Table 4.
Overall survival with 1p/19q FISH criteria | Progression-free survival with 1p/19q FISH criteria | ||||
---|---|---|---|---|---|
Variable | Relative Risk (95% CI) | p | Variable | Relative Risk (95% CI) | p |
age < 45 y | 0.12 (0.042—0.37) | 0.0002 | age < 45 y | 0.25 (0.11—0.60) | 0.0017 |
GTR or STR | 0.51 (0.16—1.6) | 0.24 | GTR or STR | 0.52 (0.17—1.5) | 0.24 |
adjuvant Rx | 0.62 (0.26—1.5) | 0.29 | adjuvant Rx | 0.58 (0.26—1.3) | 0.18 |
WHO grade II | 0.16 (0.065—0.39) | 0.0001 | WHO grade II | 0.14 (0.060—0.34) | 0.00001 |
1p19q codeleted | 1.68 (0.47—6.1) | 0.42 | 1p19q codeleted | 1.8 (0.58—5.8) | 0.31 |
10q intact | 0.36 (0.15—0.88) | 0.026 | 10q intact | 0.41 (0.18—0.95) | 0.037 |
Overall survival with 1p/19q PCR-based LOH | Progression-free survival with 1p/19q PCR-based LOH | ||||
Variable | Relative Risk (95% CI) | p | Variable | Relative Risk (95% CI) | p |
age < 45 y | 0.15 (0.048—0.44) | 0.0007 | age < 45 y | 0.27 (0.11—0.63) | 0.0025 |
GTR or STR | 0.75 (0.30—1.9) | 0.55 | GTR or STR | 0.79 (0.32—1.9_ | 0.61 |
adjuvant Rx | 0.75 (0.31—1.8) | 0.52 | adjuvant Rx | 0.69 (0.30—1.6) | 0.39 |
WHO grade II | 0.13 (0.048—0.34) | 0.00001 | WHO grade II | 0.13 (0.050—0.32) | 0.00001 |
1p19q LOH | 0.44 (0.15—1.3) | 0.13 | 1p19q LOH | 0.59 (0.22—1.6) | 0.30 |
10q intact | 0.46 (0.19—1.1) | 0.09 | 10q intact | 0.51 (0.22—1.2) | 0.12 |
Sixty-four grade II and 20 grade III oligodendrogliomas were modeled by Cox Proportional Hazards according to key clinical, histologic, and molecular variables. The most powerful factors for favorable progression-free and overall survival were age <45 years, WHO grade II histology, and intact 10q (underlined). When incorporating 10q status with the multivariate analyses, 1p/19q status was not an independently prognostic variable. CI = confidence interval; FISH = fluorescence in situ hybridization; GTR = gross total resection; LOH = loss of heterozygosity; STR = subtotal resection. (Relative to the 1p/19q FISH data, similar p values were seen when using the modified 1p/19q FISH criteria, not shown.)