TABLE 3.
Multivariable analysis of all patients with nonmetastatic resected cardia gastric cancer treated with perioperative chemotherapy, postoperative chemoradiation therapy, and postoperative chemotherapy including subgroup analysis of optimally treated cohort.
| All patient analysis |
Optimally treated cohort |
||||||
|---|---|---|---|---|---|---|---|
| Covariate | Level | Hazard ratio (95% CI) | HR p value | Overall p value | Hazard ratio (95% CI) | HR p value | Overall p value |
| Treatment group: weighted against POC | Perioperative chemotherapy | 1.04 (0.86–1.26) | 0.701 | 0.680 | 1.01 (0.77–1.33) | 0.919 | 0.993 |
| Postoperative chemoradiation | 0.97 (0.85–1.10) | 0.607 | 1.00 (0.78–1.29) | 0.992 | |||
| Postoperative chemotherapy | - | - | - | - | |||
| Treatment group: weighted against PEC | Postoperative chemoradiation | 0.93 (0.78–1.11) | 0.416 | 0.680 | 0.99 (0.77–1.26) | 0.918 | 0.993 |
| Postoperative chemotherapy | 0.96 (0.80–1.17) | 0.701 | 0.99 (0.75–1.30) | 0.919 | |||
| Perioperative chemotherapy | - | - | - | - | |||
| Age | Above median | 1.46 (1.31–1.63) | <0.001 | <0.001 | - | - | - |
| Below median | - | - | |||||
| Median income quartiles 2008–2012 | $38 000–$47 999 $48 000–$62 999 | 0.91 (0.76–1.09) 0.84 (0.70–1.00) | 0.331 0.052 | 0.038 | - | - | - |
| ≥$63000 | 0.79 (0.67–0.94) | 0.009 | |||||
| <$38 000 | - | - | |||||
| Primary payor | Private/not insured | - | - | - | 0.73 (0.60–0.90) | 0.003 | 0.003 |
| Medicare/Medicaid/other government | - | - | - | - | |||
| Charlson-Deyo score | 1+ | 1.14 (1.01–1.29) | 0.028 | 0.028 | - | - | - |
| 0 | - | - | |||||
| Year of diagnosis | 2011–2016 | 0.87 (0.77–0.98) | 0.024 | 0.024 | - | - | - |
| 2006–2010 | - | - | |||||
| Grade | Poorly differentiated/undifferentiated | 1.21 (1.07–1.36) | 0.002 | 0.002 | - | - | - |
| Well/moderately differentiated | - | - | |||||
| Regional lymph nodes positive | Positive | 1.90 (1.62–2.24) | <0.001 | <0.001 | 2.22 (1.67–2.95) | <0.001 | <0.001 |
| Negative | - | - | - | - | |||
| Surgical margins status | Positive | 2.02 (1.76–2.32) | <0.001 | <0.001 | - | - | - |
| Negative | - | - | |||||
Note: Values in bold indicate statistical significance.