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Table 3 Univariate logistic regression models for the risk of perineal wound complications

From: Excluding the ischiorectal fossa irradiation during neoadjuvant chemoradiotherapy with intensity-modulated radiotherapy followed by abdominoperineal resection decreases perineal complications in patients with lower rectal cancer

Variable

n (%)

OR (95%CI)

p

Absent (n = 148)

Present (n = 66)

Gender

 Male

102(68.9)

49(74.2)

Ref

 

 Female

46(31.1)

17(25.8)

0.431(0.401–1.477)

0.431

Age (years)

 < 45

18(12.2)

9(13.7)

Ref

 

 45–59

78(52.7)

28(42.4)

0.718(0.289–1.782)

0.475

 ≥60

52(35.1)

29(43.9)

1.115(0.444–2.799)

0.816

ECOG

 0

121(81.8)

48(72.7)

Ref

 

 1

27(18.2)

18(27.3)

1.681(0.848–3.330)

0.137

BMI (kg/m2)

 < 18.5

4(2.7)

3(4.5)

1.781(0.377–8.417)

0.466

 < 25

76(51.7)

32(48.5)

Ref

 

 ≥ 25

67(45.6)

31(47.0)

1.099(0.607–1.989)

0.755

ASA score

 I

14(9.4)

5(7.6)

Ref

 

 II

121(81.8)

52(78.8)

1.203(0.412–3.514)

0.735

 III

13(8.8)

8(12.1)

1.723(0.447–6.636)

0.429

 IV

0(0)

1(1.5)

 

1

p T Stage

 0–2

89(60.1)

40(60.6)

Ref

 

 3–4

59(39.9)

26(39.4)

0.981(0.542–1.775)

0.948

p N Stage

 0

117(79.1)

52(78.8)

Ref

 

 1–2

31(20.9)

14(21.2)

1.016(0.499–2.068)

0.965

Diabetes mellitus

 No

130(87.8)

55(83.3)

Ref

 

 Yes

18(12.2)

11(16.7)

0.640–3.259

0.376

Hypertension

 No

117(79.1)

43(65.2)

Ref

 

 Yes

31(20.9)

23(34.8)

2.019(1.062–3.839)

0.032

Preoperative albumin level (g/dl)

 ≥ 35

137(97.9)

61(96.8)

Ref

 

 < 35

3(2.1)

2(3.2)

1.497(0.244–9.190)

0.663

Preoperative haemoglobin level (g/dl)

 ≥ 11

137(93.8)

53(82.8)

Ref

 

 < 11

9(6.2)

11(17.2)

3.159(1.239–8.058)

0.016

Surgical technique

 Laparoscopic surgery

50(33.8)

24(36.4)

Ref

 

 Open surgery

98(66.2)

42(63.6)

0.893(0.487–1.637)

0.714

Smoking

 No

78(52.7)

27(40.9)

Ref

 

 Yes

70(47.3)

39(59.1)

1.610(0.895–2.896)

0.112

Bleeding volume (ml)

 ≤ 200

123(84.2)

51(77.3)

Ref

 

 > 200

23(15.8)

15(22.7)

1.573(0.760–3.257)

0.223

Blood transfusion

 No

137(92.6)

54(81.8)

Ref

 

 Yes

11(7.4)

12(18.2)

2.768(1.152–6.650)

0.023

Operation duration (min)

 ≤ 180

84(56.8)

23(34.8)

Ref

 

 > 180

64(43.2)

43(65.2)

2.454(1.344–4.479)

0.003

Time interval between NCRT and APR

 ≤ 8 weeks

76(51.4)

22(33.3)

Ref

 

 > 8 weeks

72(48.6)

44(66.7)

2.111(1.153–3.865)

0.015

Irradiation of IRF

 No

94(63.5)

30(45.5)

Ref

 

 Yes

54(36.5)

36(54.5)

2.089(1.159–3.764)

0.014

  1. Abbreviations: ECOG Eastern Cooperative Oncology Group, p pathological, NCRT Neoadjuvant chemoradiotherapy, BMI Body mass index, APR Abdominoperineal resection, IRF Ischiorectal fossa, ASA American Society of Anesthesiologists, Ref Reference