Table 2. Prognostic factors for overall and cancer-specific mortality.
|
Overall survival using Cox regression |
Cancer-specific survival using Cox regression |
|||||||
|---|---|---|---|---|---|---|---|---|
|
Univariatea |
Full modelb |
Univariatea |
Full modelb |
|||||
| HR (95% CI) | Pc | HR (95% CI) | Pc | HR (95% CI) | Pc | HR (95% CI) | Pc | |
|
Histology | ||||||||
| Non-mucinous | Reference | <0.001 | Reference | 0.269 | Reference | <0.001 | Reference | 0.169 |
| Mucinous | 1.21 (1.18–1.25) | 1.02 (0.99–1.05) | 1.26 (1.22–1.31) | 1.03 (0.99–1.06) | ||||
|
Location | ||||||||
| Caecum | Reference | <0.001 | Reference | <0.001 | Reference | <0.001 | Reference | <0.001 |
| Ascending colon | 0.88 (0.86–0.91) | 1.00 (0.97–1.03) | 0.80 (0.77–0.83) | 0.97 (0.94–1.00) | ||||
| Hepatic flexure | 0.89 (0.85–0.93) | 1.02 (0.97–1.07) | 0.85 (0.80–0.89) | 1.01 (0.96–1.07) | ||||
| Transverse colon | 0.91 (0.88–0.95) | 0.99 (0.95–1.02) | 0.88 (0.84–0.92) | 0.95 (0.91–1.00) | ||||
| Splenic flexure | 0.89 (0.84–0.93) | 0.92 (0.87–0.97) | 0.91 (0.86–0.97) | 0.89 (0.84–0.95) | ||||
| Descending colon | 0.79 (0.75–0.82) | 0.90 (0.86–0.94) | 0.80 (0.76–0.85) | 0.87 (0.83–0.92) | ||||
| Sigmoid colon | 0.73 (0.71–0.75) | 0.87 (0.84–0.89) | 0.74 (0.72–0.77) | 0.84 (0.81–0.87) | ||||
|
Tumour stage (AJCC 6th ed.) | ||||||||
| I | Reference | <0.001 | Reference | <0.001 | Reference | <0.001 | Reference | <0.001 |
| IIA | 1.55 (1.49–1.60) | 0.98 (0.89–1.08) | 2.47 (2.32–2.64) | 1.45 (1.29–1.63) | ||||
| IIB | 2.85 (2.70–3.01) | 1.21 (1.09–1.34) | 7.05 (6.51–7.63) | 2.62 (2.31–2.97) | ||||
| IIIA | 1.13 (1.05–1.22) | 1.21 (1.12–1.31) | 2.08 (1.85–2.34) | 2.13 (1.89–2.39) | ||||
| IIIB | 2.27 (2.19–2.36) | 1.45 (1.32–1.59) | 5.63 (5.29–5.99) | 3.19 (2.85–3.59) | ||||
| IIIC | 3.27 (3.15–3.41) | 2.30 (2.10–2.52) | 9.59 (9.00–10.2) | 5.80 (5.18–6.49) | ||||
| IV | 8.53 (8.24–8.82) | 5.58 (5.10–6.10) | 28.5 (26.9–30.2) | 15.6 (14.0–17.5) | ||||
|
T-stage | ||||||||
| T1 | Reference | <0.001 | Reference | <0.001 | Reference | <0.001 | Reference | <0.001 |
| T2 | 1.51 (1.43–1.59) | 1.29 (1.22–1.36) | 1.87 (1.71–2.06) | 1.44 (1.31–1.59) | ||||
| T3 | 2.80 (2.68–2.92) | 1.67 (1.52–1.84) | 6.24 (5.78–6.74) | 1.96 (1.73–2.21) | ||||
| T4 | 6.06 (5.79–6.35) | 2.43 (2.20–2.67) | 16.7 (15.5–18.1) | 2.95 (2.60–3.33) | ||||
|
Retrieved regional lymph nodes | ||||||||
| <12 | Reference | <0.001 | Reference | <0.001 | Reference | <0.001 | Reference | <0.001 |
| 12+ | 0.78 (0.77–0.80) | 0.74 (0.72–0.75) | 0.80 (0.78–0.82) | 0.72 (0.70–0.74) | ||||
|
Grade | ||||||||
| G1 | Reference | <0.001 | Reference | <0.001 | Reference | <0.001 | Reference | <0.001 |
| G2 | 1.36 (1.30–1.42) | 1.07 (1.02–1.11) | 1.67 (1.57–1.76) | 1.11 (1.05–1.17) | ||||
| G3 | 2.24 (2.15–2.34) | 1.32 (1.26–1.38) | 3.25 (3.06–3.44) | 1.48 (1.39–1.57) | ||||
| G4 | 2.51 (2.32–2.71) | 1.49 (1.38–1.61) | 3.67 (3.34–4.02) | 1.65 (1.51–1.82) | ||||
| Unknown | 1.07 (0.99–1.15) | 1.09 (1.01–1.17) | 1.28 (1.17–1.41) | 1.20 (1.09–1.32) | ||||
|
Carcinoembryonic antigen | ||||||||
| Normal | Reference | <0.001 | Reference | <0.001 | Reference | <0.001 | Reference | <0.001 |
| Elevated | 2.59 (2.52–2.66) | 1.54 (1.49–1.58) | 3.40 (3.28–3.51) | 1.61 (1.56–1.67) | ||||
| Unknown/borderline | 1.53 (1.49–1.57) | 1.38 (1.34–1.41) | 1.65 (1.59–1.70) | 1.44 (1.40–1.49) | ||||
|
Year of diagnosis | ||||||||
| 2004–2005 | Reference | <0.001 | Reference | 0.004 | Reference | <0.001 | Reference | 0.002 |
| 2006–2008 | 0.94 (0.92–0.96) | 1.00 (0.98–1.02) | 0.94 (0.91–0.96) | 1.01 (0.98–1.03) | ||||
| 2009–2011 | 0.86 (0.84–0.89) | 0.96 (0.93–0.99) | 0.86 (0.83–0.90) | 0.95 (0.91–0.98) | ||||
|
Age (years) | ||||||||
| <50 | Reference | <0.001 | Reference | <0.001 | Reference | <0.001 | Reference | <0.001 |
| 50–64 | 0.99 (0.95–1.03) | 1.14 (1.09–1.19) | 0.89 (0.84–0.93) | 1.08 (1.03–1.13) | ||||
| 65–79 | 1.44 (1.38–1.50) | 1.88 (1.80–1.96) | 1.04 (0.99–1.08) | 1.52 (1.45–1.60) | ||||
| 80+ | 2.84 (2.73–2.96) | 3.87 (3.71–4.05) | 1.67 (1.59–1.74) | 2.71 (2.58–2.85) | ||||
|
Gender | ||||||||
| Male | Reference | 0.992 | Reference | <0.001 | Reference | 0.011 | Reference | <0.001 |
| Female | 1.00 (0.98–1.02) | 0.81 (0.79–0.82) | 1.03 (1.01–1.06) | 0.89 (0.87–0.91) | ||||
|
Ethnicity | ||||||||
| Caucasian | Reference | <0.001 | Reference | <0.001 | Reference | <0.001 | Reference | <0.001 |
| African-American | 1.13 (1.09–1.16) | 1.18 (1.14–1.21) | 1.25 (1.21–1.29) | 1.20 (1.16–1.24) | ||||
| Other/unknown | 0.78 (0.75–0.81) | 0.82 (0.79–0.86) | 0.86 (0.82–0.90) | 0.86 (0.82–0.90) | ||||
|
Marital status | ||||||||
| Married | Reference | <0.001 | Reference | <0.001 | Reference | <0.001 | Reference | <0.001 |
| Single | 1.32 (1.28–1.36) | 1.34 (1.30–1.38) | 1.34 (1.30–1.39) | 1.26 (1.22–1.31) | ||||
| Widowed | 1.85 (1.81–1.89) | 1.35 (1.32–1.39) | 1.54 (1.50–1.59) | 1.27 (1.23–1.32) | ||||
| Other/unknown | 1.20 (1.16–1.24) | 1.22 (1.18–1.26) | 1.16 (1.12–1.21) | 1.15 (1.10–1.19) | ||||
Hazard ratios (HR) with 95% confidence intervals (CI).
Univariate Cox regression analysis.
Multivariable Cox regression analysis, full model.
Likelihood ratio tests.