In addition, a higher ALB level (HR: 0.97, 95% CI: 0.93–1.00, P = 0.049), a larger tumor size (HR: 1.19, 95% CI: 1.08–1.30, P < 0.001), the presence of liver cirrhosis (HR: 1.52, 95% CI: 1.08–2.13, P = 0.017), Child-Pugh B grade (HR: 2.40, 95% CI: 1.23–4.68, P = 0.010), and a higher GPR (HR: 1.52, 95% CI: 1.39–1.66, P < 0.001) were independent risk factors associated with OS (Figure 2B-right). Here, ALB is linked to cirrhosis of liver.