Table 4.
Binary Logistic Regression, Factors Associated with Pathological Complete Response
| Characteristic | Adjusted OR (95% CI) | p Value |
|---|---|---|
| nCRT to surgery interval, wk | ||
| 6 – 8 | Reference | |
| < 6 | 0.79 (0.68–0.91) | 0.0009 |
| > 8 | 1.12 (1.02 – 1.28) | 0.04 |
| Rectal cancer resections annually, n | ||
| 1 – 10 | Reference | |
| 11 – 30 | 1.20 (0.95–1.51) | 0.12 |
| ≥ 30 | 1.42 (1.12–1.80) | 0.004 |
| Treatment regimen | ||
| RT, 1 chemo agent | Reference | |
| RT, ≥2 chemo agents | 0.76 (0.68–0.85) | <0.0001 |
| Radiation dose, Gy | ||
| <45 | Reference | |
| ≥ 45 | 1.28 (0.99. 1.65) | <0.06 |
| Histology | ||
| Adenocarcinoma | Reference | |
| Mucinous | 0.13 (0.08–0.22) | <0.001 |
| Signet ring cell | 0.78 (0.42–1.47) | 0.45 |
| Clinical stage | ||
| II | Reference | |
| III | 0.87 (0.78–0.96) | 0.008 |
| Tumor size, mm | ||
| 0 – 25 | Reference | |
| 25 – 40 | 1.14 (1.01, 1.28) | 0.04 |
| 40 – 50 | 1.18 (1.02, 1.38) | 0.03 |
| >50 | 1.43 (1.24, 1.66) | <0.0001 |
| Female sex | 1.22 (1.10–1.36) | 0.0002 |
| Primary payer | ||
| Private | Reference | |
| Not Insured | 0.60 (0.44–0.80) | 0.005 |
| Medicaid | 0.67 (0.52–0.85) | 0.001 |
| Medicare | 1.03 (0.89–1.19) | 0.74 |
| Other government | 1.22 (0.78–1.92) | 0.38 |
| Year of diagnosis | ||
| 2006 | Reference | |
| 2007 | 1.11 (0.88–1.39) | 0.40 |
| 2008 | 1.05 (0.84–1.31) | 0.66 |
| 2009 | 1.28 (1.04–1.59) | 0.02 |
| 2010 | 1.31 (1.07–1.62) | 0.01 |
| 2011 | 1.56 (1.28–1.92) | <0.001 |
Model also controlled for age, race, average income and education by zip code, hospital type and hospital location.
OR, odds ratio; nCRT, neoadjuvant chemoradiotherapy; RT, radiotherapy.