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Table 2 Prognostic factors for radiotherapy response

From: Optimal management of recurrent and metastatic upper tract urothelial carcinoma: Implications of intensity modulated radiation therapy

Variables

No. (%)

Univariate

Mulitivariate

OR (95% CI)

p value

OR (95% CI)

p value

Sex

 

0.91 (0.42–2.0)

0.813

  

 Male

120 (69)

    

 Female

54 (31)

    

Age

 

2.68 (1.25–5.78)

0.012

  

  ≤ 68

81 (46.6)

    

  > 68

93 (53.4)

    

ECOG

 

0.84 (0.31–2.27)

0.725

  

 ECOG 0–1

140 (80.5)

    

 ECOG 2–3

34 (19.5)

    

Primary location

 

0.25 (0.11–0.58)

0.001

  

 Renal pelvis

87 (53)

    

 Ureter

77 (47)

    

Multifocality

 

0.62 (0.22–1.76)

0.368

  

 Yes

23 (13.2)

    

 No

151 (86.8)

    

Tumor size

 

0.8 (0.34–1.91)

0.615

  

  < 4 cm

59 (46.8)

    

  ≥ 4 cm

67 (53.2)

    

Radical nephroureterectomy

 

0.69 (0.28–1.67)

0.406

  

 Yes

135 (77.6)

    

 No

39 (22.4)

    

Resection margin

 

1.14 (0.34–3.87)

0.835

  

 Negative

95 (68.3)

    

 Close or positive

44 (31.7)

    

Lymphovascular invasion

 

0.35 (0.15–0.82)

0.016

  

 Negative

83 (62.4)

    

 Positive

50 (37.6)

    

Perineural invasion

 

0.55 (0.20–1.52)

0.245

  

 Negative

112 (84.2)

    

 Positive

21 (15.8)

    

Histologic grade

 

0.86 (0.16–4.62)

0.856

  

 Low

8 (5.3)

    

 High

144 (94.7)

    

PD-L1

 

0 (0–0)

0.999

  

 Negative

36 (83.7)

    

 Positive

7 (16.3)

    

Concurrent chemotherapy

 

2.22 (1.02–4.85)

0.045

2.91 (1.11–7.65)

0.03

 Yes

101 (58)

    

 No

73 (42)

    

Interval between diagnosis to first recurrence

 

0.56 (0.27–1.17)

0.124

  

  > 8 m

81 (48.8)

    

  ≤ 8 m

85 (51.2)

    

RT methods

 

0.53 (0.25–1.15)

0.107

  

 2D/3D

61 (35.1)

    

 IMRT

113 (64.9)

    

Radiation dose

 

0.38 (0.18–0.81)

0.011

2.67 (1.08–6.64)

0.034

  ≥ 45 Gy

81 (46.6)

    

  < 45 Gy

93 (53.4)

    
  1. Factors related with radiotherapy response were analyzed with logistic regression analysis
  2. PD-L1 programmed death-ligand 1, IMRT intensity modulated radiotherapy, 2D 2-dimensional radiotherapy, 3D 3-dimensional radiotherapy