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Table 4 Univariate analysis of predictors for pCR in the training and validation cohorts

From: CEA clearance pattern as a predictor of tumor response to neoadjuvant treatment in rectal cancer: a post-hoc analysis of FOWARC trial

Variable

Training cohort

Validation cohort

pCR

No pCR

P

pCR

No pCR

P

No. of patients

11

60

 

10

65

 

Age (mean, y ± SD)

57 ± 12

54 ± 13

0.323

55 ± 13

55 ± 12

0.910

Gender

  

0.618

  

0.497

 Male

8 (73%)

39 (65%)

 

6 (60%)

28 (43%)

 

 Female

3 (27%)

21 (35%)

 

4 (40%)

37 (57%)

 

Pretreatment T stage

  

0.267

  

0.546

 T2

0

0

 

1 (10%)

5 (8%)

 

 T3

10 (9%)

42 (70%)

 

9 (90%)

53 (81%)

 

 T4

1 (91%)

18 (30%)

 

0

7 (11%)

 

Pretreatment N stage

  

0.217

  

0.121

 N0

2 (18%)

10 (17%)

 

4 (40%)

17 (26%)

 

 N1

7 (64%)

23 (38%)

 

6 (60%)

28 (43%)

 

 N2

2 (18%)

27 (45%)

 

0

20 (31%)

 

Tumor differentiation

  

0.073

  

0.707

 Well/Moderately

8 (73%)

26 (43%)

 

7 (70%)

49 (75%)

 

 Poorly/Undifferentiated

3 (27%)

34 (57%)

 

3 (30%)

16 (25%)

 

Distance from the anal verge

  

0.301

  

0.731

5 cm

7 (64%)

28 (53%)

 

3 (30%)

27 (42%)

 

  > 5 cm

4 (36%)

32 (47%)

 

7 (70%)

38 (58%)

 

Tumor length

  

0.044

  

0.509

4 cm

8 (73%)

22 (37%)

 

3 (30%)

28 (43%)

 

  > 4 cm

3 (27%)

38 (63%)

 

7 (70%)

37 (57%)

 

Circumferential extent

  

0.441

  

0.480

50%

4 (36%)

13 (22%)

 

5 (50%)

22 (34%)

 

  > 50%

7 (64%)

47 (78%)

 

5 (50%)

43 (66%)

 

 Pre-treatment CEA level (mean, ng/mL; 95%CI)

24 (10–38)

28 (19–37)

0.709

13 (11–15)

20 (10–30)

0.165

 Post- treatment CEA level (mean, ng/mL; 95%CI)

2 (0.2–4)

6 (4–8)

0.164

6 (2–11)

6 (5–7)

0.808

Normalization of post- treatment CEA Level

  

0.312

  

1.000

 Normal (< 5 ng/mL)

9 (82%)

38 (63%)

 

6 (60%)

40 (62%)

 

 Elevated (5 ng/mL)

2 (18%)

22 (37%)

 

4 (40%)

25 (38%)

 

CEA clearance pattern

  

0.008

  

0.042

 Exponential decrease (R20.9)

9 (82%)

22 (37%)

 

8 (80%)

28 (43%)

 

 Non-exponential decrease (R2 < 0.9)

2 (18%)

38 (63%)

 

2 (20%)

37 (57%)

 

Concurrent chemotherapy

  

0.743

  

NA

 Capecitabine

0

0

 

10 (13%)

65 (87%)

 

 Infusional fluorouracil

7 (64%)

32 (47%)

 

0

0

 

 mFOLFOX6

4 (36%)

28 (53%)

 

0

0

 
  1. Abbreviation: NA not applicable, pCR pathologic complete response
  2. The p value in boldface means statistically significant, that is, less than 0.05