Table 2.
Cox regression analysis of overall survival: HR (hazard ratio); CI, confidence interval; LRP, low-risk pattern; HRP, high-risk pattern. Univariable Cox regression analyses were performed separately for each variable. The multivariable Cox regression model included pT stage, tumor grade, nodal status, distant metastases, architectural growth pattern, and the proportion of p16-positive vessels. The multivariable model included 199 cases and 76 events. Endothelial p16 staining intensity was not included in the multivariable model because the proportion of p16-positive vessels was selected as the primary vascular p16 variable
| Variable | Comparison | Univariable Cox analysis n/events | Univariable HR (95% CI) | p value | Multivariable HR (95% CI) | p value |
|---|---|---|---|---|---|---|
| pT stage | pT3/4 vs. pT1/2 | 248/90 | 2.672 (1.758–4.063) | < 0.001 | 2.338 (1.425–3.835) | < 0.001 |
| Tumor grade | G3/G4 vs. G1/G2 | 248/90 | 3.203 (2.016–5.089) | < 0.001 | 1.065 (0.560–2.026) | 0.848 |
| Nodal status | pN1 vs. pN0/cN0 | 244/90 | 3.541 (1.789–7.008) | < 0.001 | 1.109 (0.426–2.883) | 0.833 |
| Distant metastases | M1 vs. M0 | 244/90 | 3.471 (2.104–5.727) | < 0.001 | 2.919 (1.517–5.616) | 0.001 |
| Architectural growth pattern | HRP vs. LRP | 215/79 | 2.496 (1.597–3.899) | < 0.001 | 2.070 (1.203–3.561) | 0.009 |
| p16-positive vessels | ≥ 35% vs. < 35% | 222/84 | 0.462 (0.296–0.722) | < 0.001 | 0.687 (0.404–1.169) | 0.167 |
| Endothelial p16 staining intensity | Score 1 vs. 0 | 222/84 | 1.036 (0.560–1.916) | 0.910 | — | — |
| Endothelial p16 staining intensity | Score 2 vs. 0 | 222/84 | 0.415 (0.211–0.815) | 0.011 | — | — |