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Table 3 Univariate and multivariate analyses of prognostic factors for overall survival and disease-specific survival in patients aged 75 years or older (n = 117)

From: Prognostic factors for gastrectomy in elderly patients with gastric cancer

  

Overall survival

Disease-specific survival

   

Univariate analysis

Multivariate analysis

 

Univariate analysis

Multivariate analysis

 

n

MST (months)

Hazard ratio (95% CI)

P value

Hazard ratio (95% CI)

P value

MST (months)

Hazard ratio (95% CI)

P value

Hazard ratio (95% CI)

P value

Sex

0.229

0.890

 Males

82

74.0

1.16 (0.63–2.24)

1.00

 Females

35

70.8

1.00

1.18 (0.44–3.68)

ASA-PS

0.041*

0.014*

0.002*

 1

30

1.00

1.00

1.00

 2

65

80.2

1.29 (0.64–2.71)

1.12 (0.33–4.31)

0.14 (0.01–1.53)

 3

22

34.3

2.88 (1.30–6.47)

3.58 (1.06–13.87)

9.11 (1.20–103.77)

Surgery

0.040*

0.636

0.036*

0.476

 DG

50

70.8

1.00

1.00

1.00

1.00

 TG

23

32.4

1.54 (0.73–3.07)

1.35 (0.52–3.32)

1.72 (0.51–5.18)

2.48 (0.20–26.78)

 LADG

25

0.36 (0.08–1.07)

0.68 (0.14–2.43)

1.18e−9 (0–0.65)

1.33e−9 (0–28.12)

 Cardiectomy

11

33.0

2.54 (1.09–5.44)

1.75 (0.62–4.62)

50.6

3.46 (1.03–10.56)

0.23 (0.02–2.35)

 LR

8

0.87 (0.13–3.00)

0.71 (0.10–3.20)

1.16e−9 (5.39e−16–7.35e−130)

5.54e−10 (0–24.97)

Histology

0.420

0.134

 Intestinal

76

74.0

1.00

1.00

 Diffuse

41

51.6

1.30 (0.72–2.30)

2.24 (0.88–5.87)

Tumor size

0.018*

0.793

 

0.003*

0.358

 <5 cm

68

80.2

1.00

1.12 (0.46–2.81)

1.00

2.69 (0.31–23.75)

 ≥5 cm

49

50.5

1.93 (1.09–3.47)

1.00

3.68 (1.38–11.49)

1.00

Depth of invasion (T)

<0.001*

0.317

<0.001*

0.005*

 T1

57

80.2

1.00

1.00

1.00

1.00

 T2

18

88.8

0.54 (0.15–1.47)

0.30 (0.06–1.09)

1.26e−8 (0–15.07)

2.86e−10 (0–2.92)

 T3

20

38.4

2.16 (1.01–4.48)

0.65 (0.18–2.15)

20.02 (3.55–374.36)

15.44 (1.16–642.77)

 T4

22

25.2

2.50 (1.22–5.03)

0.87 (0.27–2.61)

50.5

33.63 (6.43–617.14)

10.86 (0.65–432.23)

Lymphatic invasion (ly)

0.013*

0.328

0.013*

0.578

 ly0, ly1

73

88.8

1.00

1.00

1.00

1.00

 ly2, ly3

43

41.3

2.29 (1.29–4.08)

1.49 (0.66–3.34)

3.90 (1.51–11.21)

1.79 (0.22–14.91)

Venous invasion (v)

0.001*

0.944

<0.001*

0.013*

 v0, v1

77

80.2

1.00

1.00

1.00

1.00

 v2, v3

40

37.2

2.18 (1.22–3.87)

1.02 (0.44–2.26)

50.6

11.97 (3.94–51.74)

9.38 (6.56–82.05)

Lymph node metastasis (N)

<0.001*

0.178

<0.001*

0.010*

 N0

73

88.8

1.00

1.00

1.00

1.00

 N1

20

41.3

2.91 (1.29–6.58)

2.41 (0.84–6.84)

51.6

6.30 (1.89–24.18)

5.40 (0.67–55.78)

 N2

13

3.19 (1.25–7.71)

0.92 (0.18–3.80)

1.65e−8 (0–3.37)

8.07e−11 (0–1.20)

 N3

11

17.9

8.82 (4.21–19.22)

3.76 (0.86–15.50)

25.2

28.24 (7.99–115.80)

6.70 (0.34–219.73)

Clavien–Dindo

<0.001*

<0.001*

<0.001*

<0.001*

 0

97

70.8

1.00

1.00

1.00

1.00

 I

5

0.86 (0.14–2.84)

0.52 (0.07–2.21)

1.24 (0.06–6.35)

0.24 (0.01–3.42)

 II

6

88.8

0.28 (0.01–1.32)

0.82 (0.04–5.79)

6.15e−9 (0–2.07)

12.78 (0–5.28e298)

 III

5

37.2

1.81 (0.43–5.05)

2.33 (0.44–10.33)

1.92 (0.10–9.83)

1.09 (0.01–104.71)

 IV

1

7.7

27.25 (1.39–184.77)

7.69 (0.35–67.41)

7.7

8.73e16 (18.30–1.89e109)

8.31e18 (15.71-NC)

 V

3

1.1

5.21e10 (87.65–1.64e31)

1.08e11 (57.71–9.25e141)

1.1

7.72e31 (255.05-NC)

5.71e33 (296.06–3.28e306)

Onodera PNI

<0.001*

0.056

0.010*

0.698

 <40

29

33.0

2.65 (1.47–4.69)

2.03 (0.97–4.17)

2.35 (0.86–5.98)

1.42 (0.23–9.56)

 ≥40

88

80.2

1.00

1.00

1.00

1.00

Modified GPS

0.375

0.574

 0

96

70.8

1.00

1.00

 1

7

0.82 (0.13–2.71)

1.24 (0.06–6.21)

 2

14

34.3

1.54 (0.66–3.15)

1.59 (0.36–4.89)

Chemotherapy

0.562

0.252

 Yes

24

50.6

1.00

1.00

 No

93

74.0

1.42 (0.74–2.60)

2.77 (1.05–7.03)

  1. DG distal gastrectomy, TG total gastrectomy, LADG laparoscopic-assisted distal gastrectomy, LR local resection, PNI prognostic nutritional index, GPS Glasgow prognostic score, ASA-PS American Society of Anesthesiologists-Physical Status
  2. P values indicated by (*) are statistically significant (P < 0.05) NC means “not calculated”