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Table 4 Univariate Cox regression analysis of association of various clinical factors with overall survival in melanoma patients with brain metastasis

From: Survival and clinical outcomes of patients with melanoma brain metastasis in the era of checkpoint inhibitors and targeted therapies

Variable

Chi-squared

Hazard ratio

P value

Gender (male)

4.03

1.85

0.045*

Age

0.826

1.01

0.36

TIL level

2.23

0.628

0.135

Number of positive regional lymph nodes

3.13

1.05

0.077

Characteristics of brain metastasis

 Cerebellar metastases

6.43

2.19

0.011*

 Midbrain/pons metastasis

3.24

2.09

0.072

 Leptomeningeal disease

0.04

1.07

0.846

 Other site metastasis

0.03

0.92

0.867

 Size of largest brain metastases

0.816

1.01

0.367

 Number of brain metastases

18.8

1.19

< 0.00005*

 Presence of neurological symptoms

1.55

2.51

0.214

 Required steroid for brain metastasis

1.55

2.51

0.214

Extracranial Metastasis

 Presence of extracranial metastasis

2.29

1.49

0.13

 Presence of liver metastasis

2.25

1.94

0.134

 Presence of lung metastasis

0.527

1.30

0.468

 Presence of bone metastasis

0.06

1.09

0.813

 Presence of adrenal metastasis

5.39

4.50

0.02*

Therapy

 Craniotomy

10.0

0.418

0.0015*

 Stereotactic radiosurgery

7.72

0.434

0.0055*

 Whole brain radiation therapy

16.2

3.85

0.0001*

 Number of prior systemic therapies

0.613

1.09

0.434

 Anti-CTLA4 antibody after BM

0.658

0.79

0.417

 Anti-PD-1 antibody after BM

10.0

0.376

0.0016*

 BRAF inhibitor after BM

0.05

1.07

0.82

  1. BM, initial diagnosis of brain metastasis;
  2. *p-value is < 0.05