Table 3. Univariate and multivariate Cox proportional hazards models predicting overall survival and cancer-specific survival in 472 patients with UTUC.
Age | Overall survival | Cancer-specific Survival | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Univariate | Multivariate | Univariate | Multivariate | |||||||||
Variables | HR | 95% CI | P value | HR | 95% CI | P value | HR | 95% CI | P value | HR | 95% CI | P value |
Age | ||||||||||||
> 67 vs. ≦ 67 | 1.519 | 1.083–2.131 | 0.015 | 1.598 | 1.109–2.304 | 0.012 | 1.595 | 1.109–2.295 | 0.012 | 1.647 | 1.111–2.442 | 0.013 |
Gender | ||||||||||||
Male vs. Female | 1.343 | 0.963–1.874 | 0.082 | 1.238 | 0.820–1.868 | 0.310 | 1.216 | 0.850–1.737 | 0.284 | 1.125 | 0.722–1.753 | 0.603 |
Smoking | ||||||||||||
Yes vs. No | 1.201 | 0.809–1.784 | 0.363 | 1.295 | 0.786–2.134 | 0.309 | 1.102 | 0.714–1.701 | 0.662 | 1.321 | 0.763–2.289 | 0.320 |
Preoperative eGFR (ml/min/1.73m 2 ) | ||||||||||||
< 60 vs. ≧ 60 | 1.485 | 1.017–2.169 | 0.041 | 1.577 | 1.045–2.382 | 0.030 | 1.699 | 1.117–2.586 | 0.013 | 1.691 | 1.071–2.669 | 0.024 |
Surgery method | ||||||||||||
Laparoscopic vs. Open | 0.797 | 0.557–1.139 | 0.213 | 0.955 | 0.652–1.399 | 0.813 | 0.784 | 0.535–1.150 | 0.214 | 0.949 | 0.630–1.429 | 0.803 |
Tumor location | 0.032 | 0.236 | 0.082 | 0.268 | ||||||||
Ureter vs. Renal pelvis | 1.183 | 0.803–1.742 | 0.396 | 0.912 | 0.601–1.384 | 0.664 | 1.002 | 0.664–1.512 | 0.993 | 0.803 | 0.515–1.252 | 0.333 |
Synchronous vs. Renal pelvis | 1.785 | 1.149–2.775 | 0.010 | 1.336 | 0.844–2.117 | 0.217 | 1.605 | 1.007–2.556 | 0.047 | 1.199 | 0.737–1.951 | 0.465 |
Pathological tumor stage | <0.001 | <0.001 | <0.001 | <0.001 | ||||||||
T1 vs. Tis/a | 1.057 | 0.465–2.401 | 0.895 | 1.061 | 0.459–2.453 | 0.890 | 1.624 | 0.606–4.352 | 0.335 | 1.529 | 0.561–4.168 | 0.407 |
T2 vs. Tis/a | 1.924 | 0.882–4.197 | 0.100 | 2.066 | 0.880–4.850 | 0.096 | 2.269 | 0.859–5.993 | 0.098 | 2.171 | 0.766–6.154 | 0.145 |
T3 vs. Tis/a | 4.162 | 1.991–8.700 | <0.001 | 3.407 | 1.458–7.964 | 0.005 | 5.988 | 2.396–14.964 | <0.001 | 4.438 | 1.606–12.266 | 0.004 |
T4 vs. Tis/a | 17.146 | 7.494–39.229 | <0.001 | 5.767 | 2.061–16.139 | 0.001 | 27.043 | 10.079–72.558 | <0.001 | 8.530 | 2.634–27.624 | <0.001 |
Pathological lymph nodal status | <0.001 | 0.002 | <0.001 | 0.005 | ||||||||
pNx vs. pN0 | 1.276 | 0.858–1.899 | 0.229 | 1.160 | 0.775–1.735 | 0.471 | 1.274 | 0.829–1.957 | 0.269 | 1.179 | 0.763–1.823 | 0.458 |
pN1/2 vs. pN0 | 8.334 | 5.036–13.792 | <0.001 | 3.109 | 1.657–5.835 | <0.001 | 8.791 | 5.168–14.956 | <0.001 | 2.943 | 1.522–5.691 | 0.001 |
Tumor grade | ||||||||||||
High vs. Low | 2.404 | 1.507–3.835 | <0.001 | 0.959 | 0.537–1.715 | 0.888 | 2.983 | 1.733–5.137 | <0.001 | 1.202 | 0.621–2.328 | 0.586 |
Adjuvant chemotherapy | ||||||||||||
Yes vs. No | 2.914 | 2.048–4.148 | <0.001 | 1.350 | 0.884–2.062 | 0.165 | 3.009 | 2.066–4.381 | <0.001 | 1.313 | 0.837–2.058 | 0.236 |
Hematuria | ||||||||||||
Yes vs. No | 0.495 | 0.317–0.771 | 0.002 | 0.616 | 0.378–1.003 | 0.051 | 0.477 | 0.312–0.729 | 0.001 | 0.640 | 0.380–1.077 | 0.093 |
HN and flank pain | <0.001 | 0.078 | 0.001 | 0.130 | ||||||||
Flank pain without HN vs. no HN and flank pain | 1.121 | 0.521–2.413 | 0.770 | 1.561 | 0.696–3.499 | 0.280 | 1.264 | 0.582–2.743 | 0.554 | 1.780 | 0.783–4.049 | 0.169 |
HN without flank pain vs. no HN and flank pain | 1.301 | 0.848–1.996 | 0.228 | 1.146 | 0.730–1.799 | 0.553 | 1.254 | 0.795–1.978 | 0.329 | 1.140 | 0.705–1.842 | 0.594 |
HN with flank pain vs. no HN and flank pain | 2.835 | 1.804–4.454 | <0.001 | 1.975 | 1.137–3.433 | 0.016 | 2.607 | 1.603–4.238 | <0.001 | 1.874 | 1.042–3.371 | 0.036 |
eGFR estimated glomerular filtration, HN hydronephrosis.