Table 3.
Multivariable Cox models for size and number of indeterminate pulmonary nodules for all patients. Each model was adjusted for American Joint Committee on Cancer stage, histology, and tumor size, N = 748.
| Lung Metastases | Any Distant Metastases | Death from Kidney Cancer | |||||||
|---|---|---|---|---|---|---|---|---|---|
| Predictors | HR | 95% CI | p value | HR | 95% CI | p value | HR | 95% CI | p value |
| Size of nodules | |||||||||
| No nodules | Ref. | - | - | Ref. | - | - | Ref. | - | - |
| ≤ 1 cm | 1.26 | 0.76-2.10 | 0.4 | 1.33 | 0.85-2.08 | 0.2 | 1.08 | 0.56-2.09 | 0.8 |
| > 1 cm | 4.53 | 1.95-10.52 | 0.0004 | 3.77 | 1.66-8.57 | 0.002 | 2.45 | 0.81-7.37 | 0.11 |
| AJCC stage | |||||||||
| Stages 1 and 2 | Ref. | - | - | Ref. | - | - | Ref. | - | - |
| Stages 3 and 4 | 2.67 | 1.90-3.76 | <0.0001 | 2.80 | 2.08-3.78 | <0.0001 | 3.17 | 2.01-5.00 | <0.0001 |
| Histology | |||||||||
| Non-clear cell | Ref. | - | - | Ref. | - | - | Ref. | - | - |
| Clear cell | 3.13 | 1.57-6.22 | 0.001 | 2.05 | 1.19-3.53 | 0.01 | 1.37 | 0.67-2.82 | 0.4 |
| Tumor size (cm) | 1.14 | 1.08-1.20 | <0.0001 | 1.12 | 1.07-1.17 | <0.0001 | 1.09 | 1.02-1.17 | 0.012 |
| Number of nodules | |||||||||
| No nodules | Ref. | - | - | Ref. | - | - | Ref. | - | - |
| Single | 1.08 | 0.51-2.29 | 0.8 | 1.06 | 0.55-2.05 | 0.9 | 1.30 | 0.54-3.14 | 0.6 |
| Multiple | 1.61 | 0.96-2.71 | 0.072 | 1.65 | 1.04-2.62 | 0.034 | 1.16 | 0.58-2.32 | 0.7 |
| AJCC stage | |||||||||
| Stages 1 and 2 | Ref. | - | - | Ref. | - | - | Ref. | - | - |
| Stages 3 and 4 | 2.67 | 1.90-3.73 | <0.0001 | 2.79 | 2.07-3.75 | <0.0001 | 3.28 | 2.06-5.21 | <0.0001 |
| Histology | |||||||||
| Non-clear cell | Ref. | - | - | Ref. | - | - | Ref. | - | - |
| Clear cell | 2.87 | 1.45-5.69 | 0.002 | 1.99 | 1.15-3.45 | 0.013 | 1.34 | 0.65-2.76 | 0.4 |
| Tumor size (cm) | 1.14 | 1.08-1.20 | <0.0001 | 1.12 | 1.07-1.17 | <0.0001 | 1.09 | 1.02-1.17 | 0.011 |
Abbreviations: HR = hazard ratio, CI = confidence interva , AJCC = American Joint Committee on Cancer