Table 4.
Preoperative Risk Factors |
Univariable
|
Multivariable
|
||
Odds Ratio (95% CI) | P Value | Odds Ratio (95% CI) | P Value | |
| ||||
---|---|---|---|---|
Age: >70 years versus ≤70 years | 1.00 (0.77–1.30) | 0.984 | — | |
Gender: female versus male | 1.15 (0.89–1.49) | 0.288 | — | |
Race/ethnicity: Caucasian versus all others | 0.82 (0.57–1.17) | 0.272 | — | |
Abdominal pain: yes versus no | 1.27 (0.96–1.67) | 0.101 | — | |
Jaundice: yes versus no | 0.82 (0.63–1.06) | 0.130 | — | |
Diabetes: yes versus no | 1.28 (0.94–1.75) | 0.116 | — | |
Weight loss: yes versus no | 1.22 (0.94–1.60) | 0.138 | — | |
Smoking: past/current versus never | 0.80 (0.59–1.09) | 0.149 | — | |
Charlson age-comorbidity index: ≥4 versus < 4 | 1.48 (1.12–1.95) | 0.005 | 1.65 (1.06–2.55) | 0.025 |
Tumor size * : >3.0cm versus ≤3.0 cm | 2.25 (1.69–2.99) | <0.001 | 1.53 (1.11–1.95) | 0.029 |
Tumor location*: body/tail versus head/uncinate | 1.40 (0.99–1.97) | 0.053 | 1.45 (0.82–2.56) | 0.198 |
Preop CA 19–9: >210 U/mL versus ≤210 U/mL | 2.36 (1.56–3.56) | <0.001 | 2.30 (1.51–3.50) | <0.001 |
| ||||
Postoperative Risk Factors |
Univariable
|
Multivariable
|
||
Odds Ratio (95% CI) | P Value | Odds Ratio (95% CI) | P Value | |
| ||||
Age: >70 years versus ≤70 years | 1.00 (0.77–1.30) | 0.984 | — | |
Gender: female versus male | 1.15 (0.89–1.49) | 0.288 | — | |
Race/ethnicity: Caucasian versus all others | 0.82 (0.57–1.17) | 0.272 | — | |
Charlson age-comorbidity index: ≥4 versus <4 | 1.48 (1.12–1.95) | 0.005 | 1.45 (0.95–2.22) | 0.087 |
Complications†: Clavien ≥III versus Clavien ≤II | 1.42 (1.00–2.00) | 0.047 | 1.14 (0.65–2.00) | 0.645 |
Tumor size: > 3.0cm versus ≤3.0 cm | 1.61 (1.24–2.10) | <0.001 | 1.11 (0.74–1.68) | 0.609 |
Tumor differentiation: poor versus well/moderate | 1.97 (1.51–2.57) | <0.001 | 1.66 (1.10–2.51) | 0.016 |
Micr. lymphovascular invasion: yes versus no | 1.99 (1.52–2.60) | <0.001 | 1.70 (1.10–2.63) | 0.018 |
Micr. perineural invasion: yes versus no | 2.00 (1.25–3.18) | 0.004 | 1.31 (0.57–3.02) | 0.521 |
Positive lymph node ratio: >0.2 versus ≤0.2 | 2.71 (2.05–3.58) | <0.001 | 2.49 (1.62–3.84) | <0.001 |
Resection margin: R1 versus R0 | 1.61 (1.23–2.13) | 0.001 | 1.24 (0.81–1.91) | 0.340 |
Postop CA 19–9: >37 U/mL versus ≤37 U/mL | 4.45 (3.09–6.41) | <0.001 | 3.38 (2.25–5.08) | <0.001 |
Adjuvant therapy: | ||||
Chemotherapy versus no adjuvant | 0.34 (0.23–0.49) | <0.001 | 0.28 (0.16–0.51) | <0.001 |
Chemoradiotherapy versus no adjuvant | 0.32 (0.24–0.43) | <0.001 | 0.29 (0.18–0.47) | <0.001 |
Shown in bold are univariable associations (P < 0.10) that were selected for multivariable analysis and significant risk factors (P < 0.05) on multivariable analysis.
Based on the last preoperative computed tomography scan.
According to Clavien-Dindo classification.
CI indicates confidence interval; Preop, preoperative; CA, carbohydrate antigen; Micr, microscopic.