3.
546例结直肠间质瘤多因素预后分析
Multivariate survival analyses of 546 patients with colorectal stromal tumor
| Variables | n | CSS | P | OS | P | ||
| HR | 95%CI | HR | 95%CI | ||||
| *, tumor size was not collected in SEER database before 2004; SEER, surveillance, epidemiology, and end results; LNM, lymph node metastasis; CSS, cancer-specific survival; OS, overall survival; HR, hazard ratio; CI, confidence interval. | |||||||
| Age/years | |||||||
| ≤ 64 | 273 | 1 | 1 | ||||
| > 64 | 273 | 2.53 | 1.71-3.73 | < 0.001 | 3.82 | 2.83-5.14 | < 0.001 |
| Gender | |||||||
| Male | 302 | 1 | 1 | ||||
| Female | 244 | 0.81 | 0.55-1.19 | 0.284 | 0.83 | 0.62-1.09 | 0.182 |
| Marital status | |||||||
| Married | 321 | 1 | 1 | ||||
| Single/divorced | 192 | 1.71 | 1.14-2.57 | 0.010 | 1.51 | 1.12-2.03 | 0.006 |
| Unknown | 33 | 0.67 | 0.23-1.92 | 0.456 | 0.74 | 0.38-1.46 | 0.391 |
| Ethnicity | |||||||
| Caucasian | 361 | 1 | 1 | ||||
| African-American | 93 | 0.79 | 0.43-1.45 | 0.449 | 0.90 | 0.60-1.36 | 0.618 |
| Other/Unknown | 92 | 0.93 | 0.55-1.58 | 0.788 | 0.76 | 0.51-1.14 | 0.191 |
| Date range/year | |||||||
| 1992-2007 | 276 | 1 | 1 | ||||
| 2008-2015 | 270 | 0.95 | 0.56-1.59 | 0.834 | 1.22 | 0.84-1.76 | 0.295 |
| SEER registry in America | |||||||
| Eastern | 238 | 1 | 1 | ||||
| Western | 308 | 1.46 | 0.97-2.20 | 0.073 | 1.39 | 1.04-1.86 | 0.027 |
| Tumor location | |||||||
| Colon | 241 | 1 | 1 | ||||
| Rectum | 280 | 0.58 | 0.38-0.89 | 0.012 | 0.67 | 0.50-0.91 | 0.010 |
| Unknown | 25 | 0.50 | 0.20-1.23 | 0.129 | 0.70 | 0.39-1.24 | 0.219 |
| Surgery or not | |||||||
| No/Unknown | 118 | 1 | 1 | ||||
| Surgery | 428 | 0.40 | 0.24-0.70 | 0.001 | 0.46 | 0.32-0.68 | < 0.001 |
| Differentiation grade | |||||||
| Ⅰ | 35 | 1 | 1 | ||||
| Ⅱ | 56 | 2.07 | 0.40-10.71 | 0.385 | 1.74 | 0.64-4.73 | 0.274 |
| Ⅲ | 34 | 5.54 | 1.15-26.59 | 0.032 | 4.18 | 1.58-11.05 | 0.004 |
| Ⅳ | 54 | 7.75 | 1.67-35.94 | 0.009 | 6.22 | 2.45-15.82 | < 0.001 |
| Unknown | 367 | 3.90 | 0.88-17.20 | 0.072 | 3.09 | 1.28-7.47 | 0.012 |
| Tumor size/cm* | |||||||
| ≤ 2 | 65 | 1 | 1 | ||||
| > 2-5 | 89 | 1.72 | 0.45-6.54 | 0.423 | 1.23 | 0.57-2.68 | 0.603 |
| > 5-10 | 120 | 2.03 | 0.58-7.14 | 0.268 | 1.49 | 0.72-3.08 | 0.286 |
| > 10 | 50 | 3.11 | 0.85-11.30 | 0.085 | 1.87 | 0.86-4.06 | 0.115 |
| Unknown | 222 | 3.84 | 1.13-13.06 | 0.031 | 2.81 | 1.39-5.67 | 0.004 |
| Lymphadenectomy | |||||||
| No/Unknown | 342 | 1 | 1 | ||||
| Yes | 204 | 1.00 | 0.63-1.60 | 0.987 | 0.90 | 0.64-1.25 | 0.519 |
| LNM | |||||||
| Negative/Unknown | 527 | 1 | 1 | ||||
| Positive | 19 | 2.88 | 1.41-5.88 | 0.004 | 2.50 | 1.41-4.42 | 0.002 |
| Distant metastasis | |||||||
| No/Unknown | 499 | 1 | 1 | ||||
| Yes | 47 | 2.55 | 1.48-4.40 | 0.001 | 1.91 | 1.24-2.95 | 0.003 |