 0.67, 95% Cl: 0.48-0.95, = 0.023) for patients with blood type A were both significantly decreased relative to non-type A patients. Cox proportional hazard analysis demonstrated that patients with HCC who have blood type A had a worse prognosis than those with non-type A blood. ABO blood type may have a prognostic impact on patients with HCC after hepatectomy. Blood type A is an independent unfavorable prognostic factor for recurrence-free and overall survival (RFS and OS) after hepatectomy.
doi_str_mv 10.3390/cancers15112905
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subjects ABO system
Algorithms
Blood groups
Comparative analysis
Hepatectomy
Hepatocellular carcinoma
Hepatoma
Liver
Liver cancer
Liver diseases
Medical prognosis
Metastasis
Patients
Prognosis
Surgery
Survival
Survival analysis
Tumors
title The Prognostic Impact of ABO Blood Group in Hepatocellular Carcinoma Following Hepatectomy
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