Table 4: Relative excess hazard ratios for mortality after diagnosis of hepatocellular carcinoma using the expected hazard from Ontario life tables, 1990–2009 (Model 2)*
ParameterRelative excess hazard ratio
(95% CI)
Intercept1.561 (1.246–1.955)
Year of diagnosis
1990–1994Reference
1995–19990.755 (0.622–0.917)
2000–20040.724 (0.603–0.870)
2005–20090.732 (0.615–0.871)
Follow-up after diagnosis, yr
1Reference
20.601 (0.552–0.654)
30.519 (0.461–0.584)
40.551 (0.477–0.637)
50.359 (0.286–0.450)
Age at diagnosis, yr
< 60Reference
   60–690.967 (0.750–1.246)
   70–791.347 (1.032–1.757)
≥ 801.698 (1.165–2.475)
Sex
FemaleReference
Male1.123 (0.965–1.307)
Charlson–Deyo comorbidity index
   0Reference
   10.788 (0.722–0.859)
   20.547 (0.492–0.607)
≥ 30.496 (0.442–0.558)
No hospitalization record0.520 (0.478–0.566)
HCC treatment
Curative (yes v. no)0.223 (0.199–0.250)
Non-curative (yes v. no)0.651 (0.590–0.717)
Palliative care (yes v. no)1.696 (1.470–1.957)
No treatment (yes v. no)1.403 (1.223–1.608)
Interactions
Age at diagnosis × sex (male), yr
Female/< 60Reference
   60–691.071 (0.851–1.347)
   70–791.139 (0.889–1.458)
≥ 801.923 (1.335–2.772)
Age at diagnosis × year of diagnosis, yr
1990–1994/< 60Reference
1995–1999/60–690.827 (0.644–1.062)
2000–2004/60–690.870 (0.680–1.114)
2005–2009/60–690.887 (0.694–1.133)
1995–1999/70–791.014 (0.791–1.299)
2000–2004/70–790.825 (0.650–1.046)
2005–2009/70–791.018 (0.801–1.295)
1995–1999/≥ 801.142 (0.799–1.632)
2000–2004/≥ 800.784 (0.568–1.084)
2005–2009/≥ 800.750 (0.550–1.023)
Age at diagnosis × palliative care, yr
No palliative care/< 60Reference
Palliative care, yr
   60–691.146 (0.863–1.523)
   70–791.674 (1.236–2.267)
≥ 802.275 (1.480–3.499)
Note: CI = confidence interval, model deviance = 3844.21, df = 2836.
Interactions between age at diagnosis and sex (p = 0.009), year of diagnosis (p = 0.003) and palliative care (p < 0.001). Interactions between age at diagnosis and follow-up after diagnosis, Charlson–Deyo comorbidity index, curative treatment, noncurative treatment and no treatment were not significant.
*Generalized linear model using Poisson error structure.