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Table 2 Univariate and multivariable analysis of factors associated with BO

From: A nomogram for predicting bowel obstruction in preoperative colorectal cancer patients with clinical characteristics

Patient characteristics

Univariate analysis

Multivariate analysis

HR

95% CI

p value

HR

95% CI

p value

Gender

 Men

1.087

1.013–1.167

0.020

   

 Women

1.000

    

Age at diagnosis, years

 66–70

1.818

1.642–2.013

< 0.001

1.737

1.558–1.935

< 0.001

 71–75

1.765

1.605–1.942

1.765

1.596–1.953

 76–80

1.636

1.490–1.796

1.523

1.384–1.677

 ≥ 81

1.000

 

1.000

 

Race

 White

1.000

 

0.001

1.000

 

0.004

 Black

0.873

0.783–0.972

0.825

0.738–0.922

 Asian

1.291

1.081–1.542

1.062

0.887–1.271

 Other

0.962

0.800–1.156

0.887

0.737–1.067

Marital status

 Single + separated

1.067

0.945–1.204

< 0.001

1.058

0.936–1.197

< 0.001

 Married

1.369

1.269–1.478

1.115

1.028–1.208

 Divorced + widowed

1.000

 

1.000

 

 Other

0.565

0.468–0.682

0.622

0.514–0.752

Residence location*

 Big metro

1.000

 

< 0.001

1.000

 

0.050

 Metro or urban

0.863

0.797–0.933

0.906

0.837–0.981

 Less urban or rural

0.844

0.747–0.955

0.946

0.835–1.072

Median household income

 1st quartile

1.000

 

0.107

   

 2nd quartile

1.066

0.961–1.183

   

 3rd quartile

1.081

0.975–1.199

   

 4th quartile

1.118

1.009–1.239

   

 Unknown

0.929

0.782–1.104

   

Level of education

 1st quartile

1.000

 

0.571

   

 2nd quartile

0.996

0.899–1.102

   

 3rd quartile

0.993

0.897–1.100

   

 4th quartile

0.968

0.873–1.072

   

 Unknown

0.872

0.735–1.034

   

Tumor characteristics

 T category

  Tis

1.000

 

< 0.001

1.000

 

< 0.001

  T1

1.532

1.233–1.904

1.434

1.144–1.796

  T2

6.878

5.396–8.768

6.175

4.768–7.997

  T3

8.408

6.855–10.313

7.187

5.738–9.003

  T4a

15.416

11.848–20.059

9.064

6.824–12.039

  T4b

4.566

3.626–5.750

4.466

3.489–5.717

  Unknown

1.559

1.270–1.913

1.562

1.257–1.941

 M category

  M0

1.000

 

< 0.001

1.000

 

< 0.001

  M1

0.665

0.598–0.738

0.793

0.707–0.889

  Unknown

0.925

0.850–1.007

1.213

1.108–1.328

 Primary tumor site

  Rectum

1.000

 

< 0.001

1.000

 

< 0.001

  Left-sided colon

2.055

1.881–2.244

2.093

1.892–2.315

  Right-sided colon

1.445

1.326–1.574

1.583

1.432–1.750

 Histologic type

  Adenocarcinoma

1.000

 

< 0.001

1.000

 

< 0.001

  Mucinous carcinoma

2.368

2.076–2.701

1.593

1.392–1.823

  Signet-ring cell carcinoma

2.096

1.515–2.899

1.220

0.875–1.701

 Histologic grade

  Well

0.771

0.669–0.889

< 0.001

0.842

0.729–0.972

< 0.001

  Moderate

1.000

 

1.000

 

  Poor

1.203

1.090–1.328

1.131

1.022–1.251

  Undifferentiated

0.954

0.652–1.395

0.992

0.676–1.456

  Unknown

0.383

0.350–0.419

0.548

0.498–0.604

 Tumor size, mm

  < 35

1.000

 

< 0.001

1.000

 

< 0.001

  35–50

1.734

1.526–1.970

1.266

1.110–1.444

  50–65

1.269

1.114–1.446

1.133

0.991–1.295

  ≥ 65

1.543

1.353–1.759

1.253

1.093–1.436

  Unknown

0.419

0.376–0.467

0.616

0.549–0.690

Presenting features

 HCC risk score

  1st quartile

1.000

 

< 0.001

   

  2nd quartile

1.187

1.076–1.309

   

  3rd quartile

1.126

1.019–1.245

   

  4th quartile

0.913

0.821–1.015

   

 History of alcoholism

  No

1.000

 

0.011

1.000

 

0.027

  Yes

0.753

0.606–0.937

0.781

0.627–0.973

 Tobacco

  No

1.000

 

0.385

   

  Yes

0.951

0.849–1.065

   

 History of colorectal polyps

  No

1.000

 

0.004

   

  Yes

0.850

0.760–0.949

   

 Obesity

  No

1.000

 

0.845

   

  Yes

0.987

0.863–1.128

   

Treatment

 Chemotherapy

  Nonchemotherapy

1.000

 

< 0.001

1.000

 

< 0.001

  5-FU/capecitabine

0.758

0.677–0.847

0.752

0.655–0.864

  FOLFOX/CapeOX

0.719

0.561–0.922

0.595

0.459–0.770

  FOLFIRI/XELIRI

0.729

0.559–0.950

0.629

0.480–0.825

  FOLFOX/CapeOX + bevacizumab

0.482

0.360–0.645

0.395

0.292–0.535

  FOLFIRI/XELIRI + bevacizumab

0.921

0.534–1.589

0.980

0.564–1.705

  Other

0.798

0.664–0.958

0.715

0.590–0.867

 Radiotherapy

  No

1.000

 

< 0.001

1.000

 

< 0.001

  Yes

0.705

0.637–0.780

0.591

0.514–0.679

Presenting symptoms

 Abdominal pain

  No

1.000

 

< 0.001

  

< 0.001

  Yes

1.179

1.087–1.278

1.202

1.105–1.307

 Abdominal mass

  No

1.000

 

0.025

1.000

 

0.056

  Yes

1.230

1.026–1.476

1.199

0.996–1.445

 Abdominal distension

  No

1.000

 

0.381

   

  Yes

1.128

0.862–1.476

    

 Ascites

  No

1.000

 

0.497

   

  Yes

0.865

0.569–1.315

   

 Anemia

  No

1.000

 

< 0.001

1.000

 

0.002

  Yes

0.736

0.642–0.845

0.802

0.696–0.923

 Nutritional deficiency

  No

1.000

 

< 0.001

1.000

 

0.067

  Yes

0.624

0.513–0.758

0.830

0.680–1.013

 Cachexia

  No

1.000

 

0.166

   

  Yes

0.658

0.364–1.189

   

 Change of bowel habit

  No

1.000

 

0.023

   

  Yes

0.798

0.657–0.969

   

 Change of character of stool

  No

1.000

 

0.348

   

  Yes

1.043

0.955–1.138

   

 Hemorrhage

  No

1.000

 

< 0.001

   

  Yes

0.841

0.769–0.920

   

 Diarrhea

  No

1.000

 

0.458

   

  Yes

0.950

0.830–1.088

   

 Gatism

  No

1.000

 

0.183

   

  Yes

0.716

0.438–1.170

   

 Loss of appetite

  No

1.000

 

0.002

1.000

 

0.077

  Yes

0.598

0.431–0.831

0.742

0.533–1.033

 Vomiting

  No

1.000

 

0.537

   

  Yes

0.954

0.820–1.109

   

 Weight loss

  No

1.000

 

0.579

   

  Yes

0.965

0.852–1.094

   
  1. Abbreviations: BO bowel obstruction, HCC the Centers for Medicare and Medicaid Service’s Hierarchical Condition Category, HR hazard ratio, CI confidence intervals, 5-FU 5-fluorouracil, FOLFOX 5-FU + oxaliplatin, CapeOX capecitabine + oxaliplatin, FOLFIRI 5-FU + irinotecan, and XELIRI capecitabine + irinotecan. *variable has missing data