Authors (year of recruitment) | Relapse % (relapsed patients/original cohort), relapse by year | Exclusion based on the relapse interval | p-Stage I − II/III − IV (%) | Method used for determining the cutoff for the relapse interval | Definition of early/late relapse (number of patients) | Risk factors for survival outcomes (MVA) | Five-year survival rate (early/late relapse) |
---|---|---|---|---|---|---|---|
Liao et al. (current study) (2011 − 2017) | 16.9% (2327/13,789), 84%/2-year | None | 26%/74% | Cox proportional hazards model with spline | ≤ 330 days (1630) />330 days (697). After propensity score matching: ≤ 330 days (654) />330 days (654) | DSS: relapse interval, age, pN, p-Stage, DOI, distant relapse OS: relapse interval, male sex, age, pT, pN, poor differentiation, DOI, distant relapse | Propensity score- matched groups: DSS: 30%/58% (p < 0.0001); OS: 22%/49% (p < 0.0001) |
Liao et al. [5] (1996 − 2005) | 28.5% (272/953) NR | None | 28%/72% | Kaplan-Meier | ≤ 10 months (161) />10 months (111) | Early relapse (DSS/OS) a: p-Stage, poor differentiation, DOI, distant relapse Late relapse (DSS/OS) a: pT, poor differentiation, ENE, distant relapse, neck recurrence | DSS: 14%/54% (p < 0.0001), OS: 12%/54% (p < 0.0001) |
Weckx et al. [6] (2002 − 2015) | 23% (159/691) 60%/2-year | < 6 weeks | 43%/57% | Every 4 months followed by 1 year | 1–4 months (11) /5–8 months (32) /9–12 months (15) /13–24 months (37) />24 months (64) | OS: relapse interval, ENE, margins, salvage therapy | OS: 0%/40%/52%/49% /87% (p < 0.001) |
Liu et al. [7] (1995 − 2003) | 50.5% (648/1282) NR | < 6 months | 54%/46% | ROC curve analysis | < 18 months (239) /≥18 months (162) | OS: relapse interval, age, p-Stage | Survival after relapse: 28%/38% (p < 0.001) |
Schwartz et al. [8] (1956 − 1992) | 28% (99/350)b 92%/3-year | ≤ 3 months | 47%/53% | NR | ≤ 6 months (11) />6 months (27) | NR | Mean survival time: 20/54 months (p, NR) |
Mucke et al. [9] (1992 − 2006) | 23.9% (185/773) 71%/3-year | ≤ 6 months | 46%/54% | ROC curve analysis | ≤ 18 months (88) />18 months (97) | NR | Survival after relapse: 21%/42% (p = 0.03) |