Table 4.
Predictors of pathologic complete response after neoadjuvant chemoradiotherapy in patients with locally advanced rectal cancer by univariate and multivariate analyses using logistic regression
| Variables | n | Univariate analysis* | Multivariate analysis* | ||||
|---|---|---|---|---|---|---|---|
|
|
|
||||||
| OR | P-value** | 95% CI | OR | P-value** | 95% CI | ||
| Age (years) | Not included in the model | ||||||
| ≤60 | 140 | ref | |||||
| ≥60 | 55 | 1.497 | 0.314 | 0.683-3.282 | |||
| Gender | Not included in the model | ||||||
| Male | 143 | ref | |||||
| Female | 52 | 0.668 | 0.380 | 0.272-1.643 | |||
| Pre-treatment clinical tumor stage | |||||||
| 3 | 129 | ref | Not included in the model | ||||
| 4 | 66 | 0.546 | 0.166 | 0.232-1.285 | |||
| Pre-treatment clinical node stage | |||||||
| N0 | 37 | ref | ref | ||||
| N1 | 65 | 0.611 | 0.314 | 0.234-1.594 | 1.592 | 0.997 | 0.000-NA |
| N2 | 93 | 0.400 | 0.058 | 0.155-1.030 | 0.417 | 0.155 | 0.125-1.393 |
| Pre-treatment clinical stage | Not included in the model | ||||||
| II | 37 | ref | |||||
| III | 158 | 0.484 | 0.092 | 0.208-1.127 | |||
| Histological types† | |||||||
| Non SRCC | 177 | ref | ref | ||||
| SRCC | 18 | 70.667 | 0.000** | 15.019-332.503 | 4.065 | 0.027** | 1.176-14.085 |
| Histologic grade† | Not included in the model | ||||||
| Well | 23 | ref | |||||
| Moderate | 114 | 0.720 | 0.561 | 0.238-2.177 | |||
| Poor | 58 | 0.750 | 0.639 | 0.225-2.496 | Not included in the model | ||
| Tumor budding† | |||||||
| Low | 87 | ref | |||||
| Intermediate | 31 | 0.137 | 0.059 | 0.017-1.079 | Not included in the model | ||
| High | 77 | 1.080 | 0.843 | 0.503-2.319 | |||
| PDC† | |||||||
| Grade 1 | 93 | ref | ref | ||||
| Grade 2 | 42 | 1.491 | 0.446 | 0.534-4.163 | 1.511 | 0.441 | 0.529-4.312 |
| Grade 3 | 60 | 2.711 | 0.022 | 1.158-6.346 | 0.000 | 0.997 | 0.00-NA |
| Pre-treatment CEA (ng/ml) | Not included in the model | ||||||
| ≤5 | 103 | ref | |||||
| >5 | 92 | 1.766 | 0.137 | 0.834-3.740 | |||
| Interval from completion of CRT to surgery (weeks) | Not included in the model | ||||||
| ≤7 | 80 | ref | |||||
| >7 | 115 | 0.643 | 0.244 | 0.306-1.351 | |||
Abbreviations: OR: Odds ratio, CI: Confidence interval, NA: not achieved, SRCC: Signet ring cell component, PDC: Poorly differentiated clusters;
In pre-treatment biopsies, CEA: Carcinoembryonic antigen, CRT: Chemoradiotherapy.
Univariate and multivariate logistic regression analysis was performed to identify the potential predictors of pCR.
P-values ≤0.05 were considered statistically significant.