Table 5 The relationship between validated ratios, scores and survival in patients undergoing surgery for rectal cancer (n = 413).
ROC-AUC | Univariate | Multivariate Adjusted for TNM stage, Type of Surgery and Time of Surgery, Margin Involvement | ROC-AUC | Univariate | Multivariate Adjusted for TNM stage, Type of Surgery and Time of Surgery, Margin Involvement | |||||
|---|---|---|---|---|---|---|---|---|---|---|
CSS HR (95% CI) | p-value | CSS HR (95% CI) | p-value | OS HR (95% CI) | p-value | OS HR (95% CI) | p-value | |||
TNM stage | ||||||||||
I (n = 88) | 0.622 (0.564–0.680) | 0.596 (0.542–0.651) | ||||||||
II (n = 161) | 2.05 (1.06–3.98) | 0.034 | 1.85 (0.89–3.85) | 0.098 | 1.39 (0.89–2.15) | 0.144 | 1.24 (0.75–2.05) | 0.395 | ||
III (n = 164) | 3.22 (1.70–6.13) | < 0.001 | 2.64 (1.29–5.40) | 0.008 | 1.89 (1.23–2.91) | 0.004 | 1.65 (1.01–2.69) | 0.045 | ||
Type of surgery | ||||||||||
Open (n = 343) vs laparoscopic (n = 70) | 0.575 (0.517–0.634) | 2.51 (1.16–5.41) | 0.019 | 2.05 (0.94–4.67) | 0.070 | 0.614 (0.560–0.667) | 2.48 (1.30–4.72) | 0.006 | 1.84 (0.95–3.60) | 0.073 |
Time to surgery | ||||||||||
1997–2004 (n = 129) | 0.608 (0.547–0.669) | 0.698 (0.647–0.749) | ||||||||
2005–2015 (n = 284) | 0.76 (0.52–1.10) | 0.146 | 0.76 (0.49–1.18) | 0.215 | 0.64 (0.47–0.87) | 0.005 | 0.74 (0.53–1.05) | 0.094 | ||
Margin involvement | ||||||||||
R0 (n = 364) | 0.564 (0.499–0.628) | 0.532 (0.475–0.588) | ||||||||
R1 (n = 45) | 2.83 (1.79–4.48) | < 0.001 | 2.59 (1.59–4.21) | < 0.001 | 1.88 (1.26–2.82) | 0.002 | 1.76 (1.14–2.72) | 0.010 | ||
Surgical complication | ||||||||||
No (n = 209) | 0.556 (0.490–0.622) | 0.531 (0.472–0.590) | ||||||||
Yes (n = 160) | 1.61 (1.09–2.38) | 0.017 | 1.39 (0.94–2.07) | 0.104 | 1.50 (1.10–2.04) | 0.010 | 1.49 (1.07–2.07) | 0.017 | ||
NLR/ NLS | ||||||||||
NLR < 3 (n = 209) | 0.525 (0.463–0.587) | 0.595 (0.540–0.649) | ||||||||
NLR 3–5 (n = 130) | 1.25 (0.83–1.89) | 0.288 | 1.18 (0.76–1.84) | 0.465 | 1.44 (1.04–1.99) | 0.027 | 1.45 (1.02–2.05) | 0.038 | ||
NLR > 5 (n = 74) | 1.17 (0.71–1.92) | 0.540 | 0.82 (0.47–1.44) | 0.494 | 1.68 (1.17–2.40) | 0.005 | 1.32 (0.87–1.98) | 0.188 | ||
NLS 0 (n = 217) | 0.565 (0.503–0.627) | 0.585 (0.530–0.640) | ||||||||
NLS 1 (n = 177) | 1.49 (1.02–2.17) | 0.040 | 1.40 (0.92–2.12) | 0.115 | 1.39 (1.04–1.87) | 0.025 | 1.33 (0.97–1.84) | 0.077 | ||
NLS 2 (n = 19) | 1.94 (0.88–4.28) | 0.101 | 1.73 (0.76–3.95) | 0.191 | 2.52 (1.46–4.37) | 0.001 | 2.21 (1.22–4.03) | 0.009 | ||
PLR/ PLS | ||||||||||
PLR ≤ 150 (n = 151) | 0.535 (0.468–0.603) | 0.532 (0.472–0.592) | ||||||||
PLR > 150 (n = 210) | 1.24 (0.81–1.89) | 0.324 | 1.16 (0.73–1.83) | 0.536 | 1.15 (0.83–1.58) | 0.403 | 1.08 (0.76–1.53) | 0.676 | ||
PLS 0 (n = 187) | 0.566 (0.499–0.634) | 0.594 (0.535–0.653) | ||||||||
PLS 1 (n = 164) | 1.60 (1.06–2.43) | 0.027 | 1.36 (0.87–2.14) | 0.183 | 1.56 (1.13–2.15) | 0.007 | 1.36 (0.96–1.94) | 0.083 | ||
PLS 2 (n = 10) | 1.24 (0.38–4.01) | 0.721 | 1.06 (0.32–3.57) | 0.113 | 2.01 (0.96–4.18) | 0.063 | 1.47 (0.62–3.50) | 0.381 | ||
LMR/ LMS | ||||||||||
LMR ≥ 2.4 (n = 133) | 0.559 (0.445–0.673) | 0.589 (0.505–0.673) | ||||||||
LMR < 2.4 (n = 85) | 2.22 (1.22–4.04) | 0.009 | 2.08 (1.13–3.845) | 0.019 | 1.78 (1.09–2.91) | 0.021 | 1.73 (1.05–2.83) | 0.031 | ||
LMS 0 (n = 105) | 0.612 (0.517–0.706) | 0.592 (0.492–0.692) | ||||||||
LMS 1 (n = 106) | 1.97 (1.03–3.74) | 0.039 | 1.90 (0.99–3.63) | 0.054 | 1.97 (1.16–3.37) | 0.013 | 2.01 (1.17–3.44) | 0.011 | ||
LMS 2 (n = 7) | 2.60 (0.59–11.47) | 0.208 | 2.38 (0.54–10.59) | 0.255 | 2.47 (0.73–8.35) | 0.147 | 2.51 (0.74–8.51) | 0.139 | ||
NPS | ||||||||||
NPS 0 (n = 320) | 0.538 (0.468–0.607) | 0.569 (0.509–0.630) | ||||||||
NPS 1 (n = 33) | 2.23 (1.28–3.88) | 0.005 | 1.72 (0.92–3.22) | 0.087 | 2.03 (1.30–3.16) | 0.002 | 1.97 (1.22–3.16) | 0.005 | ||
NPS 2 (n = 8) | 0.58 (0.08–4.13) | 0.582 | 0.70 (0.10–5.07) | 0.727 | 2.55 (1.19–5.48) | 0.016 | 2.40 (0.97–5.94) | 0.058 | ||
CAR/ mGPS | ||||||||||
CAR ≤ 0.22 (n = 298) | 0.554 (0.491–0.617) | 0.549 (0.494–0.605) | ||||||||
CAR > 0.22 (n = 115) | 1.46 (0.99–2.14) | 0.053 | 1.14 (0.75–1.75) | 0.541 | 1.26 (0.94–1.70) | 0.127 | 1.13 (0.81–1.56) | 0.483 | ||
mGPS 0 (n = 314) | 0.577 (0.513–0.641) | 0.553 (0.497–0.608) | ||||||||
mGPS 1 (n = 58) | 1.20 (0.71–2.03) | 0.498 | 1.11 (0.64–1.94) | 0.701 | 1.03 (0.69–1.54) | 0.879 | 1.06 (0.69–1.61) | 0.796 | ||
mGPS 2 (n = 41) | 2.59 (1.61–4.17) | < 0.001 | 2.09 (1.17–3.72) | 0.012 | 1.79 (1.19–2.69) | 0.005 | 1.56 (0.96–2.53) | 0.074 | ||