Table 3.
Propensity Score-Weighted Cox Regression of Factors Associated With Increased Risk of Mortality in pN1 Patients
| Propensity Score-Weighted Cox Regression |
|||
|---|---|---|---|
| Covariate | Hazard Ratio | 95% CI | P Value |
| Treatment | |||
| Multiagent adjuvant chemotherapy | Reference | ||
| Surgery only | 2.11 | 2.02–2.19 | <.001 |
| Sex | |||
| Male | 1.28 | 1.23–1.33 | <.001 |
| Female | Reference | ||
| Age, y | |||
| ≤69 | Reference | ||
| >69 | 1.30 | 1.25–1.35 | <.001 |
| Race/ethnicity | |||
| White | Reference | ||
| Asian | 0.87 | 0.73–1.03 | .096 |
| Black | 0.96 | 0.89–1.03 | .235 |
| Hispanic | 0.97 | 0.84–1.12 | .670 |
| Other | 0.89 | 0.71–1.11 | .299 |
| Education | |||
| <20.9% no HS diploma | Reference | ||
| >21% no HS diploma | 1.02 | 0.96–1.09 | .485 |
| Charlson-Deyo score | |||
| 0 | Reference | ||
| 1 | 1.14 | 1.10–1.19 | <.001 |
| 2+ | 1.40 | 1.32–1.49 | <.001 |
| Clinical T stage | |||
| 1 | Reference | ||
| 2 | 0.94 | 0.88–0.99 | .047 |
| 3 | 1.06 | 0.97–1.17 | .212 |
| 4 | 1.12 | 0.98–1.28 | .086 |
| Clinical N | |||
| 0 | Reference | ||
| 1 | 1.07 | 1.03–1.11 | .001 |
| Pathologic T stage | |||
| 1 | Reference | ||
| 2 | 1.11 | 1.04–1.19 | .001 |
| 3 | 1.52 | 1.39–1.67 | <.001 |
| 4 | 1.54 | 1.38–1.73 | <.001 |
| Median household income | |||
| <$38,000 | 1.06 | 1.01–1.12 | .044 |
| ≥$38,000 | Reference | ||
| Urban vs rural status | |||
| Urban | Reference | ||
| Rural | 1.03 | 0.97–1.09 | .282 |
| Insurance status | |||
| Not insured or Medicaid | 1.22 | 1.13–1.31 | <.001 |
| Other | Reference | ||
| Facility type | |||
| Academic/research | Reference | ||
| Community/integrated cancer | 1.11 | 1.07–1.16 | <.001 |
| Tumor grade | |||
| Well differentiated | Reference | ||
| Moderately differentiated | 1.18 | 1.07–1.30 | .001 |
| Poorly differentiated | 1.24 | 1.13–1.37 | <.001 |
| Other | 1.24 | 1.09–1.41 | .001 |
| Histology | |||
| Adenocarcinoma | Reference | ||
| Squamous cell carcinoma | 0.93 | 0.89–0.98 | .002 |
| Other | 0.99 | 0.91–1.08 | .835 |
| Time between diagnosis and surgery | |||
| ≤90 days | Reference | ||
| >90 days | 1.08 | 1.01–1.17 | .047 |
| Tumor size | |||
| <4 cm | Reference | ||
| ≥4 cm | 1.13 | 1.22–1.35 | <.001 |
| Resection type | |||
| Bilobectomy/lobectomy | Reference | ||
| Pneumonectomy | 1.12 | 1.06–1.18 | <.001 |
| Year of diagnosis | |||
| 2006 | Reference | ||
| 2007 | 0.97 | 0.88–1.07 | .557 |
| 2008 | 0.96 | 0.88–1.04 | .317 |
| 2009 | 0.87 | 0.80–0.95 | .002 |
| 2010 | 0.92 | 0.85–1.01 | .067 |
| 2011 | 0.85 | 0.78–0.93 | <.001 |
| 2012 | 0.98 | 0.90–1.07 | .702 |
| 2013 | 0.92 | 0.84–1.01 | .095 |
| 2014 | ... | ... | ... |
Boldface indicates statistical significance (P < .05).
CI, confidence interval; HS, high school.