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. Author manuscript; available in PMC: 2020 Sep 29.
Published in final edited form as: Ann Surg Oncol. 2016 Apr 25;23(9):2988–2997. doi: 10.1245/s10434-016-5237-9

TABLE 4.

Overall survival based on 6-month delta-BMI change

N 5-years (%) Univariate
Multivariate
HR (95 % CI) p value HR (95 % CI) p value
Age (years) 0.042
 <50 237 92.7 1 1
 ≥50 428 85.9 1.82 (1.01–3.27) 1.15 (0.56–2.37) 0.71
Ethnicity 0.021
 Non-hispanic 194 82.2 1 1
 Hispanic 471 90.8 0.55 (0.32–0.92) 0.65 (0.35–1.20) 0.17
Pre-treatment BMI 0.06
 <30 206 84.5 1 1
 ≥30 459 90.3 0.62 (0.37–1.03) 1.19 (0.62–2.28) 0.60
Hypertension 0.92
 No 297 88.4 1
 Yes 368 88.4 0.98 (0.58–1.63)
Diabetes mellitus 0.38
 No 453 88.0 1
 Yes 212 89.3 0.78 (0.44–1.37)
Hypercholesterolemia 0.61
 No 500 88.4 1
 Yes 165 88.4 0.86 (0.47–1.56)
Histologic subtype <0.001
 Endometrioid 551 94.1 1 1
 Non-endometrioid 114 62.0 8.86 (5.25–15.0) 2.06 (1.01–4.20) 0.048
Grade <0.001
 1–2 517 94.8 1 1
 3 148 65.6 7.88 (4.62–13.4) 2.20 (0.97–5.01) 0.06
Stage <0.001
 I–II 521 95.8 1 1
 III–IV 144 65.8 14.3 (7.56–26.8) 5.56 (2.04–15.1) 0.001
Postoperative chemotherapy <0.001
 None 489 95.7 1 1
 Yes 176 69.0 10.6 (5.74–19.7) 1.61 (0.66–3.96) 0.30
Postoperative radiotherapy <0.001
 None or ICBT alone 518 91.6 1 1
 WPRT ± ICBT 147 79.4 3.01 (1.80–5.02) 1.13 (0.60–2.14) 0.70
Delta-BMI change <0.001
 <7.5 % lossa 272 95.7 1 1
 <7.5 % gain 201 90.3 1.78 (0.78–4.06) 2.02 (0.87–4.70) 0.10
 7.5–14.9 % loss 61 70.0 6.72 (2.90–15.6) 4.19 (1.73–10.2) 0.001
 7.5–14.9 % gain 20 67.6 5.03 (1.58–16.0) 3.33 (1.01–11.1) 0.049
 ≥15 % loss 19 59.1 14.4 (5.22–39.9) 5.39 (1.83–15.9) 0.002
 ≥15 % gain 12 66.7 10.3 (3.50–30.3) 3.50 (1.08–11.3) 0.036

Log-rank test for univariate analysis, and a Cox proportional hazard regression model for multivariate analysis. Covariates entered in the final model were the variables with p < 0.10 in univariate analysis. Significant p values are shown in bold

a

Including cases with no interval BMI change

BMI body mass index, 5-years (%) 5-year rate, HR hazard ratio, CI confidence interval, ICBT intracavitary brachytherapy, WPRT whole pelvic radiotherapy