Table 6.
Univariate Cox hazard analysis of factors associated with overall survival after third-line chemotherapy
Factors | Univariate | Multivariate | ||||
---|---|---|---|---|---|---|
| ||||||
HR | 95% CI | P | HR | 95% CI | P | |
Age (years) | ||||||
<75 vs ≥75 | 0.96 | 0.40–2.32 | 0.93 | |||
Sex | ||||||
Male vs female | 0.64 | 0.19–2.19 | 0.48 | |||
ECOG PS | ||||||
0–1 vs 2–4 | 4.86 | 1.84–12.8 | <0.01 | 9.48 | 2.68–33.6 | <0.01 |
Stage | ||||||
<IIIB vs IV | 2.16 | 0.74–6.30 | 0.16 | |||
BMI (kg/m2) | ||||||
≥18.5 vs <18.5 | 2.04 | 0.88–4.76 | 0.10 | 4.89 | 1.61–14.9 | <0.01 |
Leukocyte (×103 cells/μL) | 1.10 | 0.94–1.30 | 0.24 | |||
Neutrophil (×103 cells/μL) | 1.15 | 0.97–1.37 | 0.12 | |||
Lymphocyte (×103 cells/μL) | 0.76 | 0.41–1.42 | 0.39 | |||
Monocyte (×102 cells/μL) | 1.03 | 0.88–1.21 | 0.68 | |||
Hemoglobin (mg/dL)a | 0.80 | 0.64–1.00 | 0.05 | 0.70 | 0.51–0.95 | 0.02 |
Red cell distribution width (%)a | 1.31 | 1.03–1.67 | 0.03 | 1.00 | 0.75–1.34 | 0.99 |
Platelet (×105 cells/μL) | 1.23 | 0.86–1.77 | 0.26 | |||
Serum sodium (mEq/L) | 0.97 | 0.84–1.12 | 0.69 | |||
LDH (×102 IU/L) | 2.01 | 0.98–4.12 | 0.06 | 2.79 | 1.22–6.38 | 0.01 |
ALP (×102 IU/L) | 1.03 | 0.52–2.05 | 0.94 | |||
CRP (mg/dL) | 1.05 | 0.95–1.15 | 0.37 | |||
Interval between first- and third-line chemotherapy (months)b | 0.96 | 0.92–1.01 | 0.13 | |||
Interval between second- and third-line chemotherapy (months)c | 0.96 | 0.90–1.02 | 0.17 |
Notes: Coded as 1 (age ≥75 years, female, ECOG PS 2–4, stage IV, BMI <18.5 kg/m2) and as 0 (age <75 years, male, ECOG PS 0–1, stage I–III, BMI ≥18.5 kg/m2).
There was a significant inverse correlation between hemoglobin and red cell distribution width (r=−0.51, 95% CI −0.73 to −0.20, P<0.01).
From the start of first-line chemotherapy to the start of third-line chemotherapy.
From the start of second-line chemotherapy to the start of third-line chemotherapy.
Abbreviations: ALP, alkaline phosphatase; BMI, body mass index; CI, confidence interval; CRP, C-reactive protein; ECOG, Eastern Cooperative Oncology Group; HR, hazard ratio; LDH, lactate dehydrogenase; PS, performance status.