Using univariate and multivariate competing risk analyses, AFP level > 1000 ng/mL (hazard ratio [HR] 2.034, 95% confidence interval [CI] 1.430–2.892, P < 0.001), largest tumor size ≥ 8 cm (hazard ratio [HR] 2.183, 95% confidence interval [CI] 1.524–3.128, P < 0.001), vascular invasion (hazard ratio [HR] 1.922, 95% confidence interval [CI] 1.250–2.954, P = 0.003), and MELD score ≥ 15 (hazard ratio [HR] 1.443, 95% confidence interval [CI] 1.027–2.027, P = 0.035) were associated with overall survival (Table 2). Here, AFP is linked to neoplasm.