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. 2020 Jul 17;20:103. doi: 10.1186/s12894-020-00672-9

Correction to: A comparison of stage-specific all-cause mortality between testicular sex cordstromal tumors and germ cell tumors: results from the National Cancer Database

Kyle B Zuniga 1,2,3,, Samuel L Washington III 1, Sima P Porten 1, Maxwell V Meng 1
PMCID: PMC7368670  PMID: 32680507

Correction to: BMC Urol (2020) 20:40

https://doi.org/10.1186/s12894-020-00609-2

It was highlighted that the original article [1] contained the below errors in Tables 2, 3 and 4 and in the legends of Tables 3 and 4. This Correction article shows the correct Tables and legends.

  1. In Table 2, for Stage I – SCSTs the number for “uninsured” and “privately insured” was swapped. The distribution should be uninsured = 20 (8%); privately insured = 169 (65%)

  2. In Table 3, multivariable HR for Uninsured should read HR 2.31, 95% CI 2.01–2.66. Additionally, Urban/Rural should read HR 1.13, 95% CI 1.00–1.29. Among those with Stage II/III tumors, for percent of individuals in the patient’s ZIP code without a high school diploma, the less than 7% group should read HR 0.67, 95% CI 0.52–0.88. In Table 4, for stage II/III, HR for income >$63 k should read HR 0.79, 95% CI 0.61–1.02. Additionally, for stage II/III, for percent of individuals in the patient’s ZIP code without a high school diploma, the less than 7% group should read HR 0.67, 95% CI 0.52–0.88.

  3. In Table 4, for stage II/III, HR for income >$63 k should read HR 0.79, 95% CI 0.61–1.02. Additionally, for stage II/III, for percent of individuals in the patient’s ZIP code without a high school diploma, the less than 7% group should read HR 0.67, 95% CI 0.52–0.88.

  4. Table legend corrections: For Table 3, the definition of the abbreviation “IQR” is unnecessary. Table 4 was missing the following - CI = Confidence interval, GCTs = Germ cell tumors, HR = Hazard ratio, SCSTs = Sex cord stromal tumors, *p < 0.05, **p < 0.01, ***p < 0.001

Table 2.

Stage-specific comparison of the sociodemographic and clinical characteristics of patients with SCSTs versus GCTs

Factor Stage I Stage II/III
SCSTs GCTs p-value SCSTs GCTs p-value
N 259 32,204 21 9708
Age at diagnosis, median (IQR) 43 (34, 57) 34 (28, 43) < 0.001 55 (42, 64) 33 (26, 42) < 0.001
Diagnosis year < 0.001 0.38
 2004–2005 46 (18%) 6387 (20%) 2 (10%) 1780 (18%)
 2006–2007 33 (13%) 6416 (20%) 6 (29%) 1874 (19%)
 2008–2009 45 (17%) 6528 (20%) 5 (24%) 1942 (20%)
 2010–2011 75 (29%) 6487 (20%) 6 (29%) 1993 (21%)
 2012–2013 60 (23%) 6386 (20%) 2 (10%) 2119 (22%)
Race/ethnicity < 0.001 0.62
 Non-Hispanic White 157 (61%) 25,125 (78%) 17 (81%) 7266 (75%)
 Non-Hispanic Black 47 (18%) 809 (3%) 1 (5%) 311 (3%)
 Hispanic/Other 52 (20%) 5672 (18%) 3 (14%) 2000 (21%)
 Unknown 3 (1%) 598 (2%) 0 (0%) 131 (1%)
Insurance < 0.001 0.087
 Uninsured 20 (8%) 3411 (11%) 4 (19%) 1351 (14%)
 Private insurance 169 (65%) 24,575 (76%) 9 (43%) 6339 (65%)
Medicaid/Medicare/other government insurance 62 (24%) 3605 (11%) 8 (38%) 1812 (19%)
 Unknown 8 (3%) 613 (2%) 0 (0%) 206 (2%)
Income (per year) 0.38 0.68
 Less than $38 k 40 (15%) 3981 (12%) 5 (24%) 1507 (16%)
 $38 k-62,999 115 (44%) 15,408 (48%) 10 (48%) 4791 (49%)
 $63 k or greater 100 (39%) 12,407 (39%) 6 (29%) 3256 (34%)
 Unknown 4 (2%) 408 (1%) 0 (0%) 154 (2%)
Percent in ZIP code without a high school degree 0.69 0.75
 21% or greater 37 (14%) 4450 (14%) 5 (24%) 1711 (18%)
 7–20.9% 147 (57%) 17,658 (55%) 12 (57%) 5355 (55%)
 Less than 7% 71 (27%) 9716 (30%) 4 (19%) 2496 (26%)
 Unknown 4 (2%) 380 (1%) 0 (0%) 146 (2%)
Residence 0.42 0.51
 Metropolitan 221 (85%) 26,877 (84%) 16 (76%) 7934 (82%)
 Urban/rural 38 (15%) 5327 (17%) 5 (24%) 1774 (18%)
Charlson-Deyo comorbidity score 0.016 < 0.001
 0 237 (92%) 30,544 (95%) 15 (71%) 9029 (93%)
 1 or more 22 (9%) 1660 (5%) 6 (29%) 679 (7%)
Stage 0.21
 Stage I 259 (100%) 32,204 (100%)
 Stage II 9 (43%) 5469 (56%)
 Stage III 12 (57%) 4239 (44%)
Treatment < 0.001 < 0.001
 No orchiectomy 0 (0%) 30 (0.1%) 2 (10%) 634 (7%)
 Orchiectomy alone 250 (97%) 16,519 (51%) 10 (48%) 1106 (11%)
 Orchiectomy + adjuvant therapy 9 (4%) 15,626 (49%) 9 (43%) 7941 (82%)
 Other/unknown 0 (0%) 29 (0.1%) 0 (0%) 27 (0.3%)
Last contact or death, months from diagnosis, median (IQR) N = 229 N = 28,855 < 0.001 N = 20 N = 8612 0.002
41 (22, 62) 53 (29, 80) 19 (8, 55) 47 (24, 75)
Time from diagnosis to death, median (IQR) N = 13 N = 747 N = 14 N = 866
23 (18, 43) 31 (14, 58) 0.78 11 (7, 21) 13 (4, 28) 0.96

GCTs = Germ cell tumors, IQR = Interquartile range, SCSTs = Sex cord stromal tumors

Table 3.

Univariable and multivariable Cox proportional hazards regression analysis on the association between sociodemographic and clinical characteristics and mortality of the overall cohort

Univariable HR (95% CI) Multivariable1 HR (95% CI) – Overall
Tumor type
 GCTs Ref. Ref.
 SCSTs 2.96 (2.03–4.33)*** 1.68 (1.13–2.49)*
Age (per 5-year increase) 1.21 (1.19–1.23)*** 1.18 (1.16–1.20)***
Race/ethnicity
 Non-Hispanic White Ref. Ref.
 Non-Hispanic Black 1.80 (1.41–2.29)*** 1.13 (0.89–1.45)
 Hispanic/other 1.27 (1.13–1.43)*** 1.14 (1.01–1.30)*
Insurance
 Private insurance Ref. Ref.
 Uninsured 2.63 (2.29–3.01)*** 2.31 (2.01–2.66)***
Medicaid/Medicare/other government insurance 4.33 (3.88–4.83)*** 2.72 (2.42–3.05)***
Income (per year)
  < $38,000 Ref. Ref.
 $38,000–$62,999 0.71 (0.62–0.81)*** 0.94 (0.82–1.09)
  > $63,000 0.44 (0.38–0.50)*** 0.76 (0.63–0.92)**
Percent in ZIP code without a high school diploma
  > 21% Ref. Ref.
 7–20.9% 0.63 (0.56–0.71)*** 0.83 (0.73–0.96)*
  < 7% 0.43 (0.37–0.49)*** 0.74 (0.61–0.90)**
Residence
 Metropolitan Ref. Ref.
 Urban/rural 1.49 (1.33–1.67)*** 1.13 (1.00–1.29)
Charlson-Deyo comorbidity score
 0 Ref. Ref.
  > 1 3.23 (2.82–3.70)*** 2.06 (1.79–2.37)***

CI = Confidence interval, GCTs = Germ cell tumors, HR = Hazard ratio, SCSTs = Sex cord stromal tumors

*p < 0.05

**p < 0.01

***p < 0.001

1The following variables were included in the multivariable analysis: tumor type, age, diagnosis year, race/ethnicity, insurance, yearly income, percent in ZIP code without a high school diploma, residence, Charlson-Deyo comorbidity score

Table 4.

Multivariable Cox proportional hazards regression analysis on the association between sociodemographic and clinical characteristics and mortality by stage

Multivariable1 HR (95% CI) – Stage I Multivariable1 HR (95% CI) – Stage II/III
Tumor type
 GCTs Ref. Ref.
 SCSTs 1.06 (0.60–1.86) 3.28 (1.88–5.73)***
Age (per 5-year increase) 1.23 (1.20–1.26)*** 1.13 (1.10–1.16)***
Race/ethnicity
 Non-Hispanic White Ref. Ref.
 Non-Hispanic Black 1.18 (0.80–1.72) 1.13 (0.81–1.56)
 Hispanic/other 1.14 (0.95–1.38) 1.12 (0.94–1.32)
Insurance
 Private insurance Ref. Ref.
 Uninsured 2.58 (2.08–3.21)*** 2.07 (1.72–2.50)***
 Medicaid/Medicare/other government insurance 3.15 (2.64–3.75)*** 2.31 (1.97–2.70)***
Income (per year)
  < $38,000 Ref. Ref.
 $38,000–$62,999 0.92 (0.74–1.15) 0.96 (0.79–1.16)
  > $63,000 0.74 (0.56–0.98)* 0.79 (0.61–1.02)
Percent in ZIP code without a high school diploma
  > 21% Ref. Ref.
 7–20.9% 0.87 (0.70–1.07) 0.80 (0.67–0.97)*
  < 7% 0.80 (0.61–1.06) 0.67 (0.52–0.88)**
Residence
 Metropolitan Ref. Ref.
 Urban/rural 1.18 (0.98–1.42) 1.09 (0.91–1.29)
Charlson-Deyo comorbidity score
 0 Ref. Ref.
  > 1 2.03 (1.64–2.51)*** 2.03 (1.68–2.45)***

CI = Confidence interval, GCTs = Germ cell tumors, HR = Hazard ratio, SCSTs = Sex cord stromal tumors

*p < 0.05

**p < 0.01

***p < 0.001

1The following variables were included in the multivariable analysis: tumor type, age, diagnosis year, race/ethnicity, insurance, yearly income, percent in ZIP code without a high school diploma, residence, Charlson-Deyo comorbidity score

Reference

  • 1.Zuniga KB, et al. A comparison of stage-specific all-cause mortality between testicular sex cordstromal tumors and germ cell tumors: results from the National Cancer Database. BMC Urol. 2020;20:40. doi: 10.1186/s12894-020-00609-2. [DOI] [PMC free article] [PubMed] [Google Scholar]

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