Table 2.
Parameters | Overall Survival |
Malignant Progression-free survival |
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Unadjusted Hazard Ratio (HR) |
Adjusted Hazard Ratio |
Unadjusted Hazard Ratio |
Adjusted Hazard Ratio |
|||||||||
HR | 95% CI | P | HRa | 95% CI | P | HR | 95% CI | P | HRa | 95% CI | P | |
Clinical parameters | ||||||||||||
Sex | ||||||||||||
Female | 1 (ref) | 1 (ref) | ||||||||||
Male | 5.06 | 1.72–21.5 | .002 | 10.22 | 2.58–17.8 | .001 | 162 | 0.94–2.88 | .082 | 1.77 | 0.88–3.74 | .108 |
Age | ||||||||||||
<40 | 1 (ref) | 1 (ref) | ||||||||||
≥40 | 1.10 | 0.48–2.60 | .821 | 1.26 | 0.74–2.18 | .389 | ||||||
Increased intracranial pressure | ||||||||||||
No | 1 (ref) | 1 (ref) | ||||||||||
Yes | 1.58 | 0.79–2.09 | .667 | 5.33 | 0.85–17.9 | .067 | 11.31 | 1.44–59.7 | .024 | |||
Neurological deficit | ||||||||||||
No | 1 (ref) | 1 (ref) | ||||||||||
Yes | 1.03 | 0.26–5.18 | .964 | 1.25 | 0.56–2.52 | .562 | ||||||
Seizures | ||||||||||||
Yes | 1 (ref) | 1 (ref) | ||||||||||
No | 4.13 | 1.40–11.6 | .011 | 3.69 | 0.56–20.4 | .161 | 1.12 | 0.58–2.38 | .752 | |||
KPS | ||||||||||||
>70 | 1 (ref) | 1 (ref) | ||||||||||
≥70 | 2.84 | 0.44–10.1 | .224 | 2.32 | 0.70–5.76 | .151 | 1.30 | 0.18–5.38 | .745 | |||
Imaging parameters | ||||||||||||
Cerebral lobes involved | ||||||||||||
1 | 1 (ref) | 1 (ref) | ||||||||||
≥2 | 1.99 | 0.84–4.7 | .113 | 2.31 | 0.37–16.1 | .373 | 1.36 | 0.73–2.42 | .314 | |||
Corpus callosum involvement | ||||||||||||
No | 1 (ref) | 1 (ref) | ||||||||||
Yes | 4.69 | 1.07–14.6 | .042 | 1.35 | 0.19–7.83 | .743 | 2.03 | 0.61–5.02 | .220 | |||
Anatomic location | ||||||||||||
Frontal | 1 (ref) | 1 (ref) | ||||||||||
Temporal | 1.63 | 0.57–4.32 | .352 | 1.94 | 0.93–3.83 | .074 | 2.05 | 0.63–5.95 | .215 | |||
Parietal | 1.43 | 0.31–4.69 | .599 | 1.92 | 0.84–4.01 | .116 | 4.20 | 1.28–12.99 | .019 | |||
Insular | 0.92 | 0.21–2.99 | .896 | 1.53 | 0.72–3.07 | .252 | 2.29 | 0.53–8.12 | .069 | |||
Contrast enhancement | ||||||||||||
No | 1 (ref) | 1 (ref) | ||||||||||
Yes | 1.79 | 0.03–2.67 | .001 | 2.29 | 0.02–21.5 | .774 | 1.95 | 0.74–4.24 | .159 | 1.98 | 0.67–5.04 | .206 |
Tumor volume, cm3 | ||||||||||||
<100 | 1 (ref) | 1 (ref) | ||||||||||
≥100 | 2.44 | 1.15–4.72 | .0022 | 9.69 | 1.49–70.1 | .017 | 2.44 | 1.14–4.72 | .022 | 1.41 | 0.47–3.76 | .514 |
VDE | ||||||||||||
<8 mm/y | 1 (ref) | 1 (ref) | ||||||||||
≥8 mm/y | 6.61 | 2.69–12.2 | <.0001 | 26.3 | 5.42–185.2 | <.0001 | 4.18 | 2.30–7.35 | <.0001 | 4.23 | 1.81–9.40 | .001 |
Histopathological parameters | ||||||||||||
Histological subtype | ||||||||||||
Astrocytoma | 1 (ref) | 1 (ref) | ||||||||||
Oligodendroglioma | 0.94 | 0.31–4.09 | .926 | 0.92 | 0.45–2.05 | .819 | ||||||
Mixed glioma | 0.88 | 0.22–4.35 | .873 | 1.09 | 0.48–2.67 | .826 | ||||||
Oligodendroglial component | ||||||||||||
Yes | 1 (ref) | 1 (ref) | ||||||||||
No | 1.41 | 0.40–3.81 | .549 | 0.91 | 0.47–1.94 | .806 | ||||||
Proliferation rates | ||||||||||||
<5% | 1 (ref) | 1 (ref) | ||||||||||
≥5% | 1.28 | 0.53–3.27 | .577 | 1.13 | 0.62–2.02 | .684 | ||||||
1p19q Codeletion | ||||||||||||
Yes | 1 (ref) | 1 (ref) | ||||||||||
No | 3.91 | 1.11–24.7 | .031 | 2.92 | 0.35–60.9 | .353 | 1.50 | 0.80–2.87 | .220 | |||
p53 Overexpression | ||||||||||||
No | 1 (ref) | 1 (ref) | ||||||||||
Yes | 2.42 | 0.95–7.41 | .062 | 1.38 | 0.26–11.32 | .720 | 1.33 | 0.77–2.34 | .307 | |||
IDH1 expression | ||||||||||||
Yes | 1 (ref) | 1 (ref) | ||||||||||
No | 3.27 | 1.03–8.84 | .044 | 17.86 | 2.15–200.1 | .007 | 2.05 | 1.03–3.79 | .042 | 2.39 | 1.19–4.66 | .019 |
Therapeutic parameters | ||||||||||||
First-line surgery | ||||||||||||
No | 1 (ref) | 1 (ref) | ||||||||||
Yes | 0.41 | 0.16–0.97 | .042 | 2.05 | 0.57–7.83 | .270 | 0.53 | 0.31–0.90 | .018 | 0.40 | 0.20–0.83 | .015 |
First-line surgery | ||||||||||||
Biopsy | 1 (ref) | 1 (ref) | ||||||||||
Partial removal | 0.18 | 0.01–0.88 | .031 | 0.21 | 0.04–1.52 | .088 | 0.44 | 0.15–1.05 | .067 | 0.27 | 0.07–0.83 | .021 |
Subtotal removal | 0.59 | 0.21–1.47 | .265 | 0.22 | 0.05–0.91 | .038 | 0.64 | 0.34–1.14 | .127 | 0.51 | 0.24–1.11 | .091 |
Total removal | 0.31 | 0.02–1.58 | .188 | 0.23 | 0.02–6.99 | .349 | 0.34 | 0.08–0.94 | .038 | 0.25 | 0.05–0.85 | .025 |
Boldface indicates statistically significant.