Table 4.
Univariate |
Multivariate |
|||||
---|---|---|---|---|---|---|
HR | (95% CI) | p value | HR | (95% CI) | p value | |
Age | ||||||
<65 | 1.00 | <0.001 | 1.00 | <0.001 | ||
≥65 | 1.64 | 1.52–1.77 | 1.30 | 1.16–1.46 | ||
Sex | ||||||
Male | 1.00 | |||||
Female | 1.17 | 1.07–1.27 | <0.001 | |||
Race | ||||||
White | 1.00 | |||||
Non-white | 1.35 | 1.23–1.48 | <0.001 | |||
Charlson/Deyo comorbidity score | ||||||
0 | 1.00 | 1.00 | ||||
1 | 1.33 | 1.21–1.46 | <0.001 | 1.09 | 0.96–1.25 | 0.18 |
≥2 | 2.03 | 1.76–2.34 | <0.001 | 1.81 | 1.48–2.22 | <0.001 |
Insurance type | ||||||
Private | 1.00 | 1.00 | ||||
Non-private/unknown | 2.16 | 1.98–2.34 | <0.001 | 1.38 | 1.22–1.57 | <0.001 |
Income | ||||||
<$48,000 | 1.00 | |||||
≥$48,000 | 0.71 | 0.66–0.77 | <0.001 | |||
Location | ||||||
Urban | 1.00 | |||||
Non-urban | 1.09 | 1.00–1.19 | <0.05 | |||
Facility | ||||||
Community | 1.00 | |||||
Academic | 0.92 | 0.86–1.00 | <0.05 | |||
Facility volume | ||||||
Low | 1.00 | |||||
High | 0.82 | 0.75–0.89 | <0.001 | |||
Head and neck subsites | ||||||
Oral cavity | 1.00 | 1.00 | ||||
Hypopharynx | 1.90 | 1.69–2.13 | <0.001 | 1.37 | 1.16–1.61 | <0.001 |
Larynx | 1.32 | 1.21–1.45 | <0.001 | 0.93 | 0.80–1.07 | 0.28 |
Dose | ||||||
None | 1.00 | |||||
Low (50–65 Gy) | 0.42 | 0.37–0.48 | <0.001 | |||
High (65–80 Gy) | 0.38 | 0.35–0.42 | <0.001 | |||
Tumor size (cm) | 1.30 | 1.27–1.33 | <0.001 | 1.19 | 1.15–1.24 | <0.001 |
Primary treatment | ||||||
No treatment | 1.00 | 1.00 | ||||
Surgery | 0.28 | 0.24–0.33 | <0.001 | 0.26 | 0.21–0.33 | <0.001 |
Radiotherapy | 0.41 | 0.34–0.49 | <0.001 | 0.32 | 0.23–0.44 | <0.001 |
Surgery ≫ radiotherapy | 0.19 | 0.16–0.22 | <0.001 | 0.17 | 0.14–0.22 | <0.001 |
Chemotherapy | 0.67 | 0.54–0.82 | <0.001 | 0.63 | 0.47–0.85 | <0.01 |
Chemoradiotherapy | 0.16 | 0.14–0.19 | <0.001 | 0.17 | 0.14–0.21 | <0.001 |
Surgery ≫ chemoradiotherapy | 0.19 | 0.16–0.22 | <0.001 | 0.18 | 0.14–0.23 | <0.001 |
T-stage | ||||||
1 | 1.00 | 1.00 | ||||
2 | 1.84 | 1.56–2.18 | <0.001 | 1.33 | 1.06–1.67 | <0.05 |
3 | 2.96 | 2.52–3.48 | <0.001 | 1.59 | 1.24–2.03 | <0.001 |
4 | 4.13 | 3.52–4.85 | <0.001 | 1.96 | 1.54–2.51 | <0.001 |
N-stage | ||||||
0 | 1.00 | 1.00 | ||||
1 | 0.72 | 0.65–0.81 | <0.001 | 1.37 | 1.16–1.63 | <0.001 |
2 and 3 | 0.76 | 0.69–0.83 | <0.001 | 1.38 | 1.19–1.61 | <0.001 |
HPV | ||||||
Negative | 1.00 | 1.00 | ||||
Positive | 0.34 | 0.31–0.38 | <0.001 | 0.46 | 0.39–0.53 | <0.001 |