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Table 3 Univariate and multivariate analyses of survival after SCS in patients with endometrial carcinoma

From: Prognostic factors of patients with recurrent uterine malignancies undergoing secondary cytoreductive surgery

 

Progression-free survival

Overall survival

 

Univariate

Multivariate

Univariate

Multivariate

 

HR (95%CI)

P value

HR (95%CI)

P value

HR (95%CI)

P value

HR (95%CI)

P value

Age at recurrence (years)

 

0.701

   

0.165

  

 < 60

1

   

1

   

 ≥ 60

1.171 (0.522–2.630)

   

1.847 (0.777–4.392)

   

ECOG performance status before SCS

 

0.719

   

0.385

  

 0

1

   

1

   

 1–2

0.802 (0.241–2.672)

   

1.620 (0.545–4.818)

   

FIGO stage at initial diagnosis

 

0.629

   

0.396

  

 I/II

1

   

1

   

 III/IV

1.238 (0.520–2.948)

   

1.482 (0.597–3.675)

   

Histology

        

 Endometrioid

1

   

1

   

 Serous

1.412 (0.329–6.065)

0.642

  

1.722 (0.395–7.510)

0.469

  

 Clear cell

5.879 (0.726–47.617)

0.097

  

7.544 (0.897–63.485)

0.063

  

 Carcinosarcoma

1.366 (0.405–4.609)

0.615

  

0.973 (0.224–4.235)

0.971

  

Tumor grade

 

0.081

   

0.014

 

0.002

 G1/G1-G2/G2

1

   

1

 

1

 

 G2-G3/G3

2.231 (0.907–5.488)

   

4.166 (1.339–12.962)

 

11.236 (2.446–51.623)

Previous radiotherapy

 

0.896

   

0.750

  

 No

1

   

1

   

 Yes

0.931 (0.321–2.705)

   

1.194 (0.401–3.552)

   

Clinical symptoms at recurrence

 

0.799

   

0.832

  

 No

1

   

1

   

 Symptomatic

0.904 (0.415–1.969)

   

0.911 (0.383–2.163)

   

Size of largest tumor (cm)

 

0.058

   

0.007

 

0.033

 ≤ 6

1

   

1

 

1

 

 > 6

2.591 (0.968–6.94)

   

4.115 (1.472–11.499)

 

4.408 (1.128–17.229)

 

Number of recurrent tumors

 

0.017

 

0.133

 

0.024

 

0.004

 One

1

 

1

 

1

 

1

 

 Several

2.684 (1.189–6.057)

 

2.315 (0.744–6.927)

2.859 (1.145–7.138)

 

9.672 (2.032–46.025)

 

DFI before SCS (months)

 

0.026

 

0.451

 

0.085

  

 < 12

1

 

1

 

1

   

 ≥ 12

0.409 (0.186–0.898)

 

0.710 (0.291–1.732)

0.466 (0.196–1.110)

   

Retroperitoneal lymph node metastasis

 

0.425

   

0.259

  

 No

1

   

1

   

 Yes

0.671 (0.253–1.786)

   

0.495 (0.146–1.681)

   

Distant metastasis

 

0.018

 

0.399

 

0.039

 

0.183

 No

1

 

1

 

1

 

1

 

 Yes

2.763 (1.188–6.426)

 

1.672 (0.506–5.524)

2.616 (1.052–6.508)

 

3.185 (0.579–17.537)

 

Lung metastasis alone

 

0.396

   

0.493

  

 No

1

   

1

   

 Yes

2.402 (0.318–18.132)

  

2.023 (0.270-15.174)

   

Peritoneal dissemination

 

0.034

 

0.564

 

0.005

 

0.381

 No

1

 

1

 

1

 

1

 

 Yes

2.488 (1.071–5.781)

 

0.610 (0.114–3.271)

3.696 (1.498–9.120)

 

0.393 (0.049–3.169)

 

Vaginal wall metastasis alone

 

0.133

   

0.193

  

 No

1

   

1

   

 Yes

0.036 (0.000-2.765)

   

0.037 (0.000-5.315)

   

Ascites

 

0.001

 

0.302

 

0.000

 

0.522

 None

1

 

1

 

1

 

1

 

 Yes

4.962 (1.884–13.069)

2.55 (0.431–15.094)

6.119 (2.229–16.794)

 

1.723 (0.325–9.128)

 

 Residual disease

 

0.017

 

0.263

 

0.022

 

0.401

 None

1

 

1

 

1

 

1

 

 > 0

2.956 (1.216–7.187)

 

1.857 (0.628–5.495)

2.918 (1.170–7.280)

 

1.605 (0.532–4.849)

 

Neoadjuvant chemotherapy before SCS

 

0.788

   

0.541

  

 No

1

   

1

   

 Yes

1.219 (0.288–5.168)

   

1.576 (0.366–6.794)

   

Adjuvant therapy after SCS

        

 None

1

 

1

 

1

 

1

 

 Chemotherapy only

0.656 (0.238–1.810)

0.416

0.489 (0.148–1.613)

0.240

0.560 (0.198–1.583)

0.274

0.083 (0.017–0.416)

0.002

 Radiotherapy only

0.054 (0.006–0.469)

0.008

0.105 (0.010–1.150)

0.065

0.069 (0.008–0.597)

0.015

0.053 (0.003–0.934)

0.045

 Hormonal therapy

0.163 (0.043–0.623)

0.008

0.187 (0.029–1.196)

0.077

0.103 (0.020–0.538)

0.007

0.063 (0.006–0.648)

0.020

  1. SCS, Secondary cytoreductive surgery; ECOG, Eastern Cooperative Oncology Group; FIGO, International Federation of Gynecology and Obstetrics; HR, hazard ratio; CI, confidence intervals; DFI, Disease-free interval