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. 2026 Jan 26;34:e20250492. doi: 10.1590/1678-7765-2025-0492

Table 4. Analysis of different prognostic factors with overall survival (OS) and recurrence-free survival (RFS), according to Cox proportional hazards regression analysis.

Cox Regression Analysis Variables Overall survival Recurrence-Free survival
    HR (95% CI) P HR (95% CI) P
Univariate Analysis Sex 0.604 [0.271-1.347] 0.218 0.673 [0.338-1.337] 0.258
Age 1.009 [0.977-1.042] 0.579 1.819 [1.051-3.148] 0.033
Smoking 1.527 [0.896-2.603] 0.120 1.224 [0.745-2.011] 0.426
Alcohol 1.533 [1.090-2.156] 0.014 1.121 [0.795-1.580] 0.515
Tumor EBV status 1.101 [0.622-1.947] 0.742 1.014 [0.593-1.733] 0.959
EBV viral load* 1.041 [0.737-1.472] 0.818 0.924 [0.704-1.375] 0.984
Tumor HCMV status 1.369 [0.492-3.814] 0.548 1.441 [0.574-3.617] 0.437
Histological grade 1.305 [0.908-1.875] 0.150 1.348 [0.947-1.920] 0.097
Nuclear grade 1.185 [0.847-1.657] 0.321 1.525 [1.113-2.088] 0.009
Tumor size 1.315 [1.089-1589] 0.004 1.151 [0.960-1.379] 0.128
Nodal status 2.346 [1.199-4.594] 0.013 1.936 [1.082-3.466] 0.026
Stage 1.565 [1.177-2.082] 0.002 1.373 [1.101-1.,712] 0.005
Recurrence 8.560 [3.782-19.37] 0.000 - - -
EBI3 ht vs. wt 0.948 [0,488-1.843] 0.875 0.866 [0.465-1.613] 0.650
rs4740 mt vs. wt 0.933 [0.438-1.987] 0.858 1.045 [0.522-2.091] 0.901
EBI3 ht vs. wt 0.742 [0382-1.440] 0.378 0.763 [0.421-1.385] 0.374
rs4905 mt vs. wt 1.344 [0.629-2.871] 0.446 1.248 [0.592-2.633] 0.561
EBI3 ht vs. wt 1.171 [0.647-2.119] 0.602 1.180 [0.687-2.029] 0.549
rs428253 mt vs. wt 2.312 [0.698-7.657] 0.170 2.026 [0.616-6.662] 0.245
Multivariate analysis Stage 2.590 [1.622-4.137] 0.0001 1.812 [1.281-2.564] 0.001
Recurrence 7.996 [3.49-18.327] 0.00001 - - -

HR - Hazard ratio. Confidence interval.

* EBV viral load categories were defined as negative, low (below the median), and high (above the median), based on values calculated as 2(–ΔCt) x 200,000/10⁵ cells.