Table 3.
Parameter
|
All cause deaths
|
EC-specific deaths
|
Cardiac-specific deaths
|
Pulmonary-specific deaths
|
Other cause deaths
|
|||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
HR | 95% CI | Pr > ChiSq | HR | 95% CI | Pr > ChiSq | HR | 95% CI | Pr > ChiSq | HR | 95% CI | Pr > ChiSq | HR | 95% CI | Pr > ChiSq | ||||||
Radiation Treatment | ||||||||||||||||||||
3D | Ref | Ref | Ref | Ref | Ref | |||||||||||||||
IMRT | 0.831 | 0.725 | 0.952 | 0.0075 | 0.934 | 0.795 | 1.097 | 0.4063 | 0.183 | 0.062 | 0.544 | 0.0022 | 1.111 | 0.367 | 3.363 | 0.8525 | 0.543 | 0.351 | 0.842 | 0.0064 |
Age | ||||||||||||||||||||
66-70 | Ref | Ref | Ref | Ref | Ref | |||||||||||||||
71-75 | 1.026 | 0.907 | 1.16 | 0.6871 | 0.952 | 0.816 | 1.11 | 0.5276 | 0.893 | 0.512 | 1.558 | 0.6893 | 0.674 | 0.245 | 1.853 | 0.4442 | 1.292 | 0.935 | 1.784 | 0.1202 |
76-80 | 1.201 | 1.056 | 1.366 | 0.0054 | 1.18 | 1.008 | 1.382 | 0.04 | 0.935 | 0.512 | 1.709 | 0.8279 | 1.043 | 0.393 | 2.768 | 0.9318 | 1.383 | 0.976 | 1.959 | 0.0679 |
>80 | 1.324 | 1.158 | 1.514 | <.0001 | 1.208 | 1.024 | 1.426 | 0.025 | 1.939 | 1.11 | 3.386 | 0.02 | 0.917 | 0.286 | 2.941 | 0.8835 | 1.285 | 0.877 | 1.881 | 0.1983 |
Year of Diagnosis | ||||||||||||||||||||
2002 | Ref | Ref | Ref | Ref | Ref | |||||||||||||||
2003 | 0.962 | 0.818 | 1.13 | 0.6348 | 0.952 | 0.79 | 1.148 | 0.6053 | 0.761 | 0.412 | 1.405 | 0.382 | 0.163 | 0.029 | 0.909 | 0.0386 | 1.151 | 0.751 | 1.765 | 0.5189 |
2004 | 1.033 | 0.876 | 1.219 | 0.6974 | 0.921 | 0.76 | 1.117 | 0.4037 | 1.109 | 0.599 | 2.053 | 0.7416 | 0.863 | 0.279 | 2.668 | 0.7982 | 1.257 | 0.812 | 1.945 | 0.3057 |
2005 | 0.981 | 0.826 | 1.166 | 0.8311 | 0.918 | 0.751 | 1.122 | 0.4043 | 0.473 | 0.218 | 1.026 | 0.0582 | 1.276 | 0.436 | 3.735 | 0.6563 | 1.162 | 0.736 | 1.832 | 0.5197 |
2006 | 0.982 | 0.826 | 1.167 | 0.8338 | 0.878 | 0.717 | 1.074 | 0.206 | 0.685 | 0.339 | 1.386 | 0.2933 | 0.99 | 0.318 | 3.078 | 0.9856 | 0.869 | 0.536 | 1.408 | 0.568 |
2007 | 1.123 | 0.945 | 1.333 | 0.1877 | 0.877 | 0.713 | 1.078 | 0.2113 | 0.827 | 0.42 | 1.628 | 0.583 | 0.437 | 0.1 | 1.904 | 0.2705 | 1.37 | 0.876 | 2.142 | 0.1679 |
2008 | 1.165 | 0.955 | 1.421 | 0.1312 | 0.793 | 0.621 | 1.013 | 0.0634 | 0.494 | 0.198 | 1.236 | 0.1317 | 0.787 | 0.157 | 3.931 | 0.77 | 1.4 | 0.801 | 2.448 | 0.2376 |
2009 | 1.046 | 0.859 | 1.273 | 0.6545 | 0.255 | 0.181 | 0.359 | <.0001 | 0.085 | 0.013 | 0.536 | 0.0087 | - | - | - | - | 0.575 | 0.28 | 1.179 | 0.1307 |
Marital Status | ||||||||||||||||||||
Married | Ref | Ref | Ref | Ref | Ref | |||||||||||||||
Not married | 1.155 | 1.037 | 1.287 | 0.0088 | 1.139 | 0.998 | 1.301 | 0.0538 | 1.338 | 0.844 | 2.122 | 0.216 | 1.656 | 0.723 | 3.794 | 0.2333 | 0.904 | 0.653 | 1.251 | 0.5421 |
Unknown | 1.076 | 0.833 | 1.389 | 0.5747 | 0.925 | 0.653 | 1.311 | 0.6617 | 0.965 | 0.321 | 2.905 | 0.9498 | - | - | - | - | 0.986 | 0.476 | 2.042 | 0.9706 |
Race/Ethnicity | ||||||||||||||||||||
White | Ref | Ref | Ref | Ref | Ref | |||||||||||||||
Hispanic | 0.766 | 0.622 | 0.944 | 0.0122 | 0.733 | 0.562 | 0.955 | 0.0215 | 0.964 | 0.441 | 2.107 | 0.9269 | 0.634 | 0.123 | 3.256 | 0.5849 | 0.702 | 0.412 | 1.197 | 0.194 |
Black | 0.999 | 0.848 | 1.178 | 0.9931 | 1.015 | 0.831 | 1.241 | 0.8814 | 1.263 | 0.637 | 2.502 | 0.5038 | 0.659 | 0.158 | 2.757 | 0.5683 | 0.845 | 0.537 | 1.33 | 0.4674 |
Other | 1.088 | 0.826 | 1.432 | 0.5485 | 1.029 | 0.742 | 1.427 | 0.8641 | 0.775 | 0.176 | 3.425 | 0.7372 | 2.988 | 0.684 | 13.045 | 0.1455 | 1.012 | 0.419 | 2.443 | 0.979 |
Histology | ||||||||||||||||||||
Adeno | Ref | Ref | Ref | Ref | Ref | |||||||||||||||
SCCA | 1.064 | 0.963 | 1.176 | 0.2238 | 1.086 | 0.96 | 1.229 | 0.1911 | 0.952 | 0.613 | 1.479 | 0.8262 | 1.48 | 0.668 | 3.275 | 0.3339 | 0.944 | 0.717 | 1.242 | 0.6815 |
Stage | ||||||||||||||||||||
Localized | Ref | Ref | Ref | Ref | Ref | |||||||||||||||
Regional | 1.261 | 1.149 | 1.383 | <.0001 | 1.258 | 1.122 | 1.411 | <.0001 | 0.855 | 0.581 | 1.257 | 0.4248 | 1.285 | 0.62 | 2.662 | 0.5003 | 1.235 | 0.961 | 1.586 | 0.099 |
Gender | ||||||||||||||||||||
Female | Ref | Ref | Ref | Ref | Ref | |||||||||||||||
Male | 1.094 | 0.984 | 1.216 | 0.0972 | 1.112 | 0.975 | 1.268 | 0.1124 | 0.988 | 0.636 | 1.533 | 0.9558 | 0.956 | 0.417 | 2.193 | 0.9152 | 0.938 | 0.704 | 1.251 | 0.6633 |
Surgery After Radiation | ||||||||||||||||||||
No | Ref | Ref | Ref | Ref | Ref | |||||||||||||||
Yes | 0.581 | 0.509 | 0.663 | <.0001 | 0.494 | 0.416 | 0.588 | <.0001 | 0.543 | 0.276 | 1.068 | 0.0769 | 0.507 | 0.167 | 1.54 | 0.2309 | 0.872 | 0.635 | 1.197 | 0.3957 |
Grade | ||||||||||||||||||||
Well differentiated | Ref | Ref | Ref | Ref | Ref | |||||||||||||||
Moderately differentiated | 0.97 | 0.788 | 1.194 | 0.7716 | 1.051 | 0.811 | 1.363 | 0.7063 | 0.764 | 0.337 | 1.731 | 0.5189 | 0.715 | 0.162 | 3.151 | 0.6581 | 0.844 | 0.508 | 1.401 | 0.5111 |
Poorly differentiated | 1.114 | 0.841 | 1.476 | 0.4522 | 1.157 | 0.815 | 1.643 | 0.4133 | 0.804 | 0.248 | 2.601 | 0.7154 | 0.716 | 0.092 | 5.555 | 0.7495 | 0.952 | 0.511 | 1.772 | 0.8757 |
Undifferentiated | 1.146 | 0.927 | 1.416 | 0.2074 | 1.254 | 0.964 | 1.633 | 0.0922 | 0.902 | 0.395 | 2.058 | 0.8056 | 1.434 | 0.331 | 6.209 | 0.6297 | 0.733 | 0.427 | 1.259 | 0.2608 |
Unknown | 0.999 | 0.799 | 1.249 | 0.9931 | 1.014 | 0.767 | 1.342 | 0.9211 | 1.104 | 0.464 | 2.628 | 0.8223 | 0.25 | 0.034 | 1.845 | 0.1739 | 0.892 | 0.514 | 1.547 | 0.6834 |
Charlson Score | ||||||||||||||||||||
0 | Ref | Ref | Ref | Ref | Ref | |||||||||||||||
1 | 1.136 | 1.024 | 1.259 | 0.0157 | 1.025 | 0.901 | 1.166 | 0.7061 | 1.777 | 1.113 | 2.838 | 0.0161 | 3.887 | 1.732 | 8.723 | 0.001 | 1.333 | 1.021 | 1.739 | 0.0345 |
2+ | 1.451 | 1.279 | 1.646 | <.0001 | 1.253 | 1.069 | 1.47 | 0.0055 | 4.288 | 2.716 | 6.769 | <.0001 | 4.534 | 1.748 | 11.76 | 0.0019 | 1.311 | 0.912 | 1.885 | 0.1441 |
SEER Region | ||||||||||||||||||||
California + Hawaii | Ref | Ref | Ref | Ref | Ref | |||||||||||||||
6 SEER Regions Combined** | 0.94 | 0.822 | 1.076 | 0.3697 | 0.846 | 0.719 | 0.996 | 0.044 | 1.159 | 0.651 | 2.065 | 0.6152 | 1.075 | 0.344 | 3.363 | 0.9006 | 1.462 | 0.95 | 2.249 | 0.0842 |
Greater Georgia | 1.269 | 1.069 | 1.506 | 0.0065 | 1.156 | 0.938 | 1.424 | 0.1731 | 1.254 | 0.577 | 2.726 | 0.5672 | 1.17 | 0.247 | 5.548 | 0.843 | 2.175 | 1.312 | 3.607 | 0.0026 |
Kentucky | 1.273 | 1.04 | 1.558 | 0.0192 | 1.244 | 0.975 | 1.588 | 0.0787 | 1.355 | 0.562 | 3.269 | 0.4988 | 1.744 | 0.366 | 8.302 | 0.4846 | 1.546 | 0.81 | 2.952 | 0.1863 |
Louisiana | 1.029 | 0.834 | 1.27 | 0.7883 | 0.872 | 0.668 | 1.139 | 0.3144 | 1.042 | 0.407 | 2.665 | 0.9315 | 1.699 | 0.299 | 9.645 | 0.5496 | 1.813 | 0.984 | 3.341 | 0.0563 |
New Jersey | 0.833 | 0.706 | 0.984 | 0.0312 | 0.709 | 0.576 | 0.874 | 0.0012 | 1.091 | 0.53 | 2.247 | 0.8135 | 0.533 | 0.14 | 2.033 | 0.3569 | 1.449 | 0.881 | 2.383 | 0.1442 |
Texas | 0.99 | 0.73 | 1.343 | 0.9502 | 0.941 | 0.629 | 1.406 | 0.7649 | 0.968 | 0.257 | 3.65 | 0.9616 | - | - | - | - | 2.657 | 1.147 | 6.155 | 0.0226 |
Chemotherapy | ||||||||||||||||||||
No | Ref | Ref | Ref | Ref | Ref | |||||||||||||||
Yes | 0.631 | 0.558 | 0.713 | <.0001 | 0.625 | 0.539 | 0.724 | <.0001 | 0.663 | 0.399 | 1.103 | 0.1138 | 1.113 | 0.322 | 3.852 | 0.8654 | 0.54 | 0.384 | 0.76 | 0.0004 |
Rural/Urban | ||||||||||||||||||||
Big metro | Ref | Ref | Ref | Ref | Ref | |||||||||||||||
Less Urban | 0.953 | 0.804 | 1.13 | 0.5803 | 0.987 | 0.801 | 1.217 | 0.905 | 0.607 | 0.266 | 1.389 | 0.2374 | 0.499 | 0.107 | 2.334 | 0.3769 | 0.824 | 0.527 | 1.286 | 0.3936 |
Metro | 1.175 | 1.06 | 1.302 | 0.0021 | 1.174 | 1.035 | 1.331 | 0.0127 | 1.025 | 0.659 | 1.596 | 0.9116 | 0.361 | 0.136 | 0.958 | 0.0408 | 1.116 | 0.84 | 1.483 | 0.4487 |
Rural | 1.202 | 0.874 | 1.653 | 0.2586 | 1.022 | 0.668 | 1.565 | 0.9197 | 0.343 | 0.042 | 2.774 | 0.3159 | 3.051 | 0.59 | 15.775 | 0.1832 | 1.82 | 0.909 | 3.646 | 0.0909 |
Urban | 1.066 | 0.883 | 1.287 | 0.508 | 1.066 | 0.845 | 1.346 | 0.5895 | 1.891 | 0.971 | 3.683 | 0.0612 | 0.799 | 0.193 | 3.303 | 0.7565 | 0.828 | 0.485 | 1.415 | 0.49 |
Education | ||||||||||||||||||||
Lowest Quartile | Ref | Ref | Ref | Ref | Ref | |||||||||||||||
2nd Quartile | 1.17 | 1.022 | 1.34 | 0.0228 | 1.164 | 0.985 | 1.375 | 0.0754 | 1.749 | 0.921 | 3.32 | 0.0876 | 2.132 | 0.72 | 6.316 | 0.1718 | 1.003 | 0.676 | 1.486 | 0.99 |
3rd Quartile | 1.063 | 0.913 | 1.238 | 0.4319 | 1.088 | 0.903 | 1.311 | 0.3777 | 1.384 | 0.68 | 2.82 | 0.3702 | 2.522 | 0.747 | 8.521 | 0.1363 | 1.174 | 0.761 | 1.813 | 0.4679 |
Highest Quartile | 1.096 | 0.913 | 1.315 | 0.3264 | 0.971 | 0.775 | 1.218 | 0.8004 | 1.124 | 0.495 | 2.551 | 0.7792 | 2.028 | 0.441 | 9.314 | 0.3634 | 1.659 | 1.003 | 2.743 | 0.0486 |
Poverty | ||||||||||||||||||||
Lowest Quartile | Ref | Ref | Ref | Ref | Ref | |||||||||||||||
2nd Quartile | 0.9 | 0.788 | 1.027 | 0.1188 | 0.874 | 0.742 | 1.029 | 0.1065 | 0.567 | 0.295 | 1.089 | 0.0882 | 1.059 | 0.396 | 2.829 | 0.9089 | 0.853 | 0.585 | 1.244 | 0.409 |
3rd Quartile | 1.048 | 0.897 | 1.223 | 0.5572 | 0.979 | 0.808 | 1.187 | 0.8319 | 1.605 | 0.83 | 3.102 | 0.1595 | 0.322 | 0.079 | 1.309 | 0.1133 | 0.828 | 0.528 | 1.301 | 0.4135 |
Highest Quartile | 0.998 | 0.824 | 1.208 | 0.9816 | 0.954 | 0.754 | 1.208 | 0.6984 | 1.135 | 0.506 | 2.548 | 0.7589 | 0.728 | 0.168 | 3.158 | 0.672 | 0.927 | 0.546 | 1.575 | 0.7801 |
Physicians Board Certified | ||||||||||||||||||||
No | Ref | Ref | Ref | Ref | Ref | |||||||||||||||
Unknown | 1.213 | 0.6 | 2.453 | 0.5914 | 0.858 | 0.356 | 2.068 | 0.7338 | 19.84 | 1.717 | 229.262 | 0.0167 | - | - | - | - | 0.667 | 0.099 | 4.504 | 0.6773 |
Yes | 1.072 | 0.814 | 1.413 | 0.6209 | 1.003 | 0.722 | 1.392 | 0.986 | 2.788 | 0.641 | 12.122 | 0.1714 | 0.608 | 0.092 | 4.02 | 0.6053 | 0.982 | 0.436 | 2.214 | 0.9655 |
Graduation Years | ||||||||||||||||||||
Prior to 1980 | Ref | Ref | Ref | Ref | Ref | |||||||||||||||
1980-1989 | 1.031 | 0.823 | 1.292 | 0.7904 | 1.072 | 0.809 | 1.421 | 0.6299 | 1.011 | 0.424 | 2.409 | 0.9807 | 11.87 | 0.529 | 266.14 | 0.119 | 0.98 | 0.501 | 1.918 | 0.9526 |
After 1990 | 1.097 | 0.825 | 1.458 | 0.5253 | 1.135 | 0.798 | 1.614 | 0.4825 | 1.5 | 0.45 | 5.002 | 0.5091 | 12.59 | 0.359 | 442.04 | 0.163 | 0.766 | 0.333 | 1.764 | 0.5315 |
Physician Gender | ||||||||||||||||||||
Female | Ref | Ref | Ref | Ref | Ref | |||||||||||||||
Male | 1.007 | 0.886 | 1.145 | 0.9119 | 0.934 | 0.799 | 1.092 | 0.3915 | 1.609 | 0.881 | 2.939 | 0.1219 | 0.987 | 0.346 | 2.815 | 0.9802 | 1.169 | 0.793 | 1.722 | 0.4308 |
Physician US Trained | ||||||||||||||||||||
No | Ref | Ref | Ref | Ref | Ref | |||||||||||||||
Unknown | 1.602 | 0.794 | 3.229 | 0.1879 | 1.634 | 0.685 | 3.896 | 0.268 | 0.045 | 0.005 | 0.385 | 0.0047 | - | - | - | - | 11.651 | 0.891 | 152.4 | 0.0612 |
Yes | 0.981 | 0.854 | 1.127 | 0.7826 | 0.984 | 0.83 | 1.165 | 0.8477 | 0.648 | 0.375 | 1.121 | 0.1209 | 1.383 | 0.372 | 5.149 | 0.6286 | 1.196 | 0.809 | 1.769 | 0.3685 |
Physician Type | ||||||||||||||||||||
DO | Ref | Ref | Ref | Ref | Ref | |||||||||||||||
MD | 1.352 | 0.874 | 2.092 | 0.1756 | 1.212 | 0.736 | 1.995 | 0.4505 | 0.402 | 0.088 | 1.831 | 0.2386 | 0.149 | 0.025 | 0.91 | 0.0391 | 5.734 | 0.65 | 50.54 | 0.1158 |
Physician Training Years | ||||||||||||||||||||
3-13 | Ref | Ref | Ref | Ref | Ref | |||||||||||||||
13-19 | 1.028 | 0.857 | 1.233 | 0.7661 | 0.983 | 0.789 | 1.225 | 0.8788 | 1.293 | 0.529 | 3.163 | 0.5732 | 0.753 | 0.141 | 4.034 | 0.7409 | 1.199 | 0.714 | 2.014 | 0.4918 |
19-28 | 1.158 | 0.925 | 1.451 | 0.2001 | 1.185 | 0.902 | 1.556 | 0.2226 | 1.925 | 0.664 | 5.579 | 0.2275 | 0.711 | 0.094 | 5.379 | 0.7416 | 1.091 | 0.586 | 2.03 | 0.7845 |
28-61 | 0.959 | 0.699 | 1.315 | 0.7944 | 0.902 | 0.613 | 1.328 | 0.6026 | 1.457 | 0.396 | 5.363 | 0.5716 | 8.283 | 0.183 | 375.59 | 0.2773 | 1.104 | 0.456 | 2.669 | 0.8268 |
Unknown | 0.915 | 0.627 | 1.336 | 0.6469 | 0.945 | 0.602 | 1.483 | 0.8054 | 1.518 | 0.434 | 5.306 | 0.5132 | - | - | - | - | 1.42 | 0.473 | 4.265 | 0.5318 |
Number of Fractions | ||||||||||||||||||||
number of Fractions | 0.971 | 0.965 | 0.976 | <.0001 | 0.964 | 0.958 | 0.97 | <.0001 | 0.983 | 0.96 | 1.006 | 0.1519 | 0.997 | 0.95 | 1.047 | 0.9131 | 0.985 | 0.97 | 1 | 0.0538 |
The 6 SEER Regions are: Connecticut, Detroit, Iowa, New Mexico, Seattle, Utah.