Table 5.
5-year rate of distant metastases of 598 patients.
Univariate Analysis | Multivariate Analysis | ||||||
---|---|---|---|---|---|---|---|
Patient and Tumour Characteristics | Number | 5Y distant Metastases | 95% CI | p | Hazard Ratio | 95% CI | p |
Total | 598 | 16.7% | 13.6–19.8 | ||||
BMI WHO | |||||||
BMI < 18.5 kg/m2 underweight | 5 | 40.0% | 0–82.9 | 1.7 | 0.4–7.2 | 0.493 | |
BMI 18.5–25 kg/m2 normal range | 209 | 16.2% | 11.1–21.3 | 1.0 | |||
BMI 25–30 kg/m2 overweight | 257 | 17.3% | 12.6–22.0 | 1.2 | 0.8–2.0 | 0.340 | |
BMI 30–35 kg/m2 obese class I | 102 | 11.9% | 5.6–18.2 | 0.9 | 0.5–1.7 | 0.813 | |
BMI 35–40 kg/m2 obese class II | 16 | 34.0% | 9.7–58.3 | 1.9 | 0.8–4.8 | 0.153 | |
BMI ≥ 40 kg/m2 obese class III | 9 | 22.2% | 0–49.4 | 0.225 | 1.4 | 0.3–5.8 | 0.678 |
BMI Groups | |||||||
Group 1: BMI 18.5–35 | 568 | 15.9% | 12.8–19.0 | 1.0 | |||
Group 2: BMI <18.5 or ≥35 | 30 | 31.4% | 14.3–48.5 | 0.034 | 1.6 | 0.8–3.1 | 0.177 |
Age | |||||||
≤65 | 315 | 14.1% | 10.2–18.0 | ||||
>65 | 283 | 19.7% | 14.8–24.6 | 0.085 | |||
Sex | |||||||
Male | 394 | 16.3% | 12.6–20.0 | ||||
Female | 204 | 17.4% | 12.1–22.7 | 0.861 | |||
Localisation | |||||||
<6 cm | 202 | 13.8% | 9.0–18.8 | ||||
6–12 cm | 271 | 17.9% | 13.2–22.6 | ||||
12–16 cm | 125 | 18.8% | 11.7–25.9 | 0.541 | |||
UICC-stage | |||||||
I | 150 | 9.8% | 4.9–14.7 | 1.0 | |||
II | 65 | 23.1% | 12.5–33.7 | 2.1 | 1.0–4.4 | 0.041 | |
III | 65 | 30.7% | 18.4–43.0 | 2.7 | 1.4–5.5 | 0.003 | |
y0 | 55 | 1.9% | 0–5.4 | 0.2 | 0–1.3 | 0.086 | |
yI | 101 | 6.9% | 2.0–11.8 | 0.6 | 0.2–1.4 | 0.250 | |
yII | 74 | 23.3% | 13.7–32.9 | 2.3 | 1.1–4.6 | 0.019 | |
yIII | 88 | 30.3% | 20.5–40.1 | <0.001 | 3.1 | 1.7–5.8 | <0.001 |
Abdominoperineal excision | |||||||
No | 509 | 16.4% | 13.1–19.7 | ||||
Yes | 89 | 18.0% | 9.8–26.2 | 0.313 | |||
ASA-Score a | |||||||
ASA 1&2 | 481 | 15.2% | 11.9–18.5 | ||||
ASA 3&4 | 113 | 24.2% | 15.8–32.6 | 0.052 | |||
CEA-level b | |||||||
Normal (<5 ng/L) | 432 | 14.1% | 10.8–17.4 | 1.0 | |||
Elevated(≥5 ng/L) | 88 | 31.6% | 21.6–41.6 | <0.001 | 1.9 | 1.2–3.0 | 0.005 |
a 4 Patients excluded due to unknown ASA-Score, b 78 Patients excluded due to unknown CEA-level.