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Table 4 Univariate and multivariate analysis of factors associated with overall and GISTs-specific survival using Cox proportional hazards regression modeling

From: Long-term survival among patients with gastrointestinal stromal tumors diagnosed after another malignancy: a SEER population-based study

 

Overall survival

GISTs-specific survival

Univariate

Multivariate*

Univariate

Multivariate*

Covariates

HR (95% CI)

p

HR (95% CI)

p

HR (95% CI)

p

HR (95% CI)

p

History of previous malignancy

 No (GISTs-1)

Reference

 

Reference

 

Reference

 

Reference

 

 Yes (AM-GISTs)

1.37 (1.22–1.53)

< 0.001

1.11 (0.99–1.25)

0.085

0.76 (0.64–0.90)

0.002

0.71 (0.59–0.84)

< 0.001

Age at diagnosis, years

 18–35

Reference

 

Reference

 

Reference

 

Reference

 

 36–50

1.26 (0.97–1.65)

0.084

1.26 (0.96–1.64)

0.091

1.20 (0.91–1.59)

0.192

1.21 (0.92–1.60)

0.181

 51–65

1.70 (1.32–2.19)

< 0.001

1.88 (1.46–2.43)

< 0.001

1.43 (1.10–1.87)

0.008

1.66 (1.27–2.17)

< 0.001

 66–80

2.94 (2.29–3.78)

< 0.001

3.28 (2.54–4.24)

< 0.001

1.90 (1.46–2.48)

< 0.001

2.29 (1.75–3.01)

< 0.001

 ≥ 80

6.47 (5.01–8.35)

< 0.001

6.71 (5.16–8.72)

< 0.001

3.68 (2.80–4.85)

< 0.001

4.19 (3.15–5.57)

< 0.001

Sex

 Male

Reference

 

Reference

 

Reference

 

Reference

 

 Female

0.78 (0.73–0.84)

< 0.001

0.71 (0.66–0.77)

< 0.001

0.77 (0.70–0.84)

< 0.001

0.76 (0.69–0.83)

< 0.001

Race/ethnicity

 White

Reference

 

Reference

 

Reference

 

Reference

 

 Black

1.14 (1.05–1.25)

0.003

1.08 (0.98–1.19)

0.108

1.14 (1.02–1.27)

0.018

1.03 (0.92–1.16)

0.628

 Other

0.83 (0.74–0.92)

0.001

0.91 (0.81–1.02)

0.110

0.85 (0.75–0.97)

0.018

0.91 (0.79–1.04)

0.169

Marital status

 Single

Reference

 

Reference

 

Reference

 

Reference

 

 Married/domestic partner

0.84 (0.76–0.93)

0.001

0.74 (0.67–0.82)

< 0.001

0.79 (0.70–0.88)

< 0.001

0.76 (0.67–0.85)

< 0.001

 Widowed/separated/divorced

1.44 (1.29–1.61)

< 0.001

0.99 (0.89–1.12)

0.956

1.20 (1.06–1.37)

0.006

0.97 (0.84–1.11)

0.631

 Unknown

0.84 (0.69–1.02)

0.075

0.71 (0.58–0.86)

0.001

0.71 (0.56–0.90)

0.005

0.66 (0.52–0.85)

0.001

Primary site

 Stomach

Reference

 

Reference

 

Reference

 

Reference

 

 Small intestine

1.02 (0.94–1.11)

0.698

1.12 (1.02–1.22)

0.015

1.12 (1.01–1.24)

0.031

1.13 (1.01–1.25)

0.029

 Other

1.70 (1.55–1.87)

< 0.001

1.07 (0.97–1.18)

0.170

2.06 (1.85–2.30)

< 0.001

1.11 (0.99–1.25)

0.075

Lymph node metastasis

 No

Reference

 

Reference

 

Reference

 

Reference

 

 Yes

1.56 (1.26–1.94)

< 0.001

0.97 (0.77–1.21)

0.771

1.69 (1.32–2.17)

< 0.001

0.93 (0.72–1.20)

0.582

 Unknown

1.26 (1.15–1.37)

< 0.001

0.94 (0.85–1.03)

0.169

1.18 (1.06–1.31)

0.002

0.82 (0.74–0.92)

0.001

Tumor size, cm

 0–2

Reference

 

Reference

 

Reference

 

Reference

 

 > 2 to ≤ 5

0.83 (0.69–1.01)

0.059

0.69 (0.57–0.84)

< 0.001

1.05 (0.78–1.42)

0.737

0.84 (0.62–1.14)

0.265

 > 5 to ≤ 10

1.32 (1.10–1.57)

0.003

1.04 (0.87–1.25)

0.648

2.28 (1.72–3.01)

< 0.001

1.59 (1.20–2.10)

0.001

 > 10

2.01 (1.68–2.40)

< 0.001

1.30 (1.08–1.57)

0.005

4.03 (3.06–5.31)

< 0.001

2.10 (1.58–2.78)

< 0.001

 Unknown

2.92 (2.44–3.50)

< 0.001

1.40 (1.16–1.70)

0.001

5.95 (4.50–7.87)

< 0.001

2.22 (1.66–2.96)

< 0.001

Grade

 Well differentiated

Reference

 

Reference

 

Reference

 

Reference

 

 Moderately differentiated

1.52 (1.23–1.88)

< 0.001

1.27 (1.03–1.58)

0.027

2.12 (1.58–2.86)

< 0.001

1.64 (1.21–2.21)

0.001

 Poorly differentiated

3.31 (2.64–4.15)

< 0.001

2.18 (1.73–2.74)

< 0.001

5.90 (4.38–7.97)

< 0.001

3.24 (2.40–4.39)

< 0.001

 Undifferentiated

3.99 (3.26–4.90)

< 0.001

2.48 (2.02–3.05)

< 0.001

7.05 (5.33–9.32)

< 0.001

3.56 (2.68–4.72)

< 0.001

 Unknown

2.35 (1.98–2.79)

< 0.001

1.48 (1.24–1.76)

< 0.001

3.60 (2.79–4.63)

< 0.001

1.94 (1.50–2.51)

< 0.001

SEER stages

 Localized

Reference

 

Reference

 

Reference

 

Reference

 

 Regional

1.87 (1.68–2.08)

< 0.001

1.58 (1.41–1.77)

< 0.001

2.58 (2.26–2.94)

< 0.001

1.84 (1.59–2.12)

< 0.001

 Distant

3.72 (3.43–4.04)

< 0.001

2.41 (2.18–2.66)

< 0.001

5.97 (5.38–6.61)

< 0.001

3.23 (2.85–3.65)

< 0.001

 Unstaged/unknown

2.05 (1.81–2.33)

< 0.001

1.30 (1.13–1.49)

< 0.001

2.64 (2.26–3.09)

< 0.001

1.54 (1.30–1.84)

< 0.001

  1. GISTs gastrointestinal stromal tumors, CI confidence interval, SEER the Surveillance, Epidemiology, and End Results database
  2. *HR was additionally adjusted for education, median household income, year of diagnosis, chemotherapy, and surgery of primary