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. 2025 Aug 23;25:1364. doi: 10.1186/s12885-025-14684-x

Table 4.

Multivariable analysis of prognostic factors in locally advanced head and neck squamous cell carcinoma

Endpoint HR (95% CI) P value
Disease-free survival
 Sex 0.357 (0.145–0.880) 0.025
 Age 1.209 (0.717–2.037) 0.477
 T stage 0.300 (0.141–0.637) 0.002
 N stage 0.435 (0.196–0.964) 0.040
 Karnofsky scale 0.408 (0.191–0.874) 0.021
 HPV status 0.923 (0.282–3.019) 0.894
 Primary tumor site 1.265 (0.708–2.258) 0.427
 DWI-guided dose painting 0.559 (0.324–0.966) 0.037
Local recurrence-free survival
 Sex 0.412 (0.156–1.088) 0.073
 Age 1.280 (0.752–2.179) 0.364
 T stage 0.310 (0.146–0.660) 0.002
 N stage 0.457 (0.206–1.015) 0.054
 Karnofsky scale 0.378 (0.175–0.814) 0.013
 HPV status 0.877 (0.267–2.878) 0.829
 Primary tumor site 1.186 (0.661–2.127) 0.568
 DWI-guided dose painting 0.568 (0.328–0.984) 0.044
Regional recurrence-free survival
 Sex 3.344 (1.361–8.214) 0.006
 Age 1.152 (0.640–2.075) 0.637
 T stage 0.175 (0.062–0.491) < 0.001
 N stage 0.544 (0.242–1.223) 0.141
 Karnofsky scale 0.505 (0.212–1.200) 0.122
 HPV status 2. 334 (0.316–17.245) 0.406
 Primary tumor site 1.217 (0.636–2.328) 0.553
 DWI-guided dose painting 0.684 (0.378–1.238) 0.209
Locoregional recurrence-free survival
 Sex 0.331 (0.134–0.817) 0.017
 Age 1.236 (0.731–2.089) 0.429
 T stage 0.306 (0.144–0.650) 0.002
 N stage 0.446 (0.201–0.988) 0.047
 Karnofsky scale 0.394 (0.183–0.846) 0.017
 HPV status 0.878 (0.268–2.877) 0.829
 Primary tumor site 1.260 (0.704–2.256) 0.437
 DWI-guided dose painting 0.558 (0.322–0.968) 0.038
Distant metastasis-free survival
 Sex 0.343 (0.129–0.916) 0.033
 Age 1.372 (0.760–2.478) 0.294
 T stage 0.307 (0.137–0.690) 0.004
 N stage 0.450 (0.190–1.068) 0.070
 Karnofsky scale 0.417 (0.182–0.955) 0.038
 HPV status 1.066 (0.250–4.538) 0.931
 Primary tumor site 1.208 (0.641–2.275) 0.559
 DWI-guided dose painting 0.536 (0.293–0.979) 0.043
Overall survival
 Sex 0.525 (0.154–1.789) 0.303
 Age 1.591 (0.785–3.223) 0.197
 T stage 0.183 (0.055–0.606) 0.005
 N stage 0.540 (0.206–1.414) 0.210
 Karnofsky scale 0.398 (0.160–0.987) 0.047
 HPV status 1.803 (0.239–13.598) 0.567
 Primary tumor site 1.140 (0.533–2.441) 0.736
 DWI-guided dose painting 0.885 (0.449–1.746) 0.725

Abbreviation: HPV = Human Papillomavirus; HR = hazard ratio; IC = induction chemotherapy;