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 |