Table 4.
Subset analyses, by tumor histology, 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) | |
|---|---|---|---|---|
| Adenocarcinoma | ||||
| Overall survival | ||||
| Current | 205 | 37.9 (28.9–56.0) | REF | REF |
| Ex-smoker | 428 | 42.0 (36.9–52.6) | 0.89 (0.73–1.09), p = 0.260 | 0.94 (0.75–1.18), p = 0.585 |
| Never | 258 | 40.1 (33–56.2) | 0.87 (0.70–1.09), p = 0.232 | 1.00 (0.78–1.29), p = 1.000 |
| Cancer-specific survival | ||||
| Current | 205 | 55.0 (38.5–81.5) | REF | REF |
| Ex-smoker | 428 | 68.5 (49.7–170.5) | 0.83 (0.65–1.05), p = 0.115 | 0.86 (0.66–1.12), p = 0.272 |
| Never | 258 | 86.8 (45.1–NR) | 0.81 (0.62–1.05), p = 0.110 | 0.86 (0.64–1.16), p = 0.315 |
| Recurrence-free survival | ||||
| Current | 204 | 51.1 (42.7–NR) | REF | REF |
| Ex-smoker | 424 | NR (49.0–NR) | 0.89 (0.69–1.15), p = 0.373 | 0.91 (0.69–1.22), p = 0.540 |
| Never | 258 | NR (36.6–NR) | 0.88 (0.66–1.18), p = 0.401 | 0.97 (0.70–1.33), p = 0.844 |
| Squamous cell carcinoma | ||||
| Overall survival | ||||
| Current | 77 | 33.8 (28.6–47.2) | REF | REF |
| Ex-smoker | 102 | 51.6 (28.8–85.7) | 0.73 (0.51–1.04), p = 0.082 | 0.91 (0.60–1.38), p = 0.648 |
| Never | 98 | 96.2 (58.3–NR) | 0.48 (0.32–0.70), p < 0.001 | 0.77 (0.48–1.24), p = 0.278 |
| Cancer-specific survival | ||||
| Current | 77 | 46.7 (33.8–NR) | REF | REF |
| Ex-smoker | 102 | 68.2 (40.9–NR) | 0.81 (0.53–1.25), p = 0.342 | 1.10 (0.65–1.86), p = 0.711 |
| Never | 98 | 153.6 (96.2–NR) | 0.55 (0.35–0.88), p = 0.013 | 1.09 (0.60–1.98), p = 0.780 |
| Recurrence-free survival | ||||
| Current | 77 | 97.2 (48.2–NR) | REF | REF |
| Ex-smoker | 102 | NR (37.0–NR) | 0.91 (0.56–1.49), p = 0.716 | 1.04 (0.59–1.86), p = 0.882 |
| Never | 97 | NR (NR–NR) | 0.73 (0.43–1.22), p = 0.224 | 1.42 (0.75–2.68), p = 0.280 |
HR hazard ratio, CI confidence interval, NR not reached