Table 2 Univariate analysis of clinicopathological variables associated with recurrence-free survival and overall survival in discovery cohort.

From: Preoperative detection of KRAS G12D mutation in ctDNA is a powerful predictor for early recurrence of resectable PDAC patients

Variable

Recurrence-free survival

Overall survival

HR (95% CI)

P

HR (95% CI)

P

Sex

 Female

1.0 (reference)

0.195

1.0 (reference)

0.117

 Male

1.3 (0.9–1.9)

 

1.4 (0.9–2.1)

 

Age at surgery, y

 <70

1.0 (reference)

0.634

1.0 (reference)

0.974

 ≥70

1.1 (0.7–1.8)

 

1.0 (0.6–1.6)

 

Smoking history

 No

1.0 (reference)

0.53

1.0 (reference)

0.311

 Yes

1.2 (0.7–2.2)

 

1.4 (0.7–2.5)

 

Drinking history

 No

1.0 (reference)

 

1.0 (reference)

 

 Yes

1.2 (0.6–2.4)

0.542

1.2 (0.6–2.3)

0.671

Diabetes mellitus

 No

1.0 (reference)

0.176

1.0 (reference)

0.194

 Yes

0.7 (0.5–1.1)

 

0.7 (0.5–1.2)

 

First clinical symptom (abdominal pain)

 No

1.0 (reference)

0.674

1.0 (reference)

0.821

 Yes

0.9 (0.6–1.4)

 

1.0 (0.6–1.4)

 

First clinical symptom (jaundice)

 No

1.0 (reference)

0.796

1.0 (reference)

0.961

 Yes

1.0 (0.6–1.4)

 

1.0 (0.7–1.5)

 

CEA at diagnosis, ng/mL

 Normal

1.0 (reference)

0.095

1.0 (reference)

0.081

 Elevated

1.4 (0.9–2.2)

 

1.5 (1.0–2.3)

 

CA19-9 at diagnosis, U/mL

 Normal

1.0 (reference)

0.102

1.0 (reference)

0.074

 Elevated

1.5 (0.9–2.5)

 

1.7 (1.0–2.9)

 

Pancreatectomy type

 Distal pancreatectomy

1.0 (reference)

0.947

1.0 (reference)

0.833

 Pancreaticoduodenectomy

1.0 (0.7–1.5)

 

1.0 (0.7–1.6)

 

 Radiologic tumour size, cm

ALL

0.049

ALL

0.026

 ≤2

1.0 (reference)

 

1.0 (reference)

 

 >2, ≤4

1.7 (1.1–2.8)

0.029

1.9 (1.1–3.2)

0.018

 >4

2.0 (1.1–3.7)

0.031

2.2 (1.2–4.5)

0.012

Differentiation degree

 Poor

1.0 (reference)

0.845

1.0 (reference)

0.267

 Medium/well

1.0 (0.6–1.5)

 

0.8 (0.5–1.2)

 

Perineural invasion

 No (%)

1.0 (reference)

0.901

1.0 (reference)

0.731

 Yes (%)

1.0 (0.6–1.6)

 

1.1 (0.7–1.8)

 

Pathological margin status

 R0 (%)

1.0 (reference)

0.091

1.0 (reference)

0.099

 R1 (%)

1.5 (0.9–2.3)

 

1.5 (0.9–2.4)

 

Nodal involvement

 0 (%)

1.0 (reference)

<0.001

1.0 (reference)

<0.001

 ≥1, ≤3 (%)

2.2 (1.5–3.3)

 

2.5 (1.6–3.9)

 

≥4 (%)

9.1 (3.6–23.0)

 

15.2 (5.7–40.3)

 

Pathological stage (AJCC, 8th edition)

ALL

<0.001

ALL

<0.001

 IA

1.0 (reference)

 

1.0 (reference)

 

 IB

1.6 (0.8–3.2)

0.15

2.1 (0.9–4.6)

0.069

 IIA

2.1 (1.0–4.6)

0.063

3.0 (1.2–7.2)

0.016

 IIB

3.4 (1.8–6.5)

<0.001

5.0 (2.3–10.8)

<0.001

 III

15.8 (5.7–43.9)

<0.001

31.2 (10.0–98.0)

<0.001

Adjuvant chemotherapy

 No

1.0 (reference)

0.083

1.0 (reference)

0.259

 Yes

2.4 (0.9–6.6)

 

1.8 (0.7–4.9)

 

KRAS mutation in ctDNA

 No

1.0 (reference)

0.001

1.0 (reference)

0.002

 Yes

2.2 (1.4–3.4)

 

2.1 (1.3–3.5)

 

KRAS G12D mutation in ctDNA

 No

1.0 (reference)

<0.001

1.0 (reference)

<0.001

 Yes

4.6 (2.5–8.6)

 

3.5 (1.9–6.5)

 
  1. CEA carcinoembryonic antigen, CA19-9 carbohydrate antigen 19-9, AJCC American Joint Committee on Cancer, ctDNA cell-free circulating tumour DNA