Table 4 Treatment related characteristics affecting distant metastasis and progression-free survival outcomes.

From: Management of Low and Intermediate Risk Adult Rhabdomyosarcoma: A Pooled Survival Analysis of 553 Patients

Characteristics

Distant Metastasis Free Survival (DMFS)

Progression Free survival (PFS)

Univariate

Multivariate analysis

Univariate

Multivariate analysis

p-value

Patients

Events

HR

95% CI

Test C-index

p-value

Patients

Events

HR

95% CI

Test C-index

IRS Post-surgical Group

Group I

 < 0.001

342

78

0.40

0.225–0.703

70%

 < 0.001

342

113

0.34

0.212–0.554

70%

Group I-II

0.038

342

78

1.57

0.827–2.974

66%

0.033

342

113

0.86

0.491–1.519

70%

Group II

0.068

342

78

2.16

1.21–3.83

65%

0.020

342

113

1.25

0.736–2.13

70%

Treatment Modality

Trimodality

0.246

390

94

0.69

0.419–1.14

64%

0.321

342

113

0.82

0.52–1.284

68%

Surgery and Chemotherapy

0.015

390

94

0.65

0.386–1.106

64%

0.004

342

113

0.72

0.44–1.191

69%

Radio and Chemotherapy

0.251

390

94

1.19

0.673–2.119

62%

0.509

342

113

0.98

0.585–1.652

69%

Surgery alone

0.028

390

94

1.09

0.633–1.89

62%

0.012

342

113

1.04

0.587–1.825

70%

Surgery and Radiotherapy

0.907

390

94

2.19

1.192–4.01

64%

0.498

342

113

2.01

1.0783–3.761

69%

Chemotherapy Use

0.026

390

94

0.61

0.382–0.9708

66%

0.001

342

113

0.52

0.315–0.859

70%

Category of Chemotherapy

Cyclo based

0.572

269

59

1.40

0.72–2.69

64%

0.427

241

74

1.27

0.721–2.218

71%

Cyclo and Anthracycline based

0.231

269

59

0.87

0.431–1.75

63%

0.021

241

74

0.56

0.291–1.078

69%

Ifo and Anthracycline based

0.843

269

59

0.92

0.434–1.94

63%

0.704

241

74

0.89

0.446–1.77

70%

Anthracycline only based

0.243

269

59

1.13

0.414–3.087

63%

0.139

241

74

2.73

1.154–6.475

70%

Cyclo and Ifo and Anthracycline based

      

0.200

241

74

0.40

0.098–1.659

70%

Ifo based

Timing of Chemotherapy

Adjuvant

0.006

371

91

0.62

0.394–0.98

64%

0.001

334

110

0.79

0.515–1.208

68%

Both pre and Post surgery

0.223

371

91

0.31

0.043–2.27

58%

0.265

334

110

0.61

0.191–1.963

70%

Primary modality

0.056

371

91

1.36

0.796–2.33

60%

0.366

334

110

0.91

0.541–1.517

69%

Neoadjuvant

      

0.958

334

110

0.74

0.294–1.84

70%

Response to chemotherapy

Complete response (CR)

0.017

387

94

0.29

0.104–0.7906

63%

0.002

339

113

0.25

0.11–0.589

69%

Disease progression (PD)

 < 0.001

387

94

4.36

2.46–7.706

67%

 < 0.001

339

113

3.50

2.002–6.127

71%

Not available (N/A)

0.628

387

94

1.10

0.580–2.07

61%

0.539

339

113

0.67

0.34–1.295

69%

Partial response (PR)

      

0.619

339

113

0.91

0.498–1.665

69%

No response (NR)

  1. aBold = significant values (p < 0.05); Cyclo: Cyclophosphamide; Ifo: Ifosfamide; VA: Vincristine, Actinomycin-D. For the multivariate models, each variable was adjusted to the following set of covariates: DMFS analysis: Age, Head/Neck (Non PM) tumor site, GU (B/P) tumor site, and IRS risk group; PFS analysis: Age, Head/Neck (Non PM) tumor site, IRS Post-Surgical Group-I, IRS Post-Surgical Group-II and IRS risk group. Empty rows correspond to covariates that were not entered into the model because they were either explained by other covariates or did not meet the model inclusion criteria (due to small number of events or other reasons - see Methodology section for details).