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Table 2 Baseline demographic, clinicopathologic, treatment characteristics and follow-up data according to subgroups

From: Postoperative hyperprogression disease of pancreatic ductal adenocarcinoma after curative resection: a retrospective cohort study

Variable

N = 718

P

PO-HPD (101)

ER (418)

LR (199)

 

Female(%)

30 (29.7%)

162 (38.8%)

74 (37.2%)

0.239

Age (y, mean ± SD)

60.9(±9.27)

63.2(±8.797)

61.7(±8.21)

0.011

BMI (kg/m [2], mean ± SD)

22.8(±2.76)

22.6(±3.30)

22.8(±2.81)

0.413

WBC(a10^9/L, mean ± SD)

6.3(±2.42)

5.9(±2.07)

6.2(±1.88)

0.063

Neutrophil(a10^9/L, mean ± SD)

7.4(±14.79)

5.4(±10.00)

7.7(±14.34)

0.130

Lymphocyte(a10^9/L, mean ± SD)

1.6(±1.03)

1.4(±0.55)

1.5(±0.49)

0.143

Monocyte(a10^9/L, mean ± SD)

0.4(±0.18)

0.4(±0.42)

0.5(±0.20)

0.001

RBC(a10^12/L, mean ± SD)

4.3(±0.54)

4.1(±0.55)

4.2(±0.59)

0.001

Albumin(g/L, mean ± SD)

39.6(±4.24)

39.1(±5.74)

38.2(±4.85)

0.085

LMR

5.1(±9.10)

4.2(±5.78)

3.63(±1.51)

0.774

PLR

161.3(±111.80)

158.3(±84.96)

147.5(±67.84)

0.549

NLR

6.7(±16.25)

4.5(±9.12)

5.5(±10.72)

0.831

SIRI

2.5(±5.40)

2.0(±4.47)

2.6(±4.99)

0.118

CA199 (U/mL, median with IQR)

356.0 (96.2–1319.2)

170.3 (46.6–630.3)

102.4 (34.0–288.0)

< 0.0001

CA125(U/mL, median with IQR)

22.6 (12.4–35.0)

17.0 (11.4–30.0)

14.7 (9.4–23.7)

< 0.0001

CEA (ng/mL, median with IQR)

4.0 (2.3–6.8)

3.5 (2.2–6.2)

3.2 (1.8–6.6)

0.250

Borderline resectable

32 (31.7%)

114 (27.3%)

32 (16.1%)

0.002

Tumor size (cm, median with IQR)

3.5 (3.0–4.0)

3.0 (2.5–4.0)

3.0 (2.5–4.0)

< 0.0001

Operation

0.337

 Pancreaticduodenectomy

65 (64.4%)

270 (64.6%)

133 (66.8%)

 

 Distal pancreatectomy

30 (29.7%)

124 (29.7%)

62 (31.2%)

 

 Total pancreatectomy

6 (5.9%)

24 (5.7%)

4 (2.0%)

 

 Perioperative transfusion

74 (73.2%)

311 (74.4%)

160 (80.4%)

0.212

 Operation time (min, median with IQR)

300 (240–360)

300 (223.8–345)

270 (210–330)

0.055

 Bleeding amount (ml, median with IQR)

300 (200–600)

300 (200–500)

400 (200–500)

0.581

 Vascular resection

21 (20.8%)

69 (16.5%)

23 (11.6%)

< 0.0001

 R0 resection

88 (87.1%)

469 (87.5%)

79 (97.5%)

0.027

Tumor differentiation

< 0.0001

 Well-moderate

23 (22.8%)

137 (32.8%)

107 (53.8%)

 

 Poor

78 (77.2%)

281 (67.2%)

92 (46.2%)

 

 Margin

1.4 (0.6–2.0)

1.0 (0.5–2.0)

1.0 (0.6–2.5)

0.687

AJCC T-stage

0.006

 T1–2

66 (65.2%)

281 (67.2%)

157 (78.9%)

 

 T3–4

35 (34.7%)

137 (32.8%)

42 (21.1%)

 

AJCC N-stage

0.006

 0

34 (33.7%)

184 (44.0%)

97 (48.7%)

 

 1

50 (49.5%)

164 (39.2%)

87 (43.7%)

 

 2

17 (16.8%)

70 (16.7%)

15 (7.5%)

 

 LNM

67 (66.3%)

234 (56.0%)

102 (51.3%)

0.045

 Harvested lymph nodes

13 (6–21)

13 (7–19)

10 (5.5–15.5)

0.421

 Number of LNM

1 (0–3)

1 (0–2)

0 (0–2.0)

0.019

 Positive lymph node ratio

0.09 (0–0.2)

0.06 (0–0.19)

0.04 (0–0.14)

0.019

 Perineural invasion

91 (90.1%)

398 (95.2%)

192 (96.53%)

0.199

AJCC stage

0.010

  ≤ 2A

31 (30.7%)

254 (60.8%)

96 (48.2%)

 

 >2A

70 (69.3%)

164 (39.2%)

103 (51.8%)

 

Complications

0.267

  < 3

89 (88.1%)

351 (84.0%)

166 (83.4%)

 

  ≥ 3

1 (1.0%)

15 (3.6%)

10 (5.0%)

 

POPF

0.766

 Biochemical leak

52 (51.4%)

172 (41.4%)

92 (46.2%)

 

 Grade B/C POPF

16 (15.8%)

57 (13.6%)

25 (12.6%)

 

 Adjuvant chemotherapy

70 (69.3%)

288 (68.9%)

141 (70.9%)

0.160

 Gemcitabine

6 (5.9%)

37 (8.9%)

28 (14.1%)

 

 S-1 or Capecitabine

5 5.0%)

26 (6.2%)

13 (6.5%)

 

 Combined a

59 (58.4%)

225 (53.8%)

100 (50.2%)

 

Recurrence site

< 0.0001

 Local

10 (9.9%)

72 (17.2%)

61 (30.7%)

 

 Systemic

67 (66.3%)

242 (57.9%)

81 (40.7%)

 

 Multiple

13 (12.9%)

49 (11.7%)

22 (11.1%)

 

 Not know

11 (10.9%)

55 (13.2%)

35 (17.6%)

 

 mDFS

1.3 (1.1–1.4)

6.4 (6.0–6.9)

18.5 (17.3–19.7)

< 0.0001

 mOS

9.8 (7.8–11.7)

14.7 (13.9–15.8)

30.8 (29.1–32.5)

< 0.0001

 Median total survival

12.5 (10.7–14.4)

16.7 (15.7–17.6)

35.1 (32.1–38.0)

< 0.0001

  1. SD Standard deviation, BMI Body mass index, WBC White blood cell, RBC Red blood cell, CA19–9 Carbohydrate antigen 19–9, IQR Inter-quarter range, CA125 Carbohydrate antigen 125, CEA Carcinoembryonic antigen, LMR Lymphocyte-monocyte ratio, PLR Platelet-lymphocyte ratio, NLR Neutrophil-lymphocyte ratio, SIRI Systemic inflammatory response index, LNM Lymph node metastasis, DFS Disease-free survival, OS Overall survival
  2. T-stage, N-stage and AJCC stage were referred to the 8th edition of American Joint Committee on Cancer (AJCC) TNM staging manual
  3. Complication classification was referred to the Clavien-Dindo’s classification. POPF Postoperative pancreatic fistula, mDFS Median disease-free survival, mOS Median overall survival
  4. a Including gemcitabine + capecitabine, gemcitabine + S-1, gemcitabine+ nab-paclitaxel, FOLFIRINOX (5-fluorouracil+ leucovorin+irinotecan+ oxaliplatin), gemcitabine + oxaliplatin, capecitabine + oxaliplatin and S-1 + oxaliplatin