In OS analysis, multivariate analysis disclosed that the presence of DM (HR 2.898, 95% CI = 1.628–5.160, p < 0.001), AFP > 20 ng/mL (HR 2.020, 95% CI = 1.164–3.507, p = 0.012), FIB-4 > 4 (HR 2.940, 95% CI = 1.622–5.329, p < 0.001), and histology stages (HR 6.400, 95% CI = 2.501–16.377, p < 0.001) were the independent risk factors (Table 4). Here, AFP is linked to diabetes mellitus.