Table 3:
Univariate and multivariate analysis of RFS in the pre-imatinib era (top) and imatinib era (bottom).
PRE-IMATINIB ERAa | Univariate Analysis | Multivariate Analysis | |||||
---|---|---|---|---|---|---|---|
Class value | Reference | HR (95% CI) | p-value | HR (95% CI) | p-value | ||
Age at first surgery (yrs) | N/A | N/A | 1.01 (0.998–1.029) | 0.088 | 1.02 (1.002–1.037) | 0.030 | |
Sex | M | F | 1.52 (0.99–2.33) | 0.053 | - | - | |
Primary tumor site | Small Bowel | Stomach | 1.35 (0.81–2.25) | 0.250 | 2.13 (1.67–3.90) | 0.014 | |
Rectum | 2.63 (1.41–4.91) | 0.002 | 2.25 (1.08–4.68) | 0.030 | |||
Other | 1.47 (0.73–2.95) | 0.280 | 1.36 (0.65–2.83) | 0.409 | |||
Primary tumor size (cm) | 5–10 | <5 | 1.21 (0.73–2.00) | 0.466 | 1.72 (0.96–3.09) | 0.071 | |
>10 | 1.82 (1.10–3.01) | 0.020 | 2.63 (1.44–4.8) | 0.002 | |||
Primary tumor mitotic rate per 50 HPF | >5 | ≤5 | 2.56 (1.65–3.99) | <0.001 | 2.80 (1.71–4.61) | <0.001 | |
Marginsb | R1 | R0 | 1.10 (0.58–2.07) | 0.769 | - | - | |
Second Malignancyc | Yes | No | 0.79 (0.47–1.32) | 0.370 | - | - |
IMATINIB ERA | Univariate Analysis | Multivariate Analysisd | |||||
---|---|---|---|---|---|---|---|
Class value | Reference | HR (95% CI) | p-value | HR (95% CI) | p-value | ||
Age at first surgery (yrs) | N/A | N/A | 1.02 (1.00–1.04) | 0.014 | - | - | |
Sex | M | F | 1.24 (0.85–1.81) | 0.274 | - | - | |
Primary tumor site | Small Bowel | Stomach | 1.29 (0.78–2.11) | 0.318 | - | - | |
Rectum | 0.93 (0.38–2.30) | 0.873 | - | - | |||
Other | 2.06 (0.95–4.47) | 0.068 | - | - | |||
Primary tumor size (cm) | 5–10 | <5 | 1.43 (0.90–2.25) | 0.138 | 1.66 (0.96–2.87) | 0.070 | |
>10 | 2.72 (1.71–4.32) | <0.001 | 3.85 (2.00–7.40) | <0.001 | |||
Primary tumor mitotic rate per 50 HPF | >5 | ≤5 | 1.91 (1.21–3.00) | 0.005 | - | - | |
Histologic variant | Epithelioid | Spindle | 1.25 (0.63–2.47) | 0.526 | 1.09 (0.55–2.16) | 0.811 | |
Mixed | 2.64 (1.50–4.66) | <.001 | 2.1 (1.19–3.79) | 0.011 | |||
Marginsb | R1 | R0 | 1.29 (0.63–2.65) | 0.492 | - | - | |
Imatinib treatment | Any | None | 1.78 (1.21–2.63) | 0.004 | 1.11 (0.65–1.91) | 0.693 | |
Second Malignancyc | Yes | No | 1.90 (1.30–2.77) | <0.001 | 2.37 (1.49–3.76) | 0.0003 |
Histologic variant was not routinely recorded in the pre-imatinib era.
R2 margins were excluded from this analysis of recurrence-free survival.
Any preceding or synchronous second malignancy
All statistically significant values from the univariate analysis were included in the initial multivariate model. The least significant values (p>0.05) were removed stepwise to provide the final strongest model which is shown. Although age and mitotic rate were significant univariately in the imatinib era, they were never significant on multivariate analysis. Imatinib treatment was left in the final model to adjust for any undetected treatment bias.