Table 2. Adjusted Competing Risk Regression Model for Factors Associated With Local Recurrence of Previously Treated Brain Metastasesa.
Variable | HR (95% CI) | P Value |
---|---|---|
Surgical resection vs SRSb | 1.15 (0.72-1.83) | .56 |
Time of recurrence, moc | ||
0-3 | 5.94 (1.72-20.45) | .005 |
3-6 | 1.37 (0.64-2.90) | .47 |
6-9 | 0.75 (0.28-2.00) | .56 |
≥9 | 0.36 (0.14-0.93) | .04 |
Diameter of lesion | 1.03 (1.00-1.06) | .03 |
Baseline neurologic status | ||
No neurologic deficit | 1 [Reference] | NA |
Some deficit, useful work | 1.31 (0.83-2.06) | .25 |
Moderate impairment | 0.98 (0.53-1.79) | .94 |
Metastasis site | ||
Temporal | 1 [Reference] | NA |
Frontal | 1.40 (0.71-2.76) | .33 |
Occipital | 1.60 (0.76-3.40) | .22 |
Parietal | 1.01 (0.48-2.12) | .98 |
Posterior fossa | 0.95 (0.43-2.11) | .89 |
Other | 0.24 (0.03-2.04) | .19 |
Macroscopic tumor outside brain | ||
Absent | 1 [Reference] | NA |
Present | 0.63 (0.40-0.99) | .04 |
No. of brain metastases | ||
1 | 1 [Reference] | NA |
2 | 0.78 (0.38-1.59) | .49 |
Abbreviations: HR, hazard ratio; NA, not applicable; SRS, stereotactic radiosurgery.
Model is stratified according to receipt of whole-brain radiotherapy.
Represents overall hazard of surgical resection vs SRS.
Evaluates surgical resection vs SRS according to period.