Table 4.
Factors associated with progression-free survival in patient with FIGO stage III to IV disease according to primary treatment strategy
Characteristic | Primary debulking surgery |
Neoadjuvant chemotherapy |
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Univariate analysis |
Multivariate analysis |
Univariate analysis |
Multivariate analysis |
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HR | 95% CI | p-value | aHR | 95% CI | p-value | HR | 95% CI | p-value | aHR | 95% CI | p-value | ||
Age (yr) | |||||||||||||
< 55 | 1 | 1 | 1 | 1 | |||||||||
≥ 55 | 1.286 | 0.952-1.737 | 0.101 | 1.491 | 1.060-2.097 | 0.022 | 1.543 | 1.020-2.333 | 0.040 | 1.508 | 0.948-2.401 | 0.083 | |
FIGO stage | |||||||||||||
III | 1 | 1 | 1 | 1 | |||||||||
IV | 1.587 | 1.107-2.275 | 0.012 | 1.873 | 1.263-2.777 | 0.002 | 0.895 | 0.604-1.327 | 0.581 | 0.691 | 0.439-1.088 | 0.111 | |
Histology | |||||||||||||
High-grade serous | 1 | 1 | 1 | 1 | |||||||||
Non–high-grade serous | 1.203 | 0.815-1.775 | 0.352 | 1.658 | 1.085-2.533 | 0.019 | 0.856 | 0.423-1.736 | 0.667 | 1.076 | 0.458-2.529 | 0.866 | |
Initial serum CA-125 (IU/mL) | |||||||||||||
< 900 | 1 | 1 | 1 | 1 | |||||||||
≥ 900 | 1.201 | 0.871-1.658 | 0.264 | 1.189 | 0.848-1.668 | 0.316 | 1.219 | 0.787-1.889 | 0.374 | 1.256 | 0.786-2.007 | 0.341 | |
Residual tumor after PDS/IDS | |||||||||||||
< 1 cm | 1 | 1 | 1 | 1 | |||||||||
≥ 1 cm | 1.471 | 0.975-2.218 | 0.066 | 1.340 | 0.857-2.096 | 0.200 | 1.887 | 0.943-3.775 | 0.073 | 3.200 | 1.357-7.544 | 0.008 | |
BRCA mutational status | |||||||||||||
Wild-type | 1 | 1 | 1 | 1 | |||||||||
Mutation | 0.940 | 0.682-1.295 | 0.705 | 0.759 | 0.530-1.089 | 0.135 | 0.659 | 0.431-1.008 | 0.054 | 0.619 | 0.385-0.995 | 0.048 |
FIGO, International Federation of Gynecology and Obstetrics; HR, hazard ratio; CI, confidence interval; aHR, adjusted hazard ratio; CA-125, cancer antigen 125; PDS, primary debulking surgery; IDS, interval debulking surgery.