Table 2.
Multivariate Cox proportional hazards models of overall survival and head and neck squamous cell carcinoma specific survival.
| Variables | OS | HNCSS | ||
|---|---|---|---|---|
| HR (95% CI) | P-value | HR (95% CI) | P-value | |
| Age | ||||
| <65 years | Ref. | Ref. | ||
| ≥65 years | 0.803 (0.593–1.088) | 0.157 | 0.728 (0.517–1.024) | 0.068 |
| Race | ||||
| White | Ref. | Ref. | ||
| Black | 0.855 (0.557–1.311) | 0.472 | 0.927 (0.578–1.486) | 0.753 |
| Other | 0.937 (0.445–1.972) | 0.864 | 1.217 (0.571–2.597) | 0.611 |
| Gender | ||||
| Male | Ref. | Ref. | ||
| Female | 1.051 (0.710–1.555) | 0.806 | 0.916 (0.576–1.458) | 0.713 |
| Primary Site | ||||
| Oropharynx | Ref. | Ref. | ||
| Hypopharynx | 1.156 (0.740–1.806) | 0.524 | 1.116 (0.673–1.851) | 0.671 |
| Grade | ||||
| Well differentiated | Ref. | Ref. | ||
| Moderately differentiated | 0.724 (0.273–1.917) | 0.515 | 0.562 (0.210–1.504) | 0.251 |
| Poorly/undifferentiated | 0.598 (0.226–1.583) | 0.301 | 0.441 (0.165–1.181) | 0.103 |
| Tumor stage | ||||
| T1 | Ref. | Ref. | ||
| T2 | 1.215 (0.687–2.150) | 0.503 | 1.200 (0.341–2.273) | 0.575 |
| T3 | 1.486 (0.829–2.663) | 0.184 | 1.365 (0.711–2.660) | 0.349 |
| T4 | 1.635 (0.920–2.809) | 0.095 | 1.511 (0.811–2.815) | 0.193 |
| Nodal Stage | ||||
| N0 | Ref. | Ref. | ||
| N1 | 1.072 (0.558–2.060) | 0.835 | 1.105 (0.500–2.438) | 0.805 |
| N2 | 1.241 (0.715–2.156) | 0.443 | 1.526 (0.784–2.973) | 0.214 |
| N3 | 2.390 (1.259–4.536) | 0.008 | 3.016 (1.422–6.397) | 0.004 |
| Treatment paradigm | ||||
| C | Ref. | Ref. | ||
| C+R | 0.909 (0.650–1.271) | 0.577 | 0.920 (0.637–1.328) | 0.655 |
| C+S | 1.861 (0.918–3.776) | 0.085 | 1.392 (0.573–3.385) | 0.465 |
| C+R+S | 0.710 (0.390–1.292) | 0.262 | 0.698 (0.361–1.348) | 0.284 |
| Bone metastases | ||||
| No | Ref. | Ref. | ||
| Yes | 2.199 (1.563–3.093) | 0.000 | 2.482 (1.719–3.584) | 0.000 |
| Brain metastases | ||||
| No | Ref. | Ref. | ||
| Yes | 0.794 (0.303–2.080) | 0.639 | 0.857 (0.322–2.279) | 0.757 |
| Liver metastases | ||||
| No | Ref. | Ref. | ||
| Yes | 1.241 (0.798–1.930) | 0.339 | 1.380 (0.961–2.213) | 0.181 |
| Lung metastases | ||||
| No | Ref. | Ref. | ||
| Yes | 1.533 (1.115–2.108) | 0.008 | 1.702 (1.201–2.401) | 0.003 |
| HPV status | ||||
| Negative | Ref. | Ref. | ||
| Positive | 0.560 (0.401–0.782) | 0.001 | 0.600 (0.415–0.867) | 0.007 |
C, Chemotherapy; CI, confidence interval; HNCSS, head and neck cancers specific survival; HR, hazard ratio; HPV, human papillomavirus; Ref., reference; OS, overall survival; R, Radiotherapy; S, Surgery.