Table 5.
Multivariable Cox regression model in the training, internal validation, and external validation cohorts of CSS.
| Variables | Training dataset | Internal validation cohort | External validation cohort | |||||||
|---|---|---|---|---|---|---|---|---|---|---|
| HR | 95% CI | P | HR | 95% CI | P | HR | 95% CI | P | ||
| Age | <60 | 1 | 1 | 1 | ||||||
| ≥60 | 1.253 | (1.160, 1.355) | <0.0001 | 1.221 | (1.111, 1.341) | <0.0001 | 1.606 | (1.194, 2.160) | 0.0017 | |
| Tumor location | Colon | 1 | 1 | 1 | ||||||
| Rectum | 0.91 | (0.845, 0.980) | 0.013 | 1.102 | (1.007, 1.206) | 0.0339 | 1.274 | (0.960, 1.693) | 0.094 | |
| Differentiation | Well | 1 | 1 | 1 | ||||||
| Moderately | 0.807 | (0.728, 0.894) | <0.0001 | 0.712 | (0.626, 0.809) | <0.0001 | 0.416 | (0.275, 0.630) | <0.0001 | |
| Poorly | 1 | 1 | 1 | |||||||
| Undifferentiated; anaplastic | 1.187 | (0.976, 1.445) | 0.0867 | 0.974 | (0.741, 1.280) | 0.8487 | 1.549 | (0.628, 3.820) | 0.3421 | |
| Unknown | 1.707 | (1.388, 2.099) | <0.0001 | 1.387 | (1.045, 1.840) | 0.0235 | 2.453 | (0.955, 6.297) | 0.0622 | |
| Histological type | Adenocarcinoma, NOS | 2.173 | (1.706, 2.767) | <0.0001 | 1.508 | (1.088, 2.090) | 0.0135 | 9.22 | (2.876, 29.555) | 0.0002 |
| Mucinous adenocarcinoma | 1.073 | (0.782, 1.473) | 0.6605 | 1.106 | (0.745, 1.642) | 0.6176 | 1.006 | (0.265, 3.818) | 0.9928 | |
| Signet ring cell carcinoma | 1 | 1 | 1 | |||||||
| Other | 1.167 | (1.084, 1.257) | <0.0001 | 1.08 | (0.986, 1.183) | 0.0961 | 1.286 | (0.958, 1.727) | 0.0941 | |
| Size, mm | <55 | 1 | 1 | 1 | ||||||
| ≥55 | 1.628 | (1.506, 1.759) | <0.0001 | 1.546 | (1.404, 1.703) | <0.0001 | 1.663 | (1.226, 2.254) | 0.0011 | |
| TNM | IVA | 1.07 | (0.830, 1.379) | 0.6022 | 1.096 | (0.810, 1.483) | 0.5516 | 2.356 | (1.116, 4.973) | 0.0246 |
| IVB | 1 | 1 | 1 | |||||||
| IVNOS | 2.953 | (2.720, 3.205) | <0.0001 | 2.99 | (2.708, 3.300) | <0.0001 | 2.573 | (1.870, 3.540) | <0.0001 | |
| No. of sampled LNs | 0.977 | (0.972, 0.981) | <0.0001 | 0.979 | (0.973, 0.985) | <0.0001 | 0.961 | (0.941, 0.982) | 0.0003 | |
| No. of positive LNs | 1.051 | (1.044, 1.058) | <0.0001 | 1.049 | (1.041, 1.058) | <0.0001 | 1.02 | (0.994, 1.047) | 0.1298 | |
| Metastatic surgery | Yes | 1 | 1 | 1 | ||||||
| No | 1.38 | (1.266, 1.504) | <0.0001 | 1.312 | (1.179, 1.461) | <0.0001 | 1.377 | (0.930, 2.039) | 0.1103 | |