Table 3. Cox proportional hazard model for progression-free survival among the 272 advanced gastric cancer patients.
| Parameters | Univariate analysis | Multivariate analysis | |||||
|---|---|---|---|---|---|---|---|
| HR | 95% CI | P-value | HR | 95% CI | P-value | ||
| Gender (ref: male) | |||||||
| Female | 1.036 | 0.712–1.507 | 0.855 | ||||
| Age (yr) (ref: <65) | |||||||
| ≥65 | 0.759 | 0.535–1.075 | 0.120 | ||||
| Pretreatment BMI (kg/m2) (ref: ≥18.5) | |||||||
| <18.5 | 1.947 | 1.241–3.053 | 0.004 | 1.329 | 0.784–2.254 | 0.291 | |
| Tumor size (cm) (ref: <4) | |||||||
| ≥4 | 2.195 | 1.548–3.112 | <0.001 | 1.449 | 0.988–2.126 | 0.058 | |
| Degree of differentiation (ref: well) | |||||||
| Poorly | 2.242 | 1.265–3.972 | 0.006 | 2.091 | 1.078–4.056 | 0.029 | |
| yp* T stage (ref: Tis and T0-2) | |||||||
| T3-4 | 4.170 | 2.558–6.799 | <0.001 | 2.309 | 1.266–4.211 | 0.006 | |
| yp* N stage (ref: N0) | |||||||
| N1-3 | 5.524 | 3.321–9.186 | <0.001 | 3.225 | 1.879–5.536 | <0.001 | |
| yp* TNM stage (ref: T0N0M0, 0 and I) | |||||||
| II-III | 23.509 | 5.815–95.038 | <0.001 | NA | NA | NA | |
| Post-operation chemotherapy (ref: present) | |||||||
| Absent | 1.687 | 0.983–2.895 | 0.058 | 1.749 | 0.951–3.217 | 0.072 | |
| Postoperative complications (ref: no) | |||||||
| Yes | 1.398 | 0.906–2.157 | 0.131 | ||||
| Severe complications (Clavien-Dindo ≥III) (ref: no) | |||||||
| Yes | 1.478 | 0.691–3.164 | 0.314 | ||||
| Pretreatment CONUT score (ref: ≤3) | |||||||
| ≥4 | 1.455 | 1.028–2.058 | 0.034 | 1.615 | 1.112–2.347 | 0.012 | |
| Pretreatment CEA (ng/mL) (ref: ≤5) | |||||||
| >5 | 1.231 | 0.843–1.799 | 0.282 | ||||
Considering that the yp T/yp N stages were significantly associated with the yp TNM stage, we didn't include the TNM stage in the final multivariate analysis.
Cox proportional multivariate hazards model was performed with the backward likelihood method.
HR = hazard ratio; CI = confidence interval; ref = reference; BMI = body mass index; Tis = tumor in situ; TNM = tumor-node-metastasis; CONUT = controlling nutritional status; CEA = carcinoembryonic antigen; NA = not applicable.
*The yp prefix was used to indicate cases in which staging was performed following preoperative therapy.