Hou JX, Wang YB, Wu J, Ding GS, Wu Y, Wei LH, Wang F, Zhang ZM. Clinical significance of serum oxidative stress and serum uric acid levels before surgery for hepatitis B-related liver cancer. World J Gastrointest Surg 2023; 15(9): 1995-2002 [PMID: 37901740 DOI: 10.4240/wjgs.v15.i9.1995]
Corresponding Author of This Article
Zhe-Mei Zhang, MBBS, Associate Chief Physician, Department of Clinical Laboratory, Gansu Provincial Hospital, Gansu Provincial Clinical Research Center for Laboratory Medicine, No. 204 Donggang West Road, Chengguan District, Lanzhou 730000, Gansu Province, China. zhangzm1122@126.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. Sep 27, 2023; 15(9): 1995-2002 Published online Sep 27, 2023. doi: 10.4240/wjgs.v15.i9.1995
Table 1 Comparison of clinicopathological features between the recurrence group and non-recurrence group, n (%)
Groups
Recurrence group (n = 69)
Non-recurrence group (n = 41)
t value
P value
Age (mean ± SD, yr)
54.63 ± 15.58
55.10 ± 15.29
Gender
3.497
0.061
Men
40 (57.97)
31 (75.61)
Female
29 (42.03)
10 (24.39)
HbsAg
0.313
0.576
Negative
22 (31.88)
11 (26.83)
Positive
47 (68.12)
30 (73.17)
TNM staging
10.959
0.001
Stage I-II
28 (40.58)
30 (73.17)
Stage III-IV
41 (59.42)
11 (26.83)
Tumor diameter
0.979
0.323
< 5 cm
27 (39.13)
20 (48.78)
≥ 5 cm
42 (60.87)
21 (51.22)
Degree of tumor differentiation
6.353
0.012
Low differentiation
30 (43.48)
28 (68.29)
High differentiation
39 (56.52)
13 (31.71)
Lymph node metastasis
5.208
0.022
Yes
30 (43.48)
9 (21.95)
No
39 (56.52)
32 (78.05)
Number of tumors
0.298
0.585
Multiple
44 (63.77)
24 (58.54)
Single
25 (36.23)
17 (41.46)
Alpha-fetoprotein (μg/L)
3.137
0.077
< 200
37 (53.62)
29 (70.73)
≥ 200
32 (46.38)
12 (29.27)
Table 2 Comparison of preoperative serum oxidative stress level and serum uric acid between the two groups (mean ± SD)
Groups
Oxidative stress
Serum UA (μmol/L)
SOD (kU/L)
MDA (nmol/L)
GSH (kU/L)
Recurrence group (n = 69)
41.26 ± 7.01
5.78 ± 0.92
29.40 ± 7.92
376.27 ± 82.90
Non-recurrence group (n = 41)
46.82 ± 6.12
4.18 ± 0.82
39.44 ± 8.90
281.36 ± 84.86
t value
4.212
9.176
6.137
5.755
P value
< 0.001
< 0.001
< 0.001
< 0.001
Table 3 Multivariate logistic regression analysis of the prognosis of patients with hepatitis B-related liver cancer
Independent variable
B
S. E
Wals
P value
Exp (B)
95%CI
Lower limit
Upper limit
TNM staging
1.026
0.879
1.361
0.243
2.789
0.498
15.628
Degree of tumor differentiation
1.775
0.914
3.774
0.052
5.899
0.984
35.355
Lymph node metastasis
-1.183
1.005
1.387
0.239
0.306
0.043
2.194
SOD
-0.17
0.084
4.098
0.043
0.844
0.716
0.995
MDA
2.439
0.714
11.676
0.001
11.465
2.83
46.454
GSH
-0.117
0.054
4.74
0.029
0.889
0.8
0.988
Serum UA
0.013
0.005
5.541
0.019
1.013
1.002
1.024
Table 4 Area under the receiver operating characteristic curve of preoperative serum oxidative stress and serum uric acid levels in predicting prognosis of patients with hepatitis B-related liver cancer
Variable
AUC
Standard error
P value
95%CI
Lower limit
Upper limit
SOD
0.276
0.050
< 0.001
0.179
0.373
MDA
0.910
0.027
< 0.001
0.858
0.963
GSH
0.199
0.045
< 0.001
0.110
0.288
Serum UA
0.784
0.044
< 0.001
0.697
0.871
Citation: Hou JX, Wang YB, Wu J, Ding GS, Wu Y, Wei LH, Wang F, Zhang ZM. Clinical significance of serum oxidative stress and serum uric acid levels before surgery for hepatitis B-related liver cancer. World J Gastrointest Surg 2023; 15(9): 1995-2002