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Table 3 Factors associated with LN evaluation (LNE) or use of adjuvant chemotherapy (ACT) in colon cancer practices: uni- and multi-variate models

From: Quality indicators for colorectal cancer surgery and care according to patient-, tumor-, and hospital-related factors

 

Univariate

Multivariate

 

OR

[95%CI]

p

OR

[95%CI]

p

Evaluation of ≥ 12 LNs*

581 pts

399 pts

ECOG score

  

0.011

  

0.014

0

1

ref

 

1

ref

 

1

2.02

[1.20-3.41]

 

2.10

[1.17-3.76]

 

2 and more

0.81

[0.41-1.60]

 

0.72

[0.33-1.55]

 

Tumor location

  

0.003

  

0.036

Right

1

ref

 

1

  

Left

0.54

[0.36-0.81]

 

0.58

[0.34-0.97]

 

Post-operative stage

  

0.525

  

0.044

I -II

1

ref

 

1

ref

 

III

1.14

[0.76-1.72]

 

1.73

[1.01-2.95]

 

Hospital surgery volume

  

0.001

  

<0.001

< 30 operations

1

ref

 

1

ref

 

≥ 30 operations

2.48

[1.46-4.21]

 

3.34

[1.70-6.56]

 

Surgical district

  

<0.001

  

0.006

1

1

ref

 

1.00

ref

 

2

1.62

[0.90-2.91]

 

2.07

[0.97-4.42]

 

3

1.10

[0.48-2.51]

 

1.30

[0.35-4.88]

 

4

0.34

[0.18-0.64]

 

0.38

[0.17-0.85]

 

5

1.32

[0.73-2.40]

 

1.54

[0.84-3.40]

 

Receiving ACT among stage II†

258 pts

  

255 pts

  

Age (years)

  

<0.001

  

<0.0011

≥75

1

ref

 

1

ref

 

< 75

8.68

[4.06-18.54]

 

28.49

[8.41-96.53]

 

Local extension

  

<0.001

  

<0.001

pT3

1

ref

 

1

ref

 

pT4

4.07

[2.12-7.81]

 

12.30

[3.81-39.75]

 

Surgery context

  

<0.001

  

<0.001

Scheduled

1

ref

 

1

ref

 

Emergency

6.89

[3.21-14.73]

 

25.31

[6.79-94.34]

 

Hospital of surgery

  

0.009

  

0.020

Public

1

ref

 

1

ref

 

Private

2.18

[1.21-3.95]

 

2.61

[1.16-5.87]

 

Surgical district

  

0.090

  

0.036

1

1

ref

 

1

ref

 

2

0.53

[0.25-1.13]

 

0.54

[0.19-1.53]

 

3

1.89

[0.54-6.56]

 

1.45

[0.31-6.75]

 

4

0.28

[0.06-1.29]

 

0.06

[0.08-0.39]

 

5

0.57

[0.25-1.29]

 

0.44

[0.14-1.44]

 

Not receiving ACT among stage III†

231 pts

  

226 pts

  

Age (years)

  

<0.001

  

<0.001

< 75

1

ref

 

1

ref

 

≥75

8.80

[4.51-17.17]

 

8.83

[4.34-17.95]

 

Comorbid conditions

  

0.001

  

0.010

None

1

ref

 

1

ref

 

One or more

3.46

[1.65-7.27]

 

3.04

[1.31-7.04]

 

Hospitals

  

0.024

  

0.285

Private

1

ref

 

1

ref

 

Public

1.94

[1.09-3.45]

 

1.48

[0.72-3.03]

 
  1. * Logistic model was adjusted by gender and age. Factors entered into the model but not retained are: department of patient residence, pre-operative colonoscopy, pre-operative abdominal ultrasound, usN, grade, type of colectomy. ACT stage II and III: Logistic model was adjusted by gender and grade. Factors entered into the model but not retained for stage II patients: department of patient residence, comorbidities, family history of colorectal cancer; for stage III: family history of colorectal cancer and surgical district.