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Table 4 Univariate and multivariate analyses of prognostic factors for overall survival and disease-specific survival in patients aged 74 years or younger (n = 249)

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

0.204

0.246

 Males

185

1.96 (0.75–6.72)

2.35 (0.65–15.04)

 Females

64

1.00

1.00

ASA-PS

<0.001*

0.274

0.777

 1

180

1.00

1.00

1.00

 2

56

2.37 (0.90–5.69)

2.17 (0.09–6.14)

0.74 (0.11–2.72)

 3

13

76.4

6.62 (1.86–18.61)

3.23 (0.50–16.85)

1.74 (0.09–8.97)

Surgery

0.023*

0.932

0.023*

0.935

 DG

84

1.00

1.00

1.00

1.00

 TG

63

96.9

1.29 (0.55–2.96))

1.20 (0.44–3.28)

0.76 (0.24–2.15)

1.95 (0.3–11.86)

 LADG

80

0.17 (0.03–0.61)

0.69 (0.09–3.72)

2.67e−10 (0–0.23)

1.75e−8 (0–83.40)

 Cardiectomy

15

0.33 (0.01–1.66)

1.19 (0.06–9.75)

2.67e−10 (0–1.00)

(0-NC)

 LR

7

3.17e−9 (1.12e−55–2.10)

7.82e−9 (4.43e−54–13.53)

2.67e−10 (9.69e−301–2.97)

0.20 (4.22e−59-NC)

Histology

0.205

0.066

 Intestinal

110

1.00

1.00

 Diffuse

139

1.70 (0.76–4.15)

3.08 (0.98–13.52)

Tumor size (cm)

0.002*

0.637

<0.001*

0.810

 <5 cm

172

1.00

1.00

1.00

1.00

 ≥5 cm

77

3.19 (1.47–7.03)

1.32 (0.41–4.11)

10.63 (3.37–46.69)

0.76 (0.08–8.99)

Depth of invasion (T)

<0.001*

0.172

<0.001*

0.013*

 T1

154

1.00

1.00

1.00

1.00

 T2

33

2.29 (0.48–8.69)

0.64 (0.08–4.25)

1.75e9 (0.80–9.06e145)

1.22e9 (0.01–2.39e139)

 T3

23

4.04 (0.85–15.42)

1.27 (0.18–8.21)

2.70e9 (1.24–1.54e260)

5.48e9 (0.03–3.32e96)

 T4

39

13.16 (5.23–37.50)

3.02 (0.65–17.33)

2.41e10 (31.03–1.23e144)

6.14e10 (0.89–1.81e81)

Lymphatic invasion (ly)

0.045*

0.189

0.003*

0.009*

 ly0, ly1

192

1.00

1.00

1.00

1.00

 ly2, ly3

57

2.94 (1.31–6.41)

0.37 (0.07–1.60)

4.20 (1.50–12.00)

0.05 (0.01–0.51)

Venous invasion (v)

0.005*

0.815

0.029*

0.271

 v0, v1

198

1.00

1.00

1.00

1.00

 v2, v3

51

2.95 (1.29–6.43)

0.87 (0.26–2.88)

2.99 (1.00–8.29)

0.40 (0.07–2.02)

Lymph node metastasis (N)

<0.001*

0.008*

<0.001*

<0.001*

 N0

180

1.00

1.00

1.00

1.00

 N1

30

4.24 (1.42–11.76)

1.96 (0.41–8.34)

24.94 (3.69–487.50)

27.56 (1.97–1080.37)

 N2

20

2.66 (0.41–10.38)

0.94 (0.11–5.91)

21.84 (2.09–470.13)

13.89 (0.94–453.66)

 N3

19

66.1

14.93 (5.71–39.31)

10.55 (1.99-73.65)

66.1

97.33 (17.79–807.31)

208.72 (10.54–14986.60)

Clavien–Dindo

0.654

0.235

 0

220

1.00

1.00

 I

6

2.09 (0.12–10.05)

3.65 (0.20–18.82)

 II

11

2.09 (0.33–7.15)

1.91 (0.10–9.82)

 III

11

2.18 (0.35–7.46)

4.27 (0.66–15.93)

 IV

1

1.17e−7 (0–86.79)

2.27e−7 (0–143.14)

Onodera PNI

<0.001*

0.091

0.008*

0.261

 <40

18

86.8

8.25 (3.17–19.21)

4.92 (0.76–25.22)

4.75 (1.07–15.12)

6.47 (0.22–158.87)

 ≥40

231

1.00

1.00

1.00

1.00

Modified GPS

<0.001*

0.328

<0.001*

0.865

 0

227

1.00

1.00

1.00

1.00

 1

10

2.98 (0.47–10.34)

3.61 (0.49–16.92)

2.44 (0.13–12.55)

1.31 (0.05-14.33)

 2

12

36.3

15.12 (5.34–37.46)

2.20 (0.25–14.83)

10.52 (2.34–34.66)

2.32 (0.04–35.52)

Chemotherapy

 

<0.001*

0.196

<0.001*

0.038*

 Yes

67

1.00

1.00

1.00

1.00

 No

182

5.87 (2.68–13.49)

2.84 (0.57–13.55)

45.67 (9.16–827.80)

43.58 (1.20-3226.69)

  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”