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Table 3 Univariate analysis of prognostic factors for patients with metastatic lymph node positive gastric cancer

From: Metastatic lymph node in gastric cancer; Is it a real distant metastasis?

 

1 YSR

3 YSR

Median OS (95% C.Ia) months

H.R (95% C.Ia)

P value

Age

    

0.461

   < 65

82.1%

42.9%

25.6 (11.0 - 40.2)

1.0

 

   > 65

65.2%

39.1%

19.2 (11.8 - 26.6)

1.232 (0.707 - 2.145)

 

Sex

    

0.204

   Male

77.4%

47.2%

31.0 (15.2 - 46.9)

1.0

 

   female

76.9%

30.8%

16.1 (11.9 - 20.2)

1.416 (0.828 - 2.421)

 

ECOG P.S

    

0.464

   0

80.0%

40.0%

20.9 (0.0 - 49.6)

1.0

 

   1

76.5%

42.7%

21.0 (12.2 - 29.8)

0.776 (0.381 - 1.582)

 

   2

100%

0%

13.9 (13.9 - 13.9)

2.304 (0.285 - 18.624)

 

Primary site

    

0.012

   Low & mid-body

82.4%

45.6%

26.5 (10.6 - 42.3)

1.0

 

   High body & whole stomach

45.5%

18.2%

9.2 (0.0 - 19.7)

2.417 (1.216 - 4.806)

 

Bormann type

    

0.031

   I

     

   II

82.4%

58.8%

52.9

1.0

 

   III

78.9%

42.3%

21.7 (7.8 - 35.6)

1.845 (0.895 - 3.803)

 

   IV

60.0%

10.0%

13.0 (9.8 - 16.1)

3.521 (1.379 - 8.991)

 

Lauren classification

    

0.207

   Intestinal

75.0%

30.0%

16.3 (15.7 - 16.8)

1.0

 

   Diffuse

78.9%

57.9%

38.9 (31.0 - 46.8)

0.659 (0.344 - 1.233)

 

   Mixed

75.0%

25.0%

14.1 (0.0 - 29.0)

0.920 (0.266 - 3.181)

 

   Unknown

76.5%

23.5%

15.5 (12.3 - 18.7)

1.274 (0.622 - 2.610)

 

Histological grade

    

0.954

   Well to moderate

86.9%

39.1%

20.8 (16.4 - 25.2)

1.0

 

   Poor to undifferentiated

73.2%

42.9%

21.7 (5.9 - 37.5)

1.017 (0.578 - 1.787)

 

Type of gastrectomy

    

0.014

   Total gastrectomy

70.3%

29.3%

17.1 (13.2 - 21.1)

1.913 (1.143 - 3.203)

 

   Subtotal gastrectomy

83.3%

52.4%

36.6 (13.9 - 59.3)

1.0

 

Extent of surgery

    

0.006

   None

81.4%

49.2%

34.9 (16.4 - 53.4)

1.0

 

   Resection of spleen

60.0%

20.0%

13.0 (9.7 - 16.2)

2.937 (1.604 - 5.337)

 

   Resection of distal pancreas

66.7%

33.3%

16.1 (0.0 - 34.9)

1.353 (0.327 - 5.606)

 

   Resection of spleen, pancreas

100%

0%

18.1

1.953 (0.466 - 8.195)

 

T staging

    

0.116

   T1

     

   T2

80.0%

56.7%

38.9 (3.9 - 73.9)

1.0

 

   T3

75.6%

31.7%

19.1 (14.3 - 23.8)

1.797 (1.010 - 3.198)

 

   T4

75.0%

37.5%

16.1 (0.0 - 32.6)

1.861 (0.775 - 4.468)

 

N staging

    

< 0.001

   N1

92.9%

71.4%

59.6 (32.9 - 86.3)

1.0

 

   N2

88.0%

60.0%

52.2 (35.4 - 69.0)

1.121 (0.470 - 2.674)

 

   N3

65.0%

20.0%

14.8 (9.7 - 19.9)

3.870 (1.770 - 8.463)

 

No. of dissected LNs

    

0.810

   < 40

75.8%

42.4%

25.6 (4.7 - 46.6)

1.065 (0.637 - 1.781)

 

   > 40

78.3%

41.3%

20.8 (11.1 - 30.5)

1.0

 

Metastatic lymph node station

    

0.230

   #12

76.8%

39.1%

20.8 (12.2 - 29.4)

1.0

 

   #13

80.0%

60.0%

47.7 (0.4 - 95.0)

0.596 (0.256 - 1.388)

 

Post-operative treatment

    

0.209

   None

57.1%

38.1%

14.8 (5.4 - 24.1)

1.0

 

   Chemotherapy

83.3%

37.5%

21.0 (11.6 - 30.5)

0.869 (0.484 - 1.562)

 

   Chemo-radiation

100%

75.0%

 

0.266 (0.078 - 0.916)

 

   Unknown

50.0%

0%

11.6

1.020 (0.234 - 4.444)

 

Lymph node dissection

    

0.357

   D2

76.3%

43.4%

21.0 (8.3 - 33.8)

1.0

 

   D3

100%

0%

18.1 (15.2 - 21.0)

1.739 (0.536 - 5.643)

 
  1. aC.I; confidence interval