Table 3.
Univariate and multivariate analyses of clinicopathological features and overall survival and time to recurrence in whole series (n = 187).
| Discovery cohort (n = 118) |
Validation cohort (n = 69) |
|||||||
|---|---|---|---|---|---|---|---|---|
| OS |
TTR |
OS |
TTR |
|||||
| Variable | HR (95%CI) | P | HR (95%CI) | P | HR (95%CI) | P | HR (95%CI) | P |
| Univariate analysis | ||||||||
| Gender Male vs. Female |
||||||||
| 0.754(0.322–1.761) | 0.514 | 0.630(0.337–1.179) | 0.148 | 0.617(0.224–1.700) | 0.351 | 0.688(0.309–1.533) | 0.361 | |
| Age (years) ≤60 vs. >60 |
||||||||
| 3.628(1.440–9.143) | 0.006 | 1.743(0.973–3.122) | 0.062 | 3.204(1.113–9.223) | 0.031 | 2.176(0.973–4.863) | 0.058 | |
| Site Gastric vs. Small intestine vs. Others |
||||||||
| 2.045(1.165–3.588) | 0.013 | 2.015(1.341–3.027) | 0.001 | 1.785(0.899–3.546) | 0.098 | 2.278(1.324–3.919) | 0.003 | |
| Tumor size (cm) ≤5 vs. >5 |
||||||||
| 3.455(0.812–14.697) | 0.093 | 2.908(1.149–7.355) | 0.024 | 2.404(0.546–10.594) | 0.246 | 4.261(1.004–18.088) | 0.049 | |
| Nuclear abnormities Mild vs. Moderate or Distinct |
||||||||
| 2.269(1.007–5.109) | 0.048 | 1.630(0.919–2.892) | 0.095 | 1.794(0.666–4.828) | 0.247 | 2.061(0.932–4.561) | 0.074 | |
| Mitotic index (/50HPF) ≤5 vs. >5 |
||||||||
| 4.619(1.377–15.495) | 0.013 | 4.875(2.067–11.497) | <0.001 | 6.515(1.474–28.792) | 0.013 | 7.315(2.181–24.528) | 0.001 | |
| Morphology classification Low vs. Borderline vs. High |
||||||||
| 2.319(1.235–4.354) | 0.009 | 1.847(1.237–2.759) | 0.003 | 1.916(0.791–4.642) | 0.150 | 2.285(1.084–4.816) | 0.030 | |
| Morphology Spindle vs. Epithelioid vs. Mixed |
||||||||
| 1.212(0.743–1.979) | 0.441 | 0.892(0.601–1.323) | 0.570 | 1.046(0.569–1.923) | 0.885 | 0.821(0.489–1.380) | 0.458 | |
| NIH classification Low and Medium vs. High |
||||||||
| 6.625(0.544–80.665) | 0.138 | 3.988(1.328–11.978) | 0.014 | 8.037(0.473–136.677) | 0.149 | 8.280(0.896–76.498) | 0.062 | |
| Postoperative imatinib treatment | ||||||||
| Yes vs. No | 1.802(0.747–4.348) | 0.190 | 1.575(0.853–2.909) | 0.147 | 3.220(0.914–11.342) | 0.069 | 3.285(1.230–8.773) | 0.018 |
| Ki67 (%)# <5 vs. ≥5 |
||||||||
| 2.126(0.749–6.037) | 0.157 | 2.640(1.269–5.493) | 0.009 | 1.538(0.463–5.112) | 0.482 | 1.938(0.735–5.108) | 0.181 | |
| Mutation KIT vs. PDGFRA vs. WT KIT vs. Non-KIT PDGFRA vs. Non-PDGFRA |
||||||||
| 0.849(0.329–2.189) | 0.735 | 0.833(0.424–1.637) | 0.596 | 1.097(0.354–3.394) | 0.873 | 0.956(0.399–2.291) | 0.920 | |
| 2.422(0.569–10.304) | 0.231 | 2.386(0.856–6.651) | 0.096 | 3.488(0.460–26.450) | 0.227 | 6.265(0.845–46.444) | 0.073 | |
| 0.039(0.000–5.835) | 0.205 | 0.123(0.017–0.895) | 0.038 | 0.039(0.000–15.470) | 0.287 | 0.038(0.000–3.850) | 0.165 | |
| Drug resistance | ||||||||
| Yes vs. No | 13.132(4.255–40.527) | <0.001 | 16.833(6.869–41.251) | <0.001 | 363.123(0.884–149227.953) | 0.055 | 41.974(8.948–196.907) | <0.001 |
| TLS Positive vs. Negative |
||||||||
| 0.181(0.067–0.484) | 0.001 | 0.397(0.220–0.719) | 0.002 | 0.172(0.049–0.606) | 0.006 | 0.278(0.116–0.668) | 0.004 | |
| Multivariate analysis | ||||||||
| Age (years) ≤60 vs. >60 |
||||||||
| 3.502(1.295–9.474) | 0.014 | NA | NA | 3.167(1.088–9.223) | 0.035 | 2.997(1.246–7.207) | 0.014 | |
| Site Gastric vs. Small intestine vs. Others |
||||||||
| 1.678(0.942–2.989) | 0.079 | 1.796(1.055–3.057) | 0.031 | NA | NA | 3.091(1.504–6.353) | 0.002 | |
| Tumor size (cm) ≤5 vs. >5 |
||||||||
| NA | NA | 2.154(0.674–6.888) | 0.196 | NA | NA | 0.757(0.146–3.910) | 0.740 | |
| Nuclear abnormities Mild vs. Moderate or Distinct |
||||||||
| 1.071(0.459–2.499) | 0.875 | NA | NA | NA | NA | NA | NA | |
| Mitotic index (/50HPF) ≤5 vs. >5 |
||||||||
| 3.373(0.915–12.433) | 0.068 | 7.872(1.517–40.854) | 0.014 | 5.134(1.091–24.165) | 0.038 | 9.684(2.326–40.315) | 0.002 | |
| Morphology classification Low vs. Borderline vs. High |
||||||||
| 0.879(0.414–1.867) | 0.737 | 0.879(0.505–1.531) | 0.649 | NA | NA | 0.533(0.240–1.184) | 0.122 | |
| NIH classification Low vs. Medium vs. High |
||||||||
| NA | NA | 1.156(0.332–4.025) | 0.820 | NA | NA | NA | NA | |
| Postoperative imatinib treatment | ||||||||
| Yes vs. No | 0.676(0.249–1.839) | 0.443 | 0.486(0.214–1.102) | 0.084 | 0.958(0.233–3.936) | 0.953 | 0.868(0.262–2.881) | 0.817 |
| Ki67 (%)# <5 vs. ≥5 |
||||||||
| NA | NA | 1.346(0.604–2.997) | 0.467 | NA | NA | NA | NA | |
| TLS Positive vs. Negative |
||||||||
| 0.180(0.061–0.534) | 0.002 | 0.412(0.192–0.887) | 0.023 | 0.219(0.056–0.862) | 0.030 | 0.193(0.066–0.558) | 0.002 | |
Abbreviation: NIH, National Institutes of Health; PDGFRA, Platelet-derived growth factor receptor alpha; WT, Wide Type.
Cox regression analyzes were done for all the above data.
# Available in 92 cases in discovery cohort and 52 cases in validation cohort.