Table 3.
Univariate and multivariate analysis for all patients using Cox proportional hazards model.
| Univariate Analysis | Multivariate Analysis | |||||
|---|---|---|---|---|---|---|
| HR | (95% CI) | p-value | HR | (95% CI) | p-value | |
| Age, years (continuous) | 1.02 | 1.02–1.03 | <0.001 | 1.02 | 1.01–1.02 | <0.001 |
| Sex | ||||||
| Male | 1.00 | |||||
| Female | 1.13 | 1.01–1.26 | 0.034 | |||
| Race | ||||||
| White | 1.00 | 1.00 | ||||
| Non-white | 1.57 | 1.43–1.73 | <0.001 | 1.42 | 1.24–1.61 | <0.001 |
| Year | ||||||
| 2004–2006 | 1.00 | |||||
| 2007–2009 | 1.02 | 0.92–1.12 | 0.761 | |||
| 2010–2012 | 0.88 | 0.79–0.98 | 0.021 | |||
| Charlson/Deyo score | ||||||
| 0 | 1.00 | 1.00 | ||||
| 1 | 1.23 | 1.10–1.39 | <0.001 | 1.14 | 0.98–1.33 | 0.094 |
| ≥2 | 1.43 | 1.17–1.75 | <0.001 | 1.26 | 0.98–1.62 | 0.067 |
| Insurance type | ||||||
| Private | 1.00 | 1.00 | ||||
| Non-private/Unknown | 2.05 | 1.88–2.24 | <0.001 | 1.57 | 1.39–1.78 | <0.001 |
| Income | ||||||
| <$48,000 | 1.00 | |||||
| ≥$48,000 | 0.79 | 0.73–0.86 | <0.001 | |||
| Location | ||||||
| Urban (≥250,000) | 1.00 | |||||
| Non-urban (<250,000) | 0.99 | 0.91–1.09 | 0.902 | |||
| Facility | ||||||
| Non-academic | 1.00 | |||||
| Academic | 0.91 | 0.84–0.99 | 0.031 | |||
| Facility volume | ||||||
| Non-high | 1.00 | |||||
| High | 0.89 | 0.81–0.98 | 0.021 | |||
| Head and neck subsite | ||||||
| Oral cavity | 1.00 | 1.00 | ||||
| Oropharynx | 0.49 | 0.43–0.56 | <0.001 | 0.56 | 0.47–0.67 | <0.001 |
| Hypopharynx | 1.02 | 0.87–1.20 | 0.815 | 0.96 | 0.78–1.18 | 0.681 |
| Larynx | 1.00 | 0.85–1.17 | 0.974 | 0.89 | 0.72–1.10 | 0.273 |
| HPV Status | ||||||
| Negative | 1.00 | 1.00 | ||||
| Positive | 0.40 | 0.29–0.54 | <0.001 | 0.53 | 0.35–0.80 | 0.002 |
| Unknown | 0.97 | 0.79–1.19 | 0.783 | 0.96 | 0.74–1.24 | 0.769 |
| Radiation dose (Gy) (continuous) | 0.99 | 0.99–1.00 | <0.001 | 0.99 | 0.99–1.00 | <0.001 |
| Tumor size (mm) (continuous) | 1.01 | 1.01–1.01 | <0.001 | 1.00 | 1.00–1.01 | 0.005 |
| Treatment | ||||||
| Primary surgery | 1.00 | 1.00 | ||||
| Primary CRT | 1.44 | 1.31–1.58 | <0.001 | 1.27 | 1.11–1.46 | <0.001 |
| T stage | ||||||
| 0 | 1.00 | 1.00 | ||||
| 1 | 0.81 | 0.68–0.96 | 0.016 | 0.83 | 0.66–1.06 | 0.134 |
| 2 | 1.06 | 0.91–1.23 | 0.480 | 0.91 | 0.74–1.13 | 0.397 |
| 3 | 1.56 | 1.34–1.82 | <0.001 | 1.21 | 0.98–1.51 | 0.080 |
| 4 | 2.09 | 1.80–2.43 | <0.001 | 1.42 | 1.14–1.76 | 0.002 |
| IPTW hazard model Treatment | ||||||
| Primary surgery | 1.00 | |||||
| Primary CRT | 1.13 | 1.05–1.22 | 0.002 | |||