Table 3.
Multivariate Cox regression analysis of overall survival in subgroups
Deaths/patients | Hazard ratio (95% CI) | P | Deaths/patients | Hazard ratio (95% CI) | P | ||
---|---|---|---|---|---|---|---|
Age (years) <60 | Lung cancer | ||||||
Standard‐dose RT | 407/447 | 1 | Standard‐dose RT | 428/443 | 1 | ||
Dose‐escalated RT | 305/340 | 0.832 (0.712–0.972) | 0.021 | Dose‐escalated RT | 158/164 | 0.894 (0.740–1.079) | 0.241 |
Age (years) ≥60 | Non‐lung cancer | ||||||
Standard‐dose RT | 654/678 | 1 | Standard‐dose RT | 633/682 | 1 | ||
Dose‐escalated RT | 302/330 | 0.844 (0.731–0.976) | 0.022 | Dose‐escalated RT | 449/506 | 0.785 (0.691–0.891) | <0.00 |
Female | ECOG 0–1 | ||||||
Standard‐dose RT | 624/650 | 1 | Standard‐dose RT | 473/515 | 1 | ||
Dose‐escalated RT | 341/370 | 0.834 (0.726–0.958) | 0.012 | Dose‐escalated RT | 322/354 | 0.817 (0.705–0.948) | 0.008 |
Male | ECOG 2–4 | ||||||
Standard‐dose RT | 437/475 | 1 | Standard‐dose RT | 588/610 | 1 | ||
Dose‐escalated RT | 266/300 | 0.867 (0.737–0.989) | 0.037 | Dose‐escalated RT | 285/316 | 0.851 (0.731–0.991) | 0.038 |
Absence of symptoms | Time to metastases >1 year | ||||||
Standard‐dose RT | 70/72 | 1 | Standard‐dose RT | 265/283 | 1 | ||
Dose‐escalated RT | 51/61 | 0.581 (0.402–0.840) | 0.004 | Dose‐escalated RT | 220/252 | 0.734(0.610–0.885) | <0.00 |
Pain | Time to metastases ≤1 year) | ||||||
Standard‐dose RT | 692/735 | 1 | Standard‐dose RT | 796/842 | 1 | ||
Dose‐escalated RT | 423/469 | 0.836 (0.736–0.950) | 0.006 | Dose‐escalated RT | 387/418 | 0.880 (0.775–0.990) | 0.049 |
Neurological deficits | Metastases to 1 site | ||||||
Standard‐dose RT | 299/318 | 1 | Standard‐dose RT | 220/270 | 1 | ||
Dose‐escalated RT | 133/141 | 0.918 (0.733–1.15) | 0.457 | Dose‐escalated RT | 120/168 | 0.844 (0.750–0.949) | 0.005 |
Spinal metastases | Metastases to >1 site | ||||||
Standard‐dose RT | 813/863 | 1 | Standard‐dose RT | 841/855 | 1 | ||
Dose‐escalated RT | 340/368 | 0.800 (0.668–0.955) | 0.015 | Dose‐escalated RT | 487/502 | 0.805 (0.635–1.020) | 0.073 |
Non‐spinal metastases | |||||||
Standard‐dose RT | 248/262 | 1 | |||||
Dose‐escalated RT | 267/302 | 0.859 (0.754–0.978) | 0.022 |
RT, radiotherapy; HR, hazard ratio; CI, confidence interval; ECOG, Eastern Cooperative Oncology Group.