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. 2024 Sep 26;14:22041. doi: 10.1038/s41598-024-71999-8

Table 4.

Cox regression models for survival in female early-onset colorectal cancer (EOCRC) patients.

OS CSS NCSS
Univariable HR (95% CI) P-value Multivariable HR (95% CI) P-value Univariable HR (95% CI) P-value Multivariable HR (95% CI) P-value Univariable HR (95% CI) P-value Multivariable HR (95% CI) P-value
Age
20–29 Ref Ref Ref Ref Ref Ref
30–39 1.15 (1.04–1.28) 0.006 0.97 (0.88–1.07) 0.567 1.15 (1.04–1.28) 0.009 0.94 (0.84–1.04) 0.232 1.20 (0.84–1.71) 0.309 1.38 (0.97–1.98) 0.075
40–49 1.28 (1.16–1.40)  < 0.001 1.13 (1.03–1.25) 0.012 1.25 (1.14–1.38)  < 0.001 1.08 (0.98–1.19) 0.141 1.53 (1.10–2.13) 0.011 1.82 (1.30–2.54)  < 0.001
Race
White Ref Ref Ref Ref Ref Ref
Black 1.35 (1.28–1.42)  < 0.001 1.32 (1.25–1.39)  < 0.001 1.32 (1.25–1.39)  < 0.001 1.32 (1.25–1.40)  < 0.001 1.59 (1.37–1.86)  < 0.001 1.30 (1.11–1.53) 0.001
Asian or Pacific Islander 1.08 (1.01–1.15) 0.028 1.09 (1.02–1.17) 0.013 1.11 (1.04–1.19) 0.002 1.11 (1.03–1.19) 0.005 0.74 (0.57–0.95) 0.019 0.85 (0.66–1.10) 0.225
American Indian/Alaska Native 1.16 (0.97–1.38) 0.104 0.96 (0.78–1.19) 0.732 1.08 (0.89–1.31) 0.444 0.91 (0.73–1.15) 0.447 1.90 (1.22–2.96) 0.005 1.57 (0.90–2.72) 0.111
Unspecified 0.12 (0.07–0.21)  < 0.001 0.22 (0.12–0.39)  < 0.001 0.11 (0.06–0.20)  < 0.001 0.22 (0.12–0.42)  < 0.001 0.21 (0.05–0.86) 0.03 0.21 (0.05–0.87) 0.031
Marital Status
Married Ref Ref Ref Ref Ref Ref
Single 1.34 (1.28–1.41)  < 0.001 1.29 (1.23–1.35)  < 0.001 1.30 (1.23–1.36)  < 0.001 1.24 (1.18–1.30)  < 0.001 1.88 (1.63–2.18)  < 0.001 1.83 (1.57–2.13)  < 0.001
Unmarried 1.32 (1.24–1.40)  < 0.001 1.23 (1.16–1.30)  < 0.001 1.25 (1.18–1.33)  < 0.001 1.17 (1.10–1.24)  < 0.001 2.04 (1.72–2.42)  < 0.001 1.88 (1.58–2.24)  < 0.001
Unspecified 0.72 (0.65–0.80)  < 0.001 0.90 (0.81–1.00) 0.042 0.68 (0.61–0.76)  < 0.001 0.89 (0.80–1.00) 0.045 1.11 (0.84–1.49) 0.458 0.98 (0.73–1.32) 0.898
Income
 < $35 k Ref Ref Ref Ref Ref Ref
$35 k—$50 k 0.91 (0.76–1.09) 0.302 0.89 (0.74–1.07) 0.202 0.97 (0.80–1.18) 0.763 0.96 (0.79–1.17) 0.661 0.63 (0.41–0.98) 0.039 0.59 (0.38–0.92) 0.019
$50 k—$75 k 0.79 (0.67–0.94) 0.007 0.82 (0.69–0.99) 0.036 0.87 (0.72–1.05) 0.141 0.90 (0.74–1.10) 0.318 0.43 (0.29–0.66)  < 0.001 0.45 (0.29–0.71) 0.001
 > $75 k 0.70 (0.59–0.83)  < 0.001 0.77 (0.64–0.93) 0.006 0.77 (0.64–0.93) 0.007 0.85 (0.69–1.04) 0.121 0.36 (0.24–0.54)  < 0.001 0.39 (0.25–0.63)  < 0.001
Area of Residence
Metropolitan Ref Ref Ref Ref Ref Ref
Nonmetropolitan 1.17 (1.10–1.24)  < 0.001 1.15 (1.07–1.24)  < 0.001 1.14 (1.07–1.21)  < 0.001 1.15 (1.06–1.25)  < 0.001 1.43 (1.20–1.69)  < 0.001 1.10 (0.87–1.38) 0.424
Unspecified 1.15 (0.84–1.56) 0.393 1.84 (1.26–2.69) 0.001 1.05 (0.74–1.47) 0.792 1.80 (1.19–2.72) 0.005 2.05 (0.97–4.31) 0.059 1.79 (0.71–4.53) 0.221
Primary Site
Right-sided colon Ref Ref Ref Ref Ref Ref
Transverse colon 1.11 (1.01–1.22) 0.027 1.10 (1.00–1.22) 0.041 1.11 (1.00–1.22) 0.048 1.10 (0.99–1.22) 0.067 1.16 (0.87–1.54) 0.315 1.18 (0.89–1.57) 0.255
left-sided colon 0.94 (0.89–0.99) 0.024 0.98 (0.93–1.04) 0.527 0.96 (0.91–1.01) 0.121 0.98 (0.93–1.04) 0.602 0.81 (0.69–0.95) 0.012 0.90 (0.76–1.07) 0.241
Rectum/Rectosigmoid junction 0.80 (0.76–0.84)  < 0.001 0.90 (0.84–0.96) 0.001 0.80 (0.76–0.85)  < 0.001 0.90 (0.84–0.97) 0.003 0.78 (0.67–0.92) 0.003 0.79 (0.65–0.96) 0.017
Unspecified 2.19 (1.96–2.44)  < 0.001 1.24 (1.11–1.38)  < 0.001 2.27 (2.03–2.55)  < 0.001 1.25 (1.11–1.40)  < 0.001 1.42 (0.94–2.14) 0.092 1.12 (0.73–1.70) 0.611
Grade
Grade I Ref Ref Ref Ref Ref Ref
Grade II 2.22 (2.03–2.42)  < 0.001 1.63 (1.49–1.79)  < 0.001 2.49 (2.26–2.75)  < 0.001 1.74 (1.57–1.92)  < 0.001 1.07 (0.87–1.32) 0.534 1.07 (0.86–1.33) 0.522
Grade III 4.56 (4.15–5.01)  < 0.001 2.59 (2.35–2.85)  < 0.001 5.30 (4.78–5.88)  < 0.001 2.80 (2.52–3.12)  < 0.001 1.49 (1.16–1.91) 0.002 1.41 (1.09–1.83) 0.01
Grade IV 4.46 (3.86–5.15)  < 0.001 2.72 (2.35–3.15)  < 0.001 5.14 (4.42–5.99)  < 0.001 2.94 (2.52–3.43)  < 0.001 1.56 (0.95–2.57) 0.082 1.42 (0.86–2.36) 0.172
Unspecified 2.39 (2.17–2.64)  < 0.001 1.56 (1.41–1.73)  < 0.001 2.63 (2.36–2.93)  < 0.001 1.63 (1.46–1.83)  < 0.001 1.37 (1.08–1.74) 0.01 1.20 (0.94–1.54) 0.143
Histology
Adenocarcinomas Ref Ref Ref Ref Ref Ref
Cystic/mucinous 1.81 (1.71–1.91)  < 0.001 1.15 (1.09–1.23)  < 0.001 1.86 (1.75–1.97)  < 0.001 1.16 (1.09–1.23)  < 0.001 1.37 (1.12–1.67) 0.002 1.22 (0.99–1.50) 0.062
Others 1.62 (1.44–1.82)  < 0.001 1.06 (0.94–1.20) 0.325 1.54 (1.36–1.75)  < 0.001 1.02 (0.90–1.16) 0.757 2.25 (1.67–3.04)  < 0.001 1.56 (1.13–2.15) 0.007
Stage
Localized Ref Ref Ref Ref Ref Ref
Regional 3.30 (3.07–3.55)  < 0.001 3.04 (2.80–3.29)  < 0.001 4.75 (4.34–5.20)  < 0.001 4.21 (3.82–4.64)  < 0.001 1.14 (0.99–1.31) 0.073 1.39 (1.18–1.65)  < 0.001
Distant 19.85 (18.51–21.28)  < 0.001 15.11 (13.95–16.37)  < 0.001 30.87 (28.29–33.68)  < 0.001 22.52 (20.44–24.81)  < 0.001 1.98 (1.65–2.38)  < 0.001 2.10 (1.69–2.61)  < 0.001
Unspecified 3.30 (2.83–3.84)  < 0.001 2.13 (1.82–2.49)  < 0.001 4.33 (3.63–5.16)  < 0.001 2.79 (2.33–3.34)  < 0.001 1.76 (1.28–2.41)  < 0.001 1.23 (0.87–1.73) 0.24
Radiotherapy
No/Unknown Ref Ref Ref Ref Ref Ref
Yes 1.16 (1.11–1.22)  < 0.001 1.09 (1.02–1.15) 0.008 1.19 (1.13–1.25)  < 0.001 1.09 (1.02–1.16) 0.009 0.96 (0.82–1.13) 0.643 1.22 (0.98–1.51) 0.074
Chemotherapy
No/Unknown Ref Ref Ref Ref Ref Ref
Yes 2.77 (2.65–2.90)  < 0.001 0.95 (0.90–1.00) 0.065 3.29 (3.13–3.46)  < 0.001 1.00 (0.94–1.06) 0.908 0.86 (0.76–0.97) 0.018 0.62 (0.52–0.73)  < 0.001
Surgery
No/Unknown Ref Ref Ref Ref Ref Ref
Yes 0.24 (0.23–0.26)  < 0.001 0.40 (0.38–0.42)  < 0.001 0.23 (0.22–0.24)  < 0.001 0.40 (0.37–0.42)  < 0.001 0.45 (0.37–0.54)  < 0.001 0.50 (0.40–0.62)  < 0.001

OS overall survival, CSS cancer-specific survival, NCSS noncancer-specific survival, HR hazard ratio, CI confidence interval, Ref reference.