Table 3. Univariate and multivariate analysis of clinico-pathologic parameters and overall survival in gastric cancer patients.
Parameter | Category | Overall survival | p | |
---|---|---|---|---|
HR | 95% CI | |||
Univariate | ||||
Tumor stage pT | pT1/pT2 vs. pT3/pT4 | 1.683 | 1.166-2.429 | 0.005 |
Nodal status, pN | pN0 vs. pN1/pN2/pN3 | 1.970 | 1.306-2.972 | 0.001 |
Metastasis status, pM | pM0 vs. pM1 | 1.301 | 0.765-2.211 | 0.331 |
Lymphatic vessel invasion, L | L0 vs. L1 | 1.535 | 1.047-2.250 | 0.028 |
Vascular invasion, V | V0 vs. V1 | 2.238 | 1.124-4.456 | 0.022 |
Residual tumor, R | R0 vs. R1/R2 | 1.691 | 1.006-2.845 | 0.048 |
Histologic grade, G | G1/G2 vs. G3/G4 | 1.539 | 1.034-2.292 | 0.034 |
UICC stage | I/II vs. III/IV | 1.729 | 1.183-2.528 | 0.005 |
BUB1 expression | low vs. high | 0.476 | 0.328-0.692 | <0.001 |
Ki-67 expression | low vs. high | 0.546 | 0.374-0.797 | 0.002 |
Laurén classification | intestinal vs. diffuse | 0.665 | 0.451-0.981 | 0.040 |
Multivariate | ||||
Tumor stage pT | pT1/pT2 vs. pT3/pT4 | 1.312 | 0.885-1.944 | 0.177 |
Nodal status, pN | pN0 vs. pN1/pN2/pN3 | 1.669 | 1.074-2.594 | 0.023 |
UICC stage | I/II vs. III/IV | 1.209 | 0.765-1.909 | 0.417 |
BUB1 expression | low vs. high | 0.604 | 0.394-0.927 | 0.021 |
Ki-67 expression | low vs. high | 0.699 | 0.464-1.053 | 0.086 |
Univariate Cox regression survival analysis showed that tumor stage, pT (p = 0.005), nodal status, pN (p = 0.001), lymphangiosis carcinomatosa (p = 0.028), hemangiosis carcinomatosa (p = 0.022), resection margin (p = 0.048), histological grade (p = 0.034), UICC stage (p = 0.005), Laurén classification (p = 0.04), Ki-67 expression (p = 0.002) and BUB1 expression (p < 0.001) are all associated with OS.
Multivariate Cox regression analysis confirmed nodal status (p = 0.023) and BUB1 expression (p = 0.021) as independent prognostic markers.