Table 2. Univariate analysis of the factors associated with overall survival.
Univariate analysis | CEA-positive | CYFRA 21-1-positive | |||||||
---|---|---|---|---|---|---|---|---|---|
n | Median OS (months) | 95% CI (months) | P value | n | Median OS (months) | 95% CI (months) | P value | ||
Age, years | 0.150 | 0.298 | |||||||
<70 | 52 | 14.8 | 11.3–19.2 | 35 | 13.4 | 7.8–15.5 | |||
≥70 | 44 | 20.4 | 12.4–29.2 | 20 | 14.6 | 8.9–39.6 | |||
Sex | 0.505 | 0.394 | |||||||
Male | 68 | 14.8 | 10.6–20.4 | 44 | 11.3 | 8.9–15.5 | |||
Female | 28 | 18.4 | 13.0–27.2 | 11 | 18.5 | 7.5–33.2 | |||
History of smoking | 0.059 | 0.135 | |||||||
None | 24 | 27.2 | 13.0–32.9 | 10 | 20.2 | 4.3–NA | |||
Current + former | 72 | 13.7 | 10.6–19.2 | 45 | 11.3 | 8.9–15.4 | |||
ECOG PS | 0.315 | 0.023 | |||||||
0, 1 | 81 | 16.4 | 13.0–20.6 | 53 | 14.8 | 10.0–16.3 | |||
2 | 15 | 12.6 | 6.4–26.7 | 2 | 7 | 6.7–NA | |||
Stage | 0.398 | 0.207 | |||||||
IIIB | 11 | 13 | 6.8–23.4 | 10 | 15.1 | 6.2–NA | |||
IV + postoperative recurrence | 85 | 16.9 | 13.0–20.6 | 45 | 11.3 | 9.3–15.6 | |||
Histology | 0.426 | 0.275 | |||||||
Adenocarcinoma | 78 | 16.9 | 13.0–20.6 | 31 | 12.9 | 9.3–16.3 | |||
Non-adenocarcinoma | 18 | 13 | 7.8–31.9 | 24 | 15.1 | 7.8–31.9 | |||
EGFR mutation status | 0.022 | 0.185 | |||||||
Positive | 35 | 22.1 | 16.9–29.2 | 8 | 18.5 | 4.3–NA | |||
Negative | 61 | 12.9 | 10.0–16.3 | 47 | 11.3 | 8.9–15.5 | |||
Tumor marker levels at baseline | 0.200 | 0.385 | |||||||
High¶ | 47 | 13.4 | 10.4–19.6 | 27 | 13.4 | 6.7–15.6 | |||
Low | 49 | 18.4 | 13.0–27.2 | 28 | 13.2 | 9.3–30.9 | |||
Imaging-based response | 0.008 | 0.018 | |||||||
PR, SD | 61 | 18.4 | 13.0–26.7 | 26 | 15.1 | 10.0–31.9 | |||
PD | 25 | 12.9 | 6.4–19.2 | 24 | 7.5 | 6.2–13.4 | |||
Tumor marker response at 1 month | 0.684 | 0.016 | |||||||
Decreasing | 74 | 16.9 | 12.9–20.6 | 47 | 15.1 | 10.3–16.4 | |||
Non-decreasing | 21 | 13.4 | 8.3–33.2 | 8 | 7.2 | 5.0–12.9 | |||
Tumor marker response at 4 months | 0.025 | <0.001 | |||||||
Decreasing | 79 | 16.9 | 13.0–22.1 | 39 | 15.5 | 11.3–21.5 | |||
Non-decreasing | 17 | 10.3 | 6.3–19.2 | 16 | 7.2 | 6.1–9.4 |
¶, high tumor marker levels at baseline were defined as >30 mg/dL for CEA and >10 mg/dL for CYFRA. CEA, carcinoembryonic antigen; CI, confidence interval; CYFRA 21-1, cytokeratin 19 fragment; ECOG PS, Eastern Cooperative Oncology Group performance status; EGFR, epidermal growth factor receptor; PR, partial response.