Table 3.
Kaplan-Meier | Cox UVA | Cox MVA | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
CSS2 (%) | 95%CI (%) | p | HR | 95%CI | p (class) | HR | 95%CI | p (class) | p (variable) | ||
Diabetes/Metformin Category | D + M | 88.8 | 79.2–94.1 | < 0.01 | . | . | . | . | . | . | < 0.01 |
nD | 73.7 | 70.3–76.8 | . | 2.54 | 1.30–4.95 | 0.01 | 2.33 | 1.16–4.65 | 0.02 | . | |
DnM | 66.1 | 59.6–71.8 | . | 3.50 | 1.76–6.97 | < 0.01 | 3.03 | 1.49–6.16 | < 0.01 | . | |
Age | 66–69 | 77.6 | 71.9–82.2 | < 0.01 | . | . | . | . | . | . | < 0.01 |
70–74 | 78.0 | 72.8–82.3 | . | 0.99 | 0.70–1.40 | 0.95 | 1.04 | 0.73–1.50 | 0.82 | . | |
75+ | 67.7 | 63.2–71.7 | . | 1.56 | 1.16–2.10 | < 0.01 | 1.77 | 1.29–2.44 | < 0.01 | . | |
Sex | Male | 76.6 | 72.9–79.9 | 0.01 | . | . | . | . | . | . | < 0.01 |
Female | 68.6 | 64.0–72.7 | . | 1.38 | 1.09–1.74 | 0.01 | 1.55 | 1.19–2.02 | < 0.01 | . | |
Race/Ethnicity | White Non-Hispanic | 74.8 | 71.7–77.7 | 0.04 | . | . | . | . | . | . | 0.77 |
Non-White or Hispanic | 66.1 | 59.0–72.4 | . | 1.33 | 1.01–1.74 | 0.04 | 1.05 | 0.77–1.42 | 0.77 | . | |
Marital Status | Married | 79.8 | 75.8–83.1 | < 0.01 | . | . | . | . | . | . | 0.12 |
Non-Married | 67.5 | 63.3–71.3 | . | 1.70 | 1.33–2.17 | < 0.01 | 1.24 | 0.95–1.63 | 0.12 | . | |
Geographic Region | West | 70.7 | 66.2–74.7 | 0.08 | . | . | . | . | . | . | 0.12 |
East | 75.6 | 68.6–81.3 | . | 0.81 | 0.58–1.14 | 0.22 | 0.68 | 0.46–1.02 | 0.06 | . | |
Midwest | 82.6 | 74.6–88.2 | . | 0.60 | 0.38–0.94 | 0.02 | 0.60 | 0.36–1.00 | 0.05 | . | |
South | 71.4 | 65.7–76.4 | . | 1.02 | 0.77–1.34 | 0.92 | 0.77 | 0.55–1.08 | 0.12 | . | |
Population Density | Metropolitan | 73.5 | 70.3–76.4 | 0.41 | . | . | . | . | . | . | 0.78 |
Non-Metropolitan | 71.7 | 65.1–77.2 | . | 1.12 | 0.85–1.49 | 0.42 | 0.95 | 0.68–1.34 | 0.78 | . | |
Year of Diagnosis | 2008 | 73.8 | 68.9–78.1 | 0.87 | . | . | . | . | . | . | 0.90 |
2009 | 72.3 | 67.4–76.5 | . | 1.07 | 0.81–1.42 | 0.61 | 1.06 | 0.80–1.42 | 0.68 | . | |
2010 | 73.8 | 67.5–79.1 | . | 1.02 | 0.76–1.37 | 0.92 | 1.06 | 0.78–1.44 | 0.70 | . | |
Primary Site | Oral Cavity | 77.0 | 73.1–80.4 | < 0.01 | . | . | . | . | . | . | 0.01 |
Oropharynx | 70.5 | 65.4–75.0 | . | 1.40 | 1.08–1.82 | 0.01 | 0.62 | 0.45–0.85 | < 0.01 | . | |
Other | 65.5 | 57.2–72.5 | . | 1.68 | 1.22–2.32 | < 0.01 | 0.71 | 0.49–1.02 | 0.06 | . | |
T-Classification | T0–1 | 89.1 | 85.1–92.1 | < 0.01 | . | . | . | . | . | . | < 0.01 |
T2 | 69.8 | 63.9–74.9 | . | 2.98 | 2.01–4.42 | < 0.01 | 1.95 | 0.77–4.92 | 0.16 | . | |
T3–4 | 56.7 | 50.6–62.3 | . | 5.36 | 3.68–7.80 | < 0.01 | 7.62 | 3.17–18.3 | < 0.01 | . | |
Unknown | 74.6 | 66.5–81.1 | . | 2.74 | 1.73–4.36 | < 0.01 | 5.20 | 1.91–14.2 | < 0.01 | . | |
N-Classification | N0 | 80.9 | 77.5–83.9 | < 0.01 | . | . | . | . | . | . | < 0.01 |
N1 | 63.7 | 55.8–70.6 | . | 2.14 | 1.57–2.91 | < 0.01 | 1.63 | 1.15–2.31 | 0.01 | . | |
N2–3 | 62.6 | 56.6–68.0 | . | 2.21 | 1.69–2.88 | < 0.01 | 1.80 | 1.30–2.49 | < 0.01 | . | |
Comorbidity Index | 0 | 76.1 | 72.6–79.2 | < 0.01 | . | . | . | . | . | . | 0.04 |
1+ | 67.8 | 62.7–72.5 | . | 1.47 | 1.16–1.86 | < 0.01 | 1.31 | 1.02–1.69 | 0.04 | . | |
Tract % High School Only | ≤ Median | 76.0 | 75.0–79.6 | 0.01 | . | . | . | . | . | . | < 0.01 |
> Median | 70.2 | 66.1–73.9 | . | 1.39 | 1.10–1.76 | 0.01 | 1.56 | 1.15–2.11 | < 0.01 | . | |
Tract % Below Poverty | ≤ Median | 78.6 | 74.7–81.9 | < 0.01 | . | . | . | . | . | . | 0.24 |
> Median | 67.7 | 63.5–71.6 | . | 1.66 | 1.30–2.10 | < 0.01 | 1.19 | 0.89–1.58 | 0.24 | . | |
Teaching Hospital | No or Unknown | 69.4 | 65.0–73.3 | 0.01 | . | . | . | . | . | . | 0.13 |
Yes | 76.3 | 72.5–79.7 | . | 0.72 | 0.57–0.91 | 0.01 | 0.82 | 0.64–1.06 | 0.13 | . | |
Surgery | No | 58.6 | 53.6–63.2 | < 0.01 | . | . | . | . | . | . | < 0.01 |
Yes | 83.0 | 79.8–85.8 | . | 0.34 | 0.26–0.43 | < 0.01 | 0.42 | 0.30–0.58 | < 0.01 | . | |
Chemotherapy | No | 80.4 | 76.8–83.4 | < 0.01 | . | . | . | . | . | . | 0.74 |
Yes | 64.5 | 59.9–68.7 | . | 1.92 | 1.51–2.44 | < 0.01 | 1.06 | 0.77–1.44 | 0.74 | . | |
Radiotherapy | No | 85.4 | 81.3–88.6 | < 0.01 | . | . | . | . | . | . | 0.05 |
Yes | 66.3 | 62.5–69.8 | . | 2.50 | 1.86–3.36 | < 0.01 | 0.53 | 0.28–1.01 | 0.05 | . | |
ACEi or ARB | No | 71.0 | 67.3–74.3 | 0.04 | . | . | . | . | . | . | 0.52 |
Yes | 77.0 | 72.3–81.0 | . | 0.77 | 0.60–0.99 | 0.04 | 0.91 | 0.69–1.21 | 0.52 | . | |
Statin | No | 69.2 | 65.5–72.6 | < 0.01 | . | . | . | . | . | . | 0.09 |
Yes | 80.1 | 75.6–83.8 | . | 0.61 | 0.47–0.80 | < 0.01 | 0.77 | 0.57–1.04 | 0.09 | . | |
HTN/CKD | No | 75.7 | 69.9–80.5 | 0.29 | . | . | . | . | . | . | 0.21 |
Yes | 72.3 | 68.9–75.3 | . | 1.16 | 0.88–1.54 | 0.29 | 1.23 | 0.89–1.71 | 0.21 | . | |
HLD | No | 69.1 | 63.9–73.7 | 0.03 | . | . | . | . | . | . | 0.21 |
Yes | 75.2 | 71.7–78.2 | . | 0.77 | 0.60–0.97 | 0.03 | 0.83 | 0.63–1.11 | 0.21 | . |
Abbreviations: CSS2, 2-year cancer-specific 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; NH, non-Hispanic; ACEi, angiotensin-converting enzyme inhibitor; ARB, angiotension II receptor blocker; HTN, hypertension; CKD, chronic kidney disease; HLD, hyperlipidemia.