Table 5.
Analysis of Prognostic Factors for Long-Term Biochemical Curea in Patients who had Undergone Total Thyroidectomy for Medullary Thyroid Carcinoma in Denmark, 1997–2014
Univariate (n = 194) | Multivariate (n = 192) | |||||
---|---|---|---|---|---|---|
Factors | OR | [CI] | p-Value | OR | [CI] | p-Value |
Sex | ||||||
Female | 1.9 | [0.999–3.5] | 0.051 | 1.1 | [0.4–2.9] | 0.867 |
Male | 1 | 1 | ||||
Age at diagnosis (years) | ||||||
<21 | 1.7 | [0.5–6.1] | 0.381 | 5.8 | [0.6–53.1] | 0.120 |
21–40 | 2.9 | [1.3–6.6] | 0.013 | 2.5 | [0.6–10.3] | 0.197 |
41–60 | 1.9 | [0.9–4.1] | 0.087 | 1.1 | [0.4–3.3] | 0.844 |
>60 | 1 | 1 | ||||
MTC type | ||||||
HMTC, by screening | 7.0 | [0.8–60.8] | 0.076 | 2.1 | [0.1–38.0] | 0.696 |
HMTC, by symptoms | 1 | 1 | ||||
SMTC | 5.0 | [0.6–40.5] | 0.133 | 3.4 | [0.1–86.6] | 0.454 |
T categoryb | ||||||
T1 | 34.9 | [4.6–267.2] | 0.001 | 11.3 | [0.96–131.6] | 0.054 |
T2 | 14.2 | [1.8–113.1] | 0.012 | 2.4 | [0.2–27.0] | 0.479 |
T3 | 12.8 | [1.4–112.6] | 0.022 | 4.0 | [0.3–54.1] | 0.291 |
T4 | 1 | 1 | ||||
N category | ||||||
N0 | 42.6 | [15.7–115.8] | <0.001 | 40.1 | [12.0–133.7] | <0.001e |
N1 | 1 | 1 | ||||
M categoryc | ||||||
M0 | ||||||
M1 | ||||||
TNM staged | ||||||
I | 118.97 | [31.1–455.1] | <0.001 | |||
II | 30.7 | [8.2–114.6] | <0.001 | |||
III | 6.4 | [1.2–35.1] | 0.033 | |||
IV | 1 | |||||
Multifocality | ||||||
No | 3.7 | [1.8–7.6] | <0.001 | 5.0 | [1.2–20.1] | 0.024 |
Yes | 1 | |||||
Bilaterality | ||||||
Yes | 1 | |||||
No | 1.8 | [0.9–3.7] | 0.110 |
Long-term biochemical cure was defined as undetectable basal serum calcitonin at last biochemical follow-up in patients who had received no other treatment besides initial surgery.
Based on 192 patients with pertinent data.
Analyses could not be performed as no patients with distant metastases were biochemically cured.
Based on 193 patients with pertinent data. Staging was based on the American Joint Committee on Cancer 7th and 8th edition (29,30).
Significant after Bonferroni correction (31).
OR, odds ratio.