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Table 5 Multivariate regression analysis with tumor downstaging as dependent variable

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

Variable

Good downstaging

Poor downstaging

P

Odds Ratio (95%CI)

Training cohort

 Pretreatment T stage

  

0.04

10.14 (1.11–92.55)

  T2–3

19 (95%)

33 (65%)

  

  T4

1 (5%)

18 (35)

  

 Tumor differentiation

  

0.032

4.21 (1.13–15.68)

  Well/Moderately

14 (70%)

20 (40%)

  

  Poorly/Undifferentiated

6 (30%)

31 (60%)

  

 CEA clearance pattern

  

0.002

8.25 (2.19–31.10)

  Exponential decrease (R20.9)

15 (75%)

16 (31%)

  

  Non-exponential decrease (R2 < 0.9)

5 (25%)

35 (69%)

  

Validation cohort

 Pretreatment T stage

  

0.108

0.31 (0.08–1.29)

  T2–3

26 (78%)

42 (86%)

  

  T4

0

7 (14%)

  

 Tumor differentiation

  

0.752

1.22 (0.36–4.09)

  Well/Moderately

19 (73%)

37 (76%)

  

  Poorly/Undifferentiated

7 (27%)

12 (24%)

  

 CEA clearance pattern

  

0.008

4.28 (1.47–12.43)

  Exponential decrease (R20.9)

18 (69%)

18 (37%)

  

  Non-exponential decrease (R2 < 0.9)

8 (31%)

31 (63%)

  
  1. The p value in boldface means statistically significant, that is, less than 0.05