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Table 5 Cox proportional regression analysis for predictors of disease-free survival

From: Cytoreductive surgery combined with hyperthermic intraperitoneal chemotherapy and intraoperative radiation therapy in the management of gastric cancer: a 10-year single center experience

Parameter

Univariable analysis

 

Multivariable analysis

 

HR (95% CI)

P-value*

HR (95% CI)

P-value†

Gender

    

 Female

Ref

   

 Male

1.50(0.62–3.63)

0.36

  

Age at diagnosis

0.98(0.96–1.01)

0.366

  

BMI

    

 < 18.5

Ref

   

 18.5–29.9

0.87(0.20–3.75)

0.861

  

 ≥30

0.42(0.06–2.56)

0.35

  

Comorbidities

    

 No

Ref

   

 Yes

0.72(0.32–1.60)

0.43

  

Adjuvant (Post-operative chemotherapy)

    

 No

    

 Yes

Ref

   
 

0.83(0.38–1.79)

0.64

  

pPCI

    

 ≤ 6

Ref

< 0.001

Ref

 

 > 6

5.20(2.18–12.42)

 

4.56 (1.81–11.45)

0.001<

CC

    

 CC0

Ref

   

 CC1

4.55(1.28–16.2)

0.019

  

Postoperative complications

    

 No

Ref

   

 Yes

0.92(0.42–2.01)

0.837

  

Length of hospital stay

1.00(0.99- 1.00)

0.702

  

Tumor type

    

 Intestinal

Ref

   

 Adenocarcinoma

0.97(0.12–7.59)

0.979

  

 Diffuse

1.25(0.53–2.91)

0.603

  

 mixed

0.91(0.25–3.32)

0.896

  

Tumor location

    

 GEJ junction

Ref

   

 antrum

0.48(0.16–1.42)

0.188

  

 body

0.96(0.20–4.66)

0.966

  

 cardia

0.48(0.09–2.45)

0.385

  

 overlapping location

0.93(0.19–4.49)

0.929

  

 fundus

2.99(0.76–11.69)

0.115

  

 pylorus

0.51(0.13–1.99)

0.337

  

Surgery type

    

 -Radical total gastrectomy with D2 lymphadenectomy

Ref

   

 - Subtotal esophagectomy and total gastrectomy with D2 lymphadenectomy and colon interposition

    
 

0.81(0.27–5.09)

0.779

  

Signet sign

    

 Absent

Ref

0.833

 Present

0.91(0.42- 2.00)

 

Staging

    

 Stage 1a/b- 3a/b/c

Ref

 

 Stage 4

2.39(1.05–5.40)

0.036

Pathologic T stage

    

 T0

Ref

 

 T1a/b- T2

0.30(0.04–1.82)

0.192

 T3- T4a/b

1.14(0.26–4.90)

0.857

Pathologic N stage

    

 N0-N1

Ref

 

 N2-N3a/b

3.09(1.41–6.80)

0.005

Pathologic M stage

    

 M0

Ref

 

 M1

2.02(0.91–4.45)

0.082

Resection Margin

    

 Negative

Ref

 

 Positive

1.91(0.71–5.14)

0.195

Lymphovascular invasion

    

 Absent

Ref

 

 Present

2.18(1.00- 4.77)

0.049

Perineural invasion

    

 Absent

Ref

 

 Present

1.78(0.82–3.86)

0.142

Her 2 neu expression

    

 Negative

Ref

 

 Positive

1.72(0.74–3.99)

0.203

Clavien-dindo ≥ III

    

 No

Ref

 

 Yes

0.55(0.16–1.84)

0.337

  1. Note: *P-value significant at < 0.1; †P-value significant at < 0.05; HR = Hazard Ratio; CI = Confidence interval