Table 3. Associations of CIMP in combination with microsatellite instability, BRAF mutation and KRAS mutation with survival among CRC patients.
Overall survivala |
Disease-specific survivala |
||||||
---|---|---|---|---|---|---|---|
Factor | N | Deaths (%) | HR | 95% CI | Deaths (%) | HR | 95% CI |
CIMP-L/N and MSS | 1113 | 320 (29) | 1.00 | Reference | 250 (22) | 1.00 | Reference |
CIMP-H and MSS | 108 | 35 (32) | 1.02 | 0.71–1.46 | 26 (24) | 0.92 | 0.61–1.40 |
CIMP-L/N and MSI-H | 57 | 10 (18) | 0.80 | 0.42–1.53 | 4 (7) | 0.42 | 0.15–1.14 |
CIMP-H and MSI-H | 79 | 17 (22) | 0.75 | 0.43–1.32 | 9 (11) | 0.54 | 0.26–1.12 |
Any CIMP and MSI-H | 136 | 27 (20) | 0.77 | 0.49–1.21 | 13 (10) | 0.49 | 0.27–0.90 |
CIMP-L/N and BRAF− | 1125 | 313 (28) | 1.00 | Reference | 239 (21) | 1.00 | Reference |
CIMP-H and BRAF− | 133 | 40 (30) | 1.08 | 0.77–1.53 | 25 (19) | 0.96 | 0.62–1.46 |
CIMP-L/N and BRAF+ | 45 | 17 (38) | 1.50 | 0.90–2.49 | 15 (33) | 1.80 | 1.04–3.11 |
CIMP-H and BRAF+ | 54 | 12 (22) | 0.99 | 0.51–1.94 | 10 (19) | 1.73 | 0.82–3.66 |
Any CIMP and BRAF+ | 99 | 29 (29) | 1.28 | 0.82–1.98 | 25 (25) | 1.78 | 1.10–2.84 |
CIMP-L/N and KRAS− | 712 | 191 (27) | 1.00 | Reference | 147 (21) | 1.00 | Reference |
CIMP-H and KRAS− | 128 | 41 (32) | 1.08 | 0.73–1.59 | 28 (22) | 0.99 | 0.62–1.56 |
CIMP-L/N and KRAS+ | 346 | 106 (31) | 1.12 | 0.88–1.43 | 82 (24) | 1.08 | 0.82–1.43 |
CIMP-H and KRAS+ | 50 | 9 (18) | 0.81 | 0.41–1.43 | 5 (10) | 0.61 | 0.24–1.53 |
Any CIMP and KRAS+ | 396 | 115 (29) | 1.09 | 0.86–1.38 | 87 (22) | 1.04 | 0.79–1.36 |
Abbreviations: BRAF+=BRAF mutation; BRAF−=BRAF wild type; CI=confidence interval; CIMP=CpG island methylator phenotype; CIMP-H=CIMP-high; CIMP-L/N=CIMP-low/negative; CRC=colorectal cancer; HR=hazard ratio; KRAS+=KRAS mutation; KRAS−=KRAS wild type; MSI-H=microsatellite instability-high; MSS=microsatellite stability.
Adjusted for age, sex, education level, alcohol consumption, tumour location, cancer stage, number of invaded lymph nodes, usage of hormone replacement therapy, chemotherapy, microsatellite instability and BRAF mutation; additional adjustment for time-dependent effects of age and chemotherapy.