Table 3.
Subset analyses, by neoadjuvant therapy, on the impact of smoking on long-term overall, cancer-specific, and recurrence-free survival following transthoracic esophagectomy for esophageal cancers
| No. of patients | Median survival, months | Univariable HR (95% CI) | Multivariable HR (95% CI) | |
|---|---|---|---|---|
| Neoadjuvant and surgery | ||||
| Overall survival | ||||
| Current | 145 | 56.0 (38.5–67.9) | REF | REF |
| Ex-smoker | 282 | 46.0 (39.8–59.2) | 1.02 (0.79–1.32), p = 0.877 | 1.10 (0.82–1.48), p = 0.513 |
| Never | 174 | 42.2 (33.4–62.2) | 1.00 (0.75–1.33), p = 0.999 | 1.09 (0.80–1.51), p = 0.582 |
| Cancer-specific survival | ||||
| Current | 145 | 69.7 (55.0–NR) | REF | REF |
| Ex-smoker | 282 | 67.5 (48.9–NR) | 1.03 (0.77–1.39), p = 0.822 | 1.17 (0.83–1.65), p = 0.372 |
| Never | 174 | 62.2 (44.2–NR) | 1.01 (0.73–1.40), p = 0.957 | 1.07 (0.74–1.55), p = 0.720 |
| Recurrence-free survival | ||||
| Current | 144 | 81.4 (49.3–NR) | REF | REF |
| Ex-smoker | 279 | 61.5 (36.4–NR) | 1.13 (0.82–1.55), p = 0.451 | 1.19 (0.83–1.69), p = 0.346 |
| Never | 174 | 47.7 (28.2–NR) | 1.12 (0.79–1.59), p = 0.524 | 1.20 (0.82–1.76), p = 0.351 |
| Unimodality surgery only | ||||
| Overall survival | ||||
| Current | 137 | 29.1 (22.8–35.8) | REF | REF |
| Ex-smoker | 248 | 38.2 (31.5–59.4) | 0.72 (0.57–0.91), p = 0.006 | 0.86 (0.66–1.13), p = 0.278 |
| Never | 182 | 69.5 (40.5–111.3) | 0.61 (0.47–0.78), p < 0.001 | 0.86 (0.63–1.18), p = 0.359 |
| Cancer-specific survival | ||||
| Current | 137 | 35.8 (28.7–56.2) | REF | REF |
| Ex-smoker | 248 | 78.2 (46.5–186.0) | 0.68 (0.51–0.91), p = 0.009 | 0.81 (0.58–1.14), p = 0.229 |
| Never | 182 | 199.8 (88.1–NR) | 0.57 (0.42–0.79), p = 0.001 | 0.79 (0.53–1.17), p = 0.236 |
| Recurrence-free survival | ||||
| Current | 137 | 50.1 (26.1–NR) | REF | REF |
| Ex-smoker | 247 | NR (NR–NR) | 0.72 (0.52–1.00), p = 0.052 | 0.89 (0.61–1.31), p = 0.560 |
| Never | 181 | NR (NR–NR) | 0.65 (0.45–0.93), p = 0.019 | 1.02 (0.66–1.59), p = 0.918 |
HR hazard ratio, CI confidence interval, NR not reached