Table 2.
Kaplan-Meier | Cox UVA | Cox MVA | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
OS2 (%) | 95%CI (%) | p | HR | 95%CI | p (class) | HR | 95%CI | p (class) | p (variable) | ||
Diabetes/Metformin Category | D + M | 73.4 | 64.7–80.3 | < 0.01 | . | . | . | . | . | . | 0.11 |
nD | 65.6 | 62.8–68.3 | . | 1.37 | 0.96–1.96 | 0.08 | 1.13 | 0.78–1.65 | 0.53 | . | |
DnM | 57.7 | 52.5–62.5 | . | 1.79 | 1.23–2.60 | < 0.01 | 1.36 | 0.92–2.00 | 0.12 | . | |
Age | 66–69 | 72.5 | 67.8–76.6 | < 0.01 | . | . | . | . | . | . | < 0.01 |
70–74 | 73.6 | 69.3–77.4 | . | 0.96 | 0.74–1.24 | 0.75 | 1.06 | 0.82–1.38 | 0.65 | . | |
75+ | 55.0 | 51.5–58.4 | . | 1.87 | 1.51–2.32 | < 0.01 | 2.06 | 1.64–2.59 | < 0.01 | . | |
Sex | Male | 66.0 | 62.9–68.9 | 0.13 | . | . | . | . | . | . | 0.43 |
Female | 62.2 | 58.4–65.7 | . | 1.13 | 0.96–1.33 | 0.13 | 1.08 | 0.90–1.29 | 0.43 | . | |
Race/Ethnicity | White Non-Hispanic | 65.1 | 62.5–67.6 | 0.30 | . | . | . | . | . | . | 0.40 |
Non-White or Hispanic | 61.6 | 56.1–66.6 | . | 1.11 | 0.91–1.35 | 0.30 | 0.91 | 0.73–1.13 | 0.40 | . | |
Marital Status | Married | 72.7 | 69.3–75.7 | < 0.01 | . | . | . | . | . | . | < 0.01 |
Non-Married | 57.4 | 54.1–60.6 | . | 1.74 | 1.47–2.06 | < 0.01 | 1.43 | 1.19–1.72 | < 0.01 | . | |
Geographic Region | West | 64.0 | 60.4–67.4 | 0.40 | . | . | . | . | . | . | 0.48 |
East | 66.1 | 60.2–71.3 | . | 0.94 | 0.74–1.19 | 0.63 | 0.81 | 0.62–1.07 | 0.14 | . | |
Midwest | 68.8 | 62.0–74.6 | . | 0.86 | 0.66–1.13 | 0.29 | 0.88 | 0.64–1.21 | 0.43 | . | |
South | 61.9 | 57.3–66.2 | . | 1.08 | 0.89–1.32 | 0.41 | 0.88 | 0.70–1.11 | 0.28 | . | |
Population Density | Metropolitan | 64.8 | 62.2–67.4 | 0.35 | . | . | . | . | . | . | 0.67 |
Non-Metropolitan | 62.8 | 57.4–67.6 | . | 1.10 | 0.90–1.33 | 0.36 | 0.95 | 0.75–1.20 | 0.67 | . | |
Year of Diagnosis | 2008 | 62.8 | 57.8–67.5 | 0.64 | . | . | . | . | . | . | 0.37 |
2009 | 64.0 | 59.0–68.5 | . | 0.95 | 0.75–1.20 | 0.67 | 0.94 | 0.74–1.19 | 0.60 | . | |
2010 | 63.7 | 58.7–68.2 | . | 0.97 | 0.77–1.22 | 0.79 | 1.00 | 0.79–1.26 | 0.97 | . | |
2011 | 66.6 | 62.2–70.6 | . | 0.87 | 0.69–1.09 | 0.23 | 0.83 | 0.66–1.05 | 0.12 | . | |
Primary Site | Oral Cavity | 68.1 | 64.9–71.2 | < 0.01 | . | . | . | . | . | . | 0.06 |
Oropharynx | 62.4 | 58.3–66.2 | . | 1.24 | 1.04–1.49 | 0.02 | 0.75 | 0.60–0.95 | 0.02 | . | |
Other | 55.8 | 49.0–61.9 | . | 1.54 | 1.23–1.94 | < 0.01 | 0.87 | 0.67–1.13 | 0.29 | . | |
T-Classification | T0–1 | 80.3 | 76.4–83.6 | < 0.01 | . | . | . | . | . | . | < 0.01 |
T2 | 64.0 | 59.6–68.1 | . | 2.00 | 1.55–2.57 | < 0.01 | 2.00 | 1.10–3.64 | 0.02 | . | |
T3–4 | 47.3 | 42.7–51.8 | . | 3.48 | 2.74–4.42 | < 0.01 | 5.67 | 3.21–10.0 | < 0.01 | . | |
Unknown | 67.4 | 60.8–73.2 | . | 1.88 | 1.38–2.55 | < 0.01 | 4.31 | 2.22–8.37 | < 0.01 | . | |
N-Classification | N0 | 71.8 | 68.7–74.6 | < 0.01 | . | . | . | . | . | . | < 0.01 |
N1 | 56.2 | 50.2–61.8 | . | 1.72 | 1.39–2.14 | < 0.01 | 1.58 | 1.24–2.01 | < 0.01 | . | |
N2–3 | 54.7 | 50.0–59.2 | . | 1.80 | 1.50–2.17 | < 0.01 | 1.78 | 1.42–2.25 | < 0.01 | . | |
Comorbidity Index | 0 | 70.5 | 67.6–73.2 | < 0.01 | . | . | . | . | . | . | < 0.01 |
1+ | 54.0 | 50.0–57.9 | . | 1.80 | 1.53–2.12 | < 0.01 | 1.69 | 1.42–2.01 | < 0.01 | . | |
Tract % High School Only | ≤ Median | 66.8 | 63.5–69.9 | 0.02 | . | . | . | . | . | . | 0.02 |
> Median | 62.0 | 58.6–65.2 | . | 1.21 | 1.02–1.42 | 0.02 | 1.29 | 1.05–1.59 | 0.02 | . | |
Tract % Below Poverty | ≤ Median | 68.2 | 64.9–71.3 | < 0.01 | . | . | . | . | . | . | 0.45 |
> Median | 60.6 | 57.2–63.8 | . | 1.32 | 1.12–1.55 | < 0.01 | 1.08 | 0.89–1.30 | 0.45 | . | |
Teaching Hospital | No or Unknown | 61.1 | 57.5–64.5 | 0.01 | . | . | . | . | . | . | 0.02 |
Yes | 67.1 | 64.0–70.1 | . | 0.80 | 0.68–0.95 | 0.01 | 0.81 | 0.68–0.96 | 0.02 | . | |
Surgery | No | 51.9 | 48.0–55.6 | < 0.01 | . | . | . | . | . | . | < 0.01 |
Yes | 73.1 | 70.2–75.7 | . | 0.48 | 0.40–0.56 | < 0.01 | 0.54 | 0.43–0.67 | < 0.01 | . | |
Chemotherapy | No | 69.0 | 65.8–71.9 | < 0.01 | . | . | . | . | . | . | 0.35 |
Yes | 58.9 | 55.2–62.3 | . | 1.40 | 1.19–1.64 | < 0.01 | 0.90 | 0.72–1.12 | 0.35 | . | |
Radiotherapy | No | 74.2 | 70.5–77.6 | < 0.01 | . | . | . | . | . | . | < 0.01 |
Yes | 59.1 | 56.1–62.0 | . | 1.70 | 1.41–2.04 | < 0.01 | 0.43 | 0.28–0.65 | < 0.01 | . | |
ACEi or ARB | No | 61.2 | 58.2–64.0 | < 0.01 | . | . | . | . | . | . | 0.51 |
Yes | 70.4 | 66.5–73.9 | . | 0.73 | 0.61–0.88 | < 0.01 | 1.13 | 0.78–1.65 | 0.51 | . | |
Statin | No | 60.3 | 57.3–63.2 | < 0.01 | . | . | . | . | . | . | 0.01 |
Yes | 71.8 | 68.0–75.3 | . | 0.66 | 0.55–0.79 | < 0.01 | 0.75 | 0.62–0.93 | 0.01 | . | |
HTN/CKD | No | 67.8 | 62.9–72.1 | 0.07 | . | . | . | . | . | . | 0.15 |
Yes | 63.3 | 60.6–65.9 | . | 1.20 | 0.98–1.46 | 0.07 | 1.18 | 0.94–1.48 | 0.15 | . | |
HLD | No | 58.7 | 54.5–62.7 | < 0.01 | . | . | . | . | . | . | 0.05 |
Yes | 67.2 | 64.4–69.9 | . | 0.75 | 0.63–0.88 | < 0.01 | 0.82 | 0.68–1.00 | 0.05 | . |
Abbreviations: OS2, 2-year overall survival; 95%CI, 95% confidence interval; HR, hazard ratio; UVA, univariate analysis; MVA, multivariate analysis; nD, non-diabetic; DnM, diabetic not taking metformin; D + M diabetic taking metformin; ACEi, angiotensin-converting enzyme inhibitor; ARB, angiotension II receptor blocker; HTN, hypertension; CKD, chronic kidney disease; HLD, hyperlipidemia.