Table 3.
Cox regression univariate and multivariate analysis of prognostic factors influencing progression-free survival
| Parameter | n | Univariate PFS | Multivariate PFS | ||
|---|---|---|---|---|---|
| p | HR (95%CI) | p | HR (95%CI) | ||
| Sex: | Ref | ||||
| F | 53 | 0.34 | 1.22 (0.81–1.86) | – | |
| M | 87 | ||||
| Age at CaS diagnosis: | Ref | ||||
| < 61 years | 69 | 0.12 | 1.38 (0.92–2.07) | – | |
| ≥ 61 years | 71 | ||||
| Primary tumor site: | |||||
| Pancreas | 9 | Ref | – | ||
| Intestinal tract | 111 | 0.41 | 1.42 (0.62–3.27) | ||
| Lung | 13 | 0.67 | 1.28 (0.41–3.99) | ||
| Unknown primary | 7 | 0.80 | 0.85 (0.24–3.03) | ||
| Grading: | |||||
| G1 | 75 | Ref | – | ||
| G2–G3 | 57 | 0.45 | 1.17 (0.77–1.78) | ||
| Onset of CaS: | |||||
| At NEN diagnosis | 58 | Ref | Ref | ||
| After NEN diagnosis | 48 | 0.02 | 1.69 (1.07–2.67) | 0.07 | 1.57 (0.96–2.43) |
| Before NEN diagnosis | 34 | 0.60 | 0.87 (0.51–1.48) | 0.82 | 0.94 (0.55–1.61) |
| Liver metastasis: | – | – | |||
| No | 24 | Ref | Ref | ||
| Yes | 116 | 0.59 | 1.17 (0.66–2.06) | ||
| Lung metastasis: | |||||
| No | 125 | Ref | Ref | – | |
| Yes | 15 | 0.53 | 1.25 (0.62–2.49) | ||
| Lymph node metastasis: | |||||
| No | 36 | Ref | Ref | – | |
| Yes | 104 | 0.82 | 0.94 (0.58–1.52) | ||
| Bone metastasis: | |||||
| No | 112 | Ref | Ref | Ref | |
| Yes | 28 | 0.051 | 1.61 (0.10–2.61) | 0.27 | 1.32 (0.80–2.16) |
| Number of medical therapies: | |||||
| 0–1 line | 103 | Ref | Ref | – | |
| ≥ 2 medical therapies | 34 | 0.18 | 1.34 (0.87–2.07) | ||
| PRRT: | |||||
| No | 80 | Ref | Ref | Ref | |
| Yes | 60 | < 0.001 | 2.07 (1.38–3.11) | 0.002 | 1.90 (1.26–2.88) |
Data for progression-free survival (PFS) were available in 140 patients. In the multivariable model were included variables with a p value less than 0.10 in the univariate analysis
CaS Carcinoid Syndrome, F female, M male, n number of patients, NEN neuroendocrine neoplasm, - not included in the multivariate analysis