Table 4.
Characteristics | N | Univariatea | Multivariate | ||||
---|---|---|---|---|---|---|---|
HR | 95% CI | P value | HR | 95% CI | P value | ||
Low-volume surgeon | 445b | 1.000 | 1.000 | ||||
High-volume surgeon | 316b | 0.566 | 0.44–0.74 | <0.001 | 0.736 | 0.55–0.98 | 0.04 |
| |||||||
Age in years | 0.01 | <0.001 | |||||
<50 | 41 | 1.000 | 1.000 | ||||
50–75 | 486 | 1.052 | 0.61–1.80 | 1.261 | 0.67–2.37 | ||
>75 | 234 | 1.304 | 1.16–1.49 | 2.034 | 1.01–4.08 | ||
| |||||||
ASA-classification [16] | <0.001 | 0.05 | |||||
1 | 158 | 1.000 | 1.000 | ||||
2 | 410 | 0.938 | 0.68–1.29 | 0.914 | 0.63–1.33 | ||
3 | 181 | 1.547 | 1.09–2.19 | 1.301 | 0.86–1.97 | ||
4 | 25 | 2.567 | 1.65–4.62 | 1.507 | 1.05–2.86 | ||
| |||||||
Urogenital comorbidity | 66 | 1.521 | 1.07–2.17 | 0.02 | 1.174 | 0.69–1.47 | 0.43 |
| |||||||
Open surgical technique | 253 | 1.000 | 1.000 | ||||
Laparoscopic | 508 | 0.518 | 0.41–0.65 | <0.001 | 0.752 | 0.55–1.03 | 0.08 |
| |||||||
No conversion | 396 | 1.000 | 1.000 | ||||
Conversion (laparoscopy only) | 112 | 1.380 | 1.03–1.86 | 0.03 | 1.337 | 0.92–1.95 | 0.13 |
| |||||||
Elapsed time of the surgery | 761 | 1.003 | 1.00–1.01 | 0.02 | 1.001 | 0.99–1.01 | 0.43 |
| |||||||
Blood loss intraoperatively | 761 | 1.001 | 1.00–1.01 | <0.001 | 1.000 | 0.99–1.00 | 0.20 |
| |||||||
Tumor stagec | <0.001 | 0.04 | |||||
1 | 50 | 1.000 | 1.000 | ||||
2 | 153 | 1.293 | 0.63–2.67 | 1.307 | 0.59–2.91 | ||
3 | 489 | 2.549 | 1.31–4.97 | 1.666 | 0.79–3.52 | ||
4 | 58 | 6.609 | 3.21–13.6 | 2.814 | 1.21–6.54 | ||
| |||||||
Nodal stagec | <0.001 | <0.001 | |||||
0 | 439 | 1.000 | 1.000 | ||||
1 | 216 | 2.484 | 1.91–3.23 | 1.769 | 1.28–2.46 | ||
2 | 106 | 4.791 | 3.57–6.43 | 2.484 | 1.51–4.10 | ||
| |||||||
Metastatic stagec | <0.001 | <0.001 | |||||
0 | 684 | 1.000 | 1.000 | ||||
1 | 77 | 9.697 | 7.29–12.9 | 7.093 | 4.99–10.1 | ||
| |||||||
Positive lymph nodes | 761 | 1.117 | 1.09–1.14 | <0.001 | 1.031 | 0.98–1.08 | 0.21 |
| |||||||
Resection margins | <0.001 | 0.29 | |||||
Complete resection (R0) | 731 | 1.000 | 1.000 | ||||
Microscopically irradical (R1) | 19 | 2.955 | 1.76–4.97 | 1.200 | 0.60–2.38 | ||
Macroscopically irradical (R2) | 11 | 3.080 | 1.58–6.00 | 0.551 | 0.23–1.32 | ||
| |||||||
Length of hospital-stay | 761 | 1.012 | 1.01–1.02 | <0.001 | 1.004 | 0.99–1.01 | 0.39 |
| |||||||
No adverse event | 656 | 1.000 | 1.000 | ||||
Adverse event | 105 | 1.664 | 1.24–2.23 | 0.01 | 1.069 | 0.69–1.65 | 0.76 |
| |||||||
No adjuvant chemotherapy | 546 | 1.000 | 1.000 | ||||
Adjuvant chemotherapy | 215 | 2.104 | 1.67–2.65 | <0.001 | 1.376 | 0.98–1.93 | 0.06 |
aOnly significant factors listed; b13 patients lost to follow-up, 8 low-volume patients, and 5 high-volume patients; caccording to the AJCC TNM-staging system [17].