Table 5.
Characteristics | N | Univariatea | Multivariate | ||||
---|---|---|---|---|---|---|---|
HR | 95% CI | P value | HR | 95% CI | P value | ||
Low-volume surgeon | 451b | 1.000 | 1.000 | ||||
High-volume surgeon | 321 | 0.495 | 0.35–0.69 | <0.001 | 0.731 | 0.51–1.04 | 0.09 |
| |||||||
Age in years | <0.001 | <0.001 | |||||
<50 | 41 | 1.000 | 1.000 | ||||
50–75 | 494 | 1.068 | 0.58–1.98 | 1.110 | 0.82–1.77 | ||
>75 | 237 | 2.426 | 1.30–4.52 | 1.578 | 1.45–1.76 | ||
| |||||||
ASA-classification [16] | <0.001 | 0.01 | |||||
1 | 158 | 1.000 | 1.000 | ||||
2 | 410 | 1.384 | 0.92–2.08 | 1.340 | 0.83–2.16 | ||
3 | 181 | 2.726 | 1.78–4.17 | 1.973 | 1.16–3.36 | ||
4 | 25 | 5.398 | 3.07–9.49 | 3.136 | 1.54–6.41 | ||
| |||||||
Comorbidity | 523 | 1.509 | 1.13–2.01 | <0.001 | 1.089 | 0.71–1.68 | 0.70 |
Cardiac | 155 | 1.569 | 1.17–2.11 | <0.001 | 1.190 | 0.79–1.79 | 0.40 |
Vascular | 244 | 1.427 | 1.10–1.86 | <0.001 | 1.084 | 0.78–1.52 | 0.64 |
Neurologic | 56 | 1.663 | 1.09–2.54 | 0.02 | 1.190 | 0.92–2.41 | 0.10 |
Urogenital | 66 | 1.749 | 1.20–2.54 | <0.001 | 1.215 | 0.78–1.89 | 0.39 |
| |||||||
Open surgical technique | 258 | 1.000 | 1.000 | ||||
Laparoscopic | 514 | 0.522 | 0.41–0.67 | <0.001 | 0.595 | 0.43–0.83 | <0.001 |
| |||||||
No conversion | 400 | 1.000 | 1.000 | ||||
Conversion (laparoscopy only) | 114 | 1.510 | 1.10–2.08 | 0.01 | 1.418 | 0.93–2.16 | 0.10 |
| |||||||
Blood loss intraoperatively | 772 | 1.001 | 1.00–1.01 | <0.001 | 1.000 | 1.00–1.00 | 0.63 |
| |||||||
Tumor stagec | <0.001 | 0.67 | |||||
1 | 50 | 1.000 | 1.000 | ||||
2 | 156 | 1.235 | 0.57–2.66 | 1.507 | 0.64–3.58 | ||
3 | 495 | 1.999 | 0.98–2.66 | 1.435 | 0.64–3.23 | ||
4 | 60 | 4.956 | 2.30–10.7 | 1.952 | 0.78–4.88 | ||
| |||||||
Nodal stagec | <0.001 | <0.001 | |||||
0 | 445 | 1.000 | 1.000 | ||||
1 | 218 | 2.262 | 1.68–3.04 | 1.959 | 1.34–2.87 | ||
2 | 108 | 4.997 | 3.61–6.92 | 3.091 | 1.77–5.40 | ||
3 | 1 | 14.03 | 1.94–101 | 5.660 | 0.65–49.6 | ||
| |||||||
Metastatic stagec | <0.001 | <0.001 | |||||
0 | 695 | 1.000 | 1.000 | ||||
1 | 77 | 5.020 | 3.73–6.76 | 3.883 | 1.34–2.87 | ||
| |||||||
Number of positive lymph nodes | 772 | 1.134 | 1.11–1.16 | <0.001 | 1.042 | 0.99–1.10 | 0.13 |
| |||||||
Resection margins | <0.001 | 0.08 | |||||
Complete resection (R0) | 742 | 1.000 | 1.000 | ||||
Microscopically irradical (R1) | 19 | 3.520 | 2.05–6.05 | 2.294 | 1.08–4.89 | ||
Macroscopically irradical (R2) | 11 | 4.153 | 2.12–8.12 | 1.798 | 0.71–4.53 | ||
| |||||||
No adverse event | 665 | 1.000 | 1.000 | ||||
Adverse event | 107 | 1.938 | 1.42–2.65 | <0.001 | 1.129 | 0.70–1.82 | 0.62 |
| |||||||
No adjuvant chemotherapy | 554 | 1.000 | 1.000 | ||||
Adjuvant chemotherapy | 218 | 1.517 | 1.17–2.98 | <0.001 | 1.174 | 0.79–1.74 | 0.43 |
aOnly significant factors listed; b3 low-volume patients lost to follow-up; caccording to the AJCC TNM-staging system [17].