Table 3.
Cox regression for predictors of overall survival
| Predictors | Univariable P value hazard ratio 95% CI | Multivariable P value hazard ratio 95% CI | ||||
|---|---|---|---|---|---|---|
| Patient age | ||||||
| δ50 | Ref. | – | – | Ref. | – | – |
| 51–55 | 0.105 | – | – | 0.506 | – | – |
| 56–65 | < 0.001 | 2.193 | 1.864–2.580 | < 0.001 | 1.685 | 1.343–2.114 |
| > 65 | < 0.001 | 6.625 | 5.711–7.685 | < 0.001 | 2.994 | 2.367–3.788 |
| Female gender | < 0.001 | 0.726 | 0.658–0.800 | < 0.001 | 0.759 | 0.667–0.863 |
| Patient race | ||||||
| White | Ref. | – | – | Ref. | – | – |
| Black | 0.002 | 1.177 | 1.060–1.307 | 0.149 | – | – |
| American Indian | 0.657 | – | – | 0.085 | – | – |
| Asian/Pacific Islander | < 0.001 | 0.468 | 0.355–0.617 | 0.002 | 0.566 | 0.395–0.810 |
| Other/unknown | 0.407 | – | – | 0.556 | – | – |
| Patient insurance | ||||||
| Private | Ref. | – | – | Ref. | – | – |
| Government | < 0.001 | 4.195 | 3.779–4.657 | < 0.001 | 1.926 | 1.625–2.283 |
| None | < 0.001 | 2.636 | 2.045–3.397 | < 0.001 | 2.620 | 1.890–3.633 |
| Unknown status | < 0.001 | 2.121 | 1.514–2.971 | 0.043 | 1.608 | 1.016–2.547 |
| Treatment at an academic center | 0.192 | – | – | 0.308 | – | – |
| Charlson/Deyo comorbidity score | ||||||
| 0 | Ref. | – | – | Ref. | – | – |
| 1 | < 0.001 | 2.202 | 1.941–2.498 | < 0.001 | 1.565 | 1.329–1.843 |
| 2 | < 0.001 | 4.281 | 3.495–5.243 | < 0.001 | 2.950 | 2.274–3.828 |
| ε3 | < 0.001 | 7.725 | 5.892–10.129 | < 0.001 | 4.881 | 3.434–6.937 |
| Tumor grade | ||||||
| Well-differentiated | Ref. | – | – | Ref. | – | – |
| Moderately differentiated | < 0.001 | 1.724 | 1.311–2.267 | 0.042 | 1.408 | 1.012–1.961 |
| Poorly differentiated | < 0.001 | 21.480 | 18.097–25.495 | < 0.001 | 4.877 | 3.749–6.344 |
| Grade unknown | 0.010 | 1.194 | 1.043–1.366 | 0.322 | – | – |
| Tumor size | ||||||
| ≤ 10 mm | Ref. | – | – | Ref. | – | – |
| 11–20 mm | < 0.001 | 2.584 | 2.157–3.096 | < 0.001 | 2.081 | 1.721–2.515 |
| > 20 mm | < 0.001 | 5.168 | 4.511–5.922 | < 0.001 | 2.099 | 1.753–2.513 |
| Positive lymph nodes | < 0.001 | 6.290 | 5.372–7.366 | < 0.001 | 2.419 | 1.856–3.151 |
| Positive resection margins | < 0.001 | 1.332 | 1.139–1.558 | 0.014 | 1.275 | 1.051–1.547 |
| Treatment | ||||||
| Local excision | Ref. | – | – | Ref. | – | – |
| Radical resection | < 0.001 | 3.105 | 2.712–3.554 | 0.683 | – | – |
| Observation alone | < 0.001 | 3.484 | 3.103–3.912 | < 0.001 | 2.750 | 2.296–3.293 |