TABLE 1.
Univariate and Multivariate Analysis of Preoperative Characteristics for Postoperative Survival in Patients with MSCC
Characteristics | Patients (n) | MOS (m) | Simple Cox Regression | Multiple Cox Regression | ||
HR (95% CI) | P | HR (95% CI) | P | |||
Age | ||||||
≤56 yrs | 106 | 8.8 | 1.21 (0.90–1.64) | 0.21 | Not included | |
>56 yrs | 100 | 7.1 | ||||
Gender | ||||||
Female | 101 | 8.4 | 1.30 (0.96–1.76) | 0.09 | Not included | |
Male | 105 | 7.1 | ||||
Primary site | ||||||
Slow growth | 40 | 18.3 | 1.78 (1.46–2.17) | <0.01 | 1.74 (1.41–2.15) | <0.01 |
Moderate growth | 60 | 8.2 | ||||
Rapid growth | 106 | 5.3 | ||||
Preoperative ambulatory status | ||||||
Ambulatory | 118 | 10.9 | 1.94 (1.43–2.64) | <0.01 | 2.04 (1.48–2.80) | <0.01 |
Not Ambulatory | 88 | 5.6 | ||||
ECOG performance status | ||||||
1–2 | 105 | 10.9 | 1.66 (1.22–2.25) | <0.01 | Not included | |
3–4 | 101 | 6.0 | ||||
Number of involved vertebrae | ||||||
1–2 | 110 | 8.4 | 1.21 (0.89–1.63) | 0.22 | Not included | |
≥3 | 96 | 6.4 | ||||
Visceral metastases | ||||||
No | 107 | 11.7 | 2.21 (1.63–3.00) | <0.01 | 3.00 (2.17–4.13) | <0.01 |
Yes | 99 | 4.5 | ||||
Preoperative chemotherapy | ||||||
No | 117 | 5.8 | 2.14 (1.56–2.94) | <0.01 | 1.53 (1.08–2.16) | 0.02 |
Yes | 89 | 11.5 | ||||
Bone metastasis at cancer diagnosis | ||||||
No | 99 | 10.8 | 1.77 (1.30–2.41) | <0.01 | 1.46 (1.05–2.02) | 0.03 |
Yes | 107 | 5.9 | ||||
Time-developing motor deficits | ||||||
≤14 d | 105 | 6.2 | 1.64 (1.21–2.22) | <0.01 | Not included | |
>14 d | 101 | 10.8 | ||||
Preoperative albumin | ||||||
≤35 g/L | 88 | 7.1 | 1.26 (0.93–1.71) | 0.13 | Not included | |
>35 g/L | 118 | 7.7 | ||||
Radical surgery at primary site | ||||||
No | 127 | 6.0 | 2.07 (1.50–2.86) | <0.01 | Not included | |
Yes | 79 | 11.7 |
CI indicates confidence interval; ECOG, Eastern Cooperative Oncology Group; HR, hazard ratio; m, months; MOS, median overall survival; MSCC, Metastatic spinal cord compression.