• Hon-Yi Shi, Shen-Nien Wang, Shih Chin Wang, Shih-Chang Chuang, Chun-Min Chen, and King-Teh Lee.
• Department of Healthcare Administration and Medical Informatics, Kaohsiung Medical University, Kaohsiung, Taiwan.
• J Surg Oncol. 2014 Apr 1; 109 (5): 487-93.

BackgroundTo explore long-term predictors of outcome after TACE and resection in a population of patients with hepatocellular carcinoma (HCC).MethodsA total of 648 had received TACE before liver resection (TACE group) while 10,431 patients had received liver resection without TACE (LR group). Propensity scores were calculated by entering the patient data into a logistic regression model for predicting HCC outcomes.ResultsCompared to the LR group, the TACE group did not significantly differ in disease-free survival (DFS) (median, 17 months in the TACE group vs. 13 months in the LR group; P = 0.410) and overall-survival (OS) (median, 56 months in the TACE group vs. 54 months in the LR group; P = 0.777). The TACE group also showed that gender, liver cirrhosis, CCI score, hospital volume, and surgeon volume were independently associated with DFS while gender, CCI score and hospital level were independently associated with DFS/OS.ConclusionsThis population-based cohort study provides compelling evidence that preoperative TACE does not significantly reduce DFS or OS in patients with resectable HCC. Moreover, long-term outcomes for these procedures are significantly associated with patient characteristics and hospital characteristics. Medical professionals and health care providers should carefully evaluate candidates for preoperative TACE in patients with resectable HCC.© 2013 Wiley Periodicals, Inc.

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