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. 2025 Nov 24;15:41682. doi: 10.1038/s41598-025-25613-0

Table 3.

Univariate and multivariate Cox regression analyses associated of factors with 3-year OS before PSM (n=921).

Variables Univariate analysis Multivariate analysis
HR (95% CI) P HR (95% CI) P
TME quality (Grade B/C vs. Grade A) 2.096 (1.213~3.624) 0.008 2.114 (1.252~3.568) 0.005
Surgery method (Laparoscopic vs. Open) 1.473 (0.865~2.509) 0.154
Gender (Female vs. Male) 0.592 (0.349~1.007) 0.053 0.589 (0.348~0.998) 0.049
Age (>60 vs. ≤60 years) 1.318 (0.819~2.119) 0.255
BMI (>25 vs. ≤25 kg/m2) 0.949 (0.537~1.678) 0.857
ASA score ((III, II vs. I) 1.009 (0.623~1.634) 0.971
CEA (>5 vs. ≤5 ng/ml) 1.329 (0.744~2.371) 0.336
CA19-9 (>37 vs. ≤37 U/ml) 2.333 (0.927~5.869) 0.072 2.568 (1.070~6.160) 0.035
Distance to the anal verge (mm) 0.981 (0.964~0.998) 0.033 0.982 (0.968~0.997) 0.016
Neoadjuvant chemoradiotherapy (Yes vs. No) 1.962 (1.097~3.507) 0.023 1.868 (1.057~3.300) 0.031
Sphincter preservation (Yes vs. No) 1.081 (0.588~1.988) 0.801
Central group lymph nodes status (Positive vs. Negative) 2.597 (0.834~8.085) 0.100 3.017 (1.006~9.041) 0.049
pT stage (T4, T3, T2, T1 vs. T0/Tis) 1.722 (1.109~2.675) 0.015 1.361 (1.059~1.750) 0.016
pN stage (N+ vs. N0) 5.345 (1.520~18.787) 0.009 2.316 (1.415~3.790) 0.001
pTNM stage (III, II, I vs. 0) 0.553 (0.243~1.259) 0.158

Abbreviations: PSM, propensity-score matching; OS, overall survival; BMI, body mass index; ASA, American Society of Anesthesiologists Score; CEA, circumferential resection margin; CA19-9, carbohydrate antigen 19-9.