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Table 5 Multivariate Cox analysis of prognostic factors associated with survival for diabetic patients with locally advanced cervical cancer who underwent neoadjuvant chemotherapy and radical hysterectomy

From: Pretreatment glycemic control status is an independent prognostic factor for cervical cancer patients receiving neoadjuvant chemotherapy for locally advanced disease

 

Recurrence-free survival

Cancer-specific survival

Overall survival

 

HR

95% CI

P value

HR

95% CI

P value

HR

95% CI

P value

Age (years)

Body mass index (kg/m2)

1.16

0.94–1.44

0.171

1.12

0.90–1.38

0.312

   

Serum creatinine (μmol/l)

Tumor stage (IIA2 vs. IB2)

1.64

0.78–3.48

0.195

1.55

0.71–3.37

0.267

   

Histology (non-squamous vs. squamous)

Tumor differentiation (G3 vs. G1–2)

Deep stromal invasion (yes vs. no)

      

1.16

0.54–2.52

0.702

LVSI (yes vs. no)

 Positive margins (yes vs. no)

2.25

0.94–5.39

0.070

3.21

1.31–7.90

0.011

2.16

1.00–4.68

0.050

 Positive nodes (yes vs. no)

3.64

1.49–8.85

0.004

3.44

1.42–8.35

0.006

2.73

1.37–5.45

0.004

 Positive parametrium (yes vs. no)

3.50

1.31–9.32

0.012

2.71

1.00–7.35

0.049

2.16

0.88–5.30

0.093

 Diabetic status (HbA1c ≥ 7% vs. HbA1c < 7%)

2.18

1.02–4.63

0.044

2.00

0.89–4.49

0.092

2.29

1.20–4.35

0.012

Hypertension (yes vs. no)

Cardiovascular disease (yes vs. no)

Metformin (yes vs. no)

 Complete response (yes vs. no)

0.82

0.39–1.72

0.599

0.64

0.30–1.36

0.247

   
  1. Abbreviation: CI, confidence interval, HbA 1c hemoglobin A1c, HR hazard ratio, LVSI lymphatic vascular space invasion