Table 2.
Cumulative incidence of recurrence and hazards for recurrence among patients with right-sided colon cancer
Stage I–II (N = 1195) | Stage III (N = 612) | |||
---|---|---|---|---|
Crude 3-year cumulative incidence | Adjusted HR* (95% CI) |
Crude 3-year cumulative incidence | Adjusted HR* (95% CI) |
|
Gender | ||||
Male Female |
0.10 0.07 |
1.00 (reference) 0.56 (0.36–0.86) |
0.30 0.32 |
1.00 (reference) 1.05 (0.78–1.41) |
Age | ||||
<65 years 65–74 years ≥75 years |
0.06 0.09 0.10 |
1.00 (reference) 2.00 (1.07–3.72) 1.75 (0.93–3.28) |
0.25 0.32 0.35 |
1.00 (reference) 1.14 (0.77–1.68) 0.88 (0.55–1.42) |
ASA classification | ||||
ASA I ASA II ASA III ASA IV |
0.08 0.09 0.10 n.r. |
1.00 (reference) 0.82 (0.43–1.58) 0.80 (0.39–1.61) n.r. |
0.19 0.29 0.39 n.r. |
1.00 (reference) 1.56 (0.94–2.61) 1.85 (1.05–3.26) n.r. |
pT stage | ||||
1 2 3 4 |
0.03 0.03 0.09 0.31 |
0.41 (0.16–1.04) 0.32 (0.15–0.69) 1.00 (reference) 4.84 (2.88–8.12) |
n.r. 0.15 0.27 0.48 |
n.r. 0.55 (0.27–1.14) 1.00 (reference) 1.90 (1.39–2.59) |
pN stage | ||||
0 1 2 |
0.09 n.a. n.a. |
1.00 (reference) n.a. n.a. |
n.a. 0.24 0.45 |
n.a. 1.00 (reference) 2.03 (1.49–2.76) |
Morphology | ||||
Adenocarcinoma Mucinous adenocarcinoma Signet ring cell carcinoma |
0.09 0.03 n.r. |
1.00 (reference) 0.51 (0.15–1.69) n.r. |
0.30 0.32 0.56 |
1.00 (reference) 1.04 (0.60–1.80) 1.37 (0.54–3.49) |
Differentiation grade | ||||
Well/moderate Poor/undifferentiated |
0.08 0.16 |
1.00 (reference) 2.14 (1.22–3.76) |
0.26 0.43 |
1.00 (reference) 1.83 (1.26–2.65) |
Microsatellite status | ||||
Stable Instable |
0.12 0.04 |
1.00 (reference) 0.31 (0.07–1.45) |
0.36 0.19 |
1.00 (reference) 0.42 (0.19–0.91) |
Treatment | ||||
Surgery Surgery + adjuvant chemotherapy~ |
0.08 0.15 |
Not included |
0.37 0.28 |
1.00 (reference) 0.61 (0.41–0.93) |
ASA classification unknown, T stage unknown, N stage unknown, other morphology, unknown differentiation grade, and unknown microsatellite status were included in the analyses but results not shown
HR, hazard ratio; CI, confidence interval; n.a., not applicable; n.r., not reported, numbers too small
To prevent problems with multicollinearity between pT, pN, and TNM stage in the multivariable model, TNM stage is not included in the multivariable model
*Competing risk analysis for death as competing event that prevents CRC recurrence from occurring. Hazard ratios are cause-specific hazards for recurrence in the presence of the competing risk of dying
~ In the Netherlands, adjuvant chemotherapy is only recommended for patients with stage III or high-risk stage II colon cancer and not routinely given to rectal cancer patients