Table III.
Analysis of clinical and dosimetric variables associated with OS (patients, n=52; tumors, n=59).
Univariate | Multivariate | |||
---|---|---|---|---|
Variable | HR (95% CI) | P-value | HR (95% CI) | P-value |
Patient | ||||
Age at recurrences, years (≤75 vs. >75) | 1.81 (0.22–1.48) | 0.74 | ||
Sex (male vs. female) | 1.72 (4.31–6.90) | 0.0062 | 3.94 (0.80–19.37) | 0.091 |
Smoking history (yes vs. no) | 1.11 (0.01–1.05) | 0.55 | ||
Initial surgery for primary NSCLC | ||||
Histology (adenocarcinoma vs. alternative subtypes) | 1.19 (0.0038–3.73) | 0.23 | ||
Extent of pulmonary resection (sublobular resection vs. lobectomy or pneumonectomy) | 4.16 (0.048–3.61) | 0.43 | ||
T status (pT2 vs. pT1) | 6.38 (0.10–3.93) | 0.63 | ||
Lymphatic invasion (present vs. absent) | 3.51 (0.023–5.32) | 0.45 | ||
Lymph node metastasis (pN≥1 vs. pN0) | 1.37 (0.73–2.56) | 0.080 | ||
Disease-free interval, years (≥1 vs. <1) | 4.76 (1.99–1.14) | 0.017 | 0.92 (4.26–19.52) | 0.062 |
Disease-free interval, years (≥5 vs. <5) | 2.50 (0.24–2.55) | 0.44 | ||
SBRT for recurrent tumors | ||||
Possibility of re-operation (impossible vs. possible) | 2.46 (29.07–2.08) | <0.0010 | 9.53 (2.51–36.15) | <0.001 |
Tumor size (≤2 cm vs. >2 cm) | 6.05 (0.043–8.52) | 0.71 | ||
Tumor size (≤3 cm vs. >3 cm) | 2.38 (0.0058–9.77) | 0.45 | ||
SUVmax (≥5.0 vs. <5.0) | 1.57 (0.17–1.43) | 0.69 | ||
Location (lower or mediastinum vs. upper or middle) | 1.18 (0.29–4.86) | 0.82 | ||
Central lesion (central vs. peripheral) | 1.22 (0.37–4.050) | 0.011 | 5.51 (1.96–15.49) | 0.0012 |
Dose prescription (55 Gy 4 Fr vs. the others (50 Gy, 4 Fr; | 2.52 (2.10–3.00) | 0.011 | 0.03 (0.27–2.31) | 0.23 |
56 Gy, 7 Fr; 50 Gy, 10 Fr) | ||||
Chemotherapy after SBRT (present vs. absent) | 7.97 (0.035–1.82) | 0.89 |
P-values were calculated using Cox regression analysis for univariate and multivariate analysis. OS, overall survival; HR, hazard ratio; SBRT, stereotactic body radiotherapy; SUVmax, maximum standardized uptake value; Fr, fraction.