Table 2 Cox proportional hazard models of overall survival and cancer-specific survival.

From: Cytoreductive nephroureterectomy for treatment of upper urinary tract urothelial carcinoma initially diagnosed as node-positive

 

Overall survival

Cancer-specific survival

Univariable analysis

Multivariable analysis

Univariable analysis

Multivariable analysis

HR (95% CI)

p-value

HR (95% CI)

p-value

HR (95% CI)

p-value

HR (95% CI)

p-value

RNU (+)

 

Ref.

 

Ref.

 

Ref.

 

Ref.

RNU (−)

3.12 (2.20–4.42)

< 0.001

2.19 (1.44–3.31)

< 0.001

2.23 (1.24–4.01)

0.007

1.90 (1.05–3.46)

0.034

Sex

 Male

 

Ref.

 

Ref.

 

Ref.

  

 Female

0.63 (0.48–0.84)

0.002

0.69 (0.50–0.97)

0.034

0.71 (0.52–0.97)

0.033

  

Age

 < 70-years-old

 

Ref.

 

Ref.

 

Ref.

  

 ≥ 70-years-old

1.51 (1.14–2.00)

0.005

1.89 (1.39–2.57)

< 0.001

1.00 (0.73–1.37)

0.981

  

ASA grading

 1–2

 

Ref.

   

Ref.

  

 3–4

0.83 (0.57–1.21)

0.337

  

1.21 (0.83–1.77)

0.320

  

Smoking

 No

 

Ref.

 

Ref.

 

Ref.

 

Ref.

 Yes

1.58 (1.13–2.20)

0.007

1.51 (1.01–2.26)

0.044

1.45 (1.00–2.11)

0.051

1.48 (1.01–2.17)

0.043

End-stage renal disease

 No

 

Ref.

   

Ref.

  

 Yes

1.04 (0.62–1.73)

0.892

  

1.14 (0.66–1.98)

0.638

  

History of other malignancies

 No

 

Ref.

   

Ref.

  

 Yes

0.93 (0.61–1.40)

0.724

  

0.93 (0.61–1.41)

0.726

  

Tumor location

 Renal pelvis

 

Ref.

 

Ref.

 

Ref.

 

Ref.

 Ureter

0.87 (0.60–1.26)

0.468

0.662 (0.351–1.250)

0.203

1.29 (0.90–1.86)

0.171

0.529 (0.246–1.137)

0.103

 Both

1.36 (0.97–1.89)

0.072

1.132 (0.568–2.255)

0.724

1.39 (0.92–2.10)

0.122

1.226 (0.566–2.655)

0.605

Tumor size

 < 3 cm

 

Ref.

   

Ref.

  

 ≥ 3 cm

0.76 (0.57–1.02)

0.067

  

0.77 (0.55–1.07)

0.119

  

Clinical T stage

 cTx/cT1/cT2

 

Ref.

   

Ref.

  

 cT3/cT4

1.42 (1.07–1.89)

0.014

  

1.20 (0.88–1.64)

0.246

  

Clinical N stage

 cN1

 

Ref.

   

Ref.

 

Ref.

 cN2/cN3

1.45 (1.10–1.93)

0.010

  

1.39 (1.02–1.90)

0.036

1.35 (0.98–1.87)

0.063

Multifocal

 No

 

Ref.

 

Ref.

 

Ref.

  

 Yes

1.53 (1.15–2.03)

0.003

1.52 (1.13–2.04)

0.006

1.33 (0.96–1.86)

0.091

  

Combined bladder cancer

 No

 

Ref.

   

Ref.

  

 Yes

1.07 (0.74–1.54)

0.733

  

1.35 (0.92–1.98)

0.126

  

Cell type

 Urothelial

 

Ref.

   

Ref.

  

 Others (N, %)

1.00 (0.41–2.42)

0.993

  

0.85 (0.31–2.29)

0.747

  

UTUC Chemotherapy

 No

 

Ref.

   

Ref.

  

 Yes

1.33 (0.98–1.81)

0.069

  

1.40 (1.01–1.94)

0.043

  

Chemotherapy types

 No

 

Ref.

   

Ref.

  

 Neoadjuvant

1.03 (0.62–1.72)

0.902

  

1.56 (0.95–2.58)

0.08

  

 Adjuvant

0.87 (0.58–1.29)

0.479

  

1.25 (0.86–1.83)

0.243

  

 Salvage

0.62 (0.24–1.80)

0.411

  

1.46 (0.62–3.40)

0.384

  

 Palliative

2.69 (1.88–3.86)

< 0.001

  

1.73 (1.03–2.89)

0.039

  

Chemotherapy regimens

 No

 

Ref.

 

Ref.

 

Ref.

  

 Gemcitabine and cisplatin

1.88 (1.30–2.71)

0.001

1.67 (1.08–2.59

0.022

1.70 (1.09–2.58)

0.019

  

 MVAC

0.51 (0.16–1.63)

0.258

0.89 (0.27–2.88)

0.841

0.76 (0.31–1.89)

0.553

  

 Taxane-based

0 (0–Inf)

0.992

0 (0–Inf)

0.993

0.40 (0.05–2.87)

0.359

  

 Carboplatin-based

1.16 (0.79–1.72)

0.441

1.20 (0.78–1.84)

0.402

1.45 (0.97–2.16)

0.07

  

 Others

1.47 (0.93–2.32)

0.096

1.28 (0.79–2.08)

0.311

1.42 (0.81–2.48)

0.219

  
  1. ASA Amersican Society of Anesthesiologists physical status classification score, RNU Radical nephroureterectomy, UTUC Urothelial carcinomas of the upper urinary tract.