From: Chemoradiation for oesophageal cancer: the choice of treatment modality
Factor | No. of patients (%) | Univariate analysis | Multivariate analysis | ||
---|---|---|---|---|---|
Median OS in months (95% CI) | P value | Hazard ratio (95% CI) | P value | ||
Age in years | 0.395 | ||||
Median 64,9 | |||||
<65 | 75 (50.3) | 17 (14–20) | |||
≥ 65 | 74 (49.7) | 20 (14–26) | |||
Sex | 0.895 | ||||
Female | 55 (36.9) | 18 (11–25) | |||
Male | 94 (63.1) | 17 (13–22) | |||
Smoking status | 0.018 | ||||
Nonsmoker | 24 (16.1) | 60 (NA) | Ref. | ||
Former smoker | 37 (24.8) | 18 (12–25) | 1.58 (0.75–3.34) | 0.228 | |
Current smoker | 77 (51.7) | 14 (9–19) | 2.02 (1.04–3.92) | 0.037 | |
Unknown | 11 (7.4) | 17 (3–31) | 1.62 (0.60–4.34 | 0.339 | |
ECOG performance status | 0.015 | ||||
0 | 24 (16.1) | 20 (6–35) | Ref. | ||
1 | 102 (68.5) | 19 (14–23) | 0.75 (0.41–1.38) | 0.356 | |
2 | 23 (15.4) | 11 (8–13) | 0.74 (0.33–1.65) | 0.460 | |
Stage | 0.008 | ||||
I–II | 37 (24.8) | 29 (0–96) | Ref | ||
III | 60 (40.3) | 17 (14–20) | 1.29 (0.69–2.41) | 0.423 | |
IVa | 35 (23.5) | 17 (6–28) | 1.17 (0.61–2.25) | 0.629 | |
IVb | 17 (11.4) | 15 (7–22) | 1.36 (0.63–2.96) | 0.437 | |
Histology | 0.874 | ||||
Squamous cell carcinoma | 126 (84.6) | 17 (13–21) | |||
Other | 23 (15.4) | 20 (15–27) | |||
BMI | 0.164 | ||||
Median 22.8 (range 13.3–42.6) | |||||
<20 | 34 (22.8) | 9 (0–18) | |||
20–24.99 | 65 (43.6) | 18 (15–21) | |||
>25 | 48 (32.9) | 23 (6–40) | |||
Weight loss >10% before chemoradiation | 0.136 | ||||
Yes | 79 (53.0) | 13 (9–18) | |||
No | 70 (47.0) | 21 (17–25) | |||
Completion of chemotherapy | 0.028 | ||||
Yes | 100 (67.1) | 19 (16–23) | |||
No | 49 (32.9) | 12 (7–18) | 0.70 (0.45–1.09) | 0.116 | |
Surgery | <0.0001 | ||||
Yes | 64 (43.0) | 60 (12–108) | 0.28 (0.17–0.44) | <0.0001 | |
No | 85 (57.0) | 10 (7–13) | |||
Radiation modality | 0.531 | ||||
3D CRT | 22 (14.8) | 19 (6–31) | |||
IMRT | 56 (37.6) | 17 (15–19) | |||
VMAT | 70 (47.0) | 17 (8–26) | |||
Radiation dose, Gy | 0.422 | ||||
41.4 | 30 (20.1) | 23 (16–30) | |||
45 | 39 (26.2) | 19 (5–33) | |||
50–50.4 | 49 (32.9) | 17 (13–21) | |||
54–60 | 23 (15.4) | 15 (2–28) | |||
61–70 | 8 (5.4) | 26 (13–39) | |||
PTV, cm3 | 0.038 | ||||
Median 555 (range 121–1821) | |||||
<555 | 75 (50.3) | 22 (18–27) | Ref. | ||
≥555 | 74 (49.7) | 14 (7–20) | 1.00 (0.99–1.00) | 0.456 | |
Mean lung dose, Gy | 0.040 | ||||
Median 10,1 (range 4,0–21,8) | |||||
<10 | 71 (49.0) | 23 (18–28) | Ref. | ||
≥10 | 74 (51.0) | 12 (7–17) | 1.05 (0.99–1.12) | 0.116 | |
Lung V5, % | 0.182 | ||||
Median 55.6 (range 12.0-98.4) | |||||
<55 | 71 (49.0) | 21 (17–26) | |||
≥55 | 74 (51.0) | 14 (7–20) | |||
Lung V20, % | 0.052 | ||||
Median 14.6 (range 2.2-49.1) | |||||
<15 | 77 (53.1) | 23 (17–29) | |||
≥15 | 68 (46.9) | 13 (7–20) | |||
Mean heart dose, Gy | 0.922 | ||||
Median 17.9 (range 0.2-37.5) | |||||
<18 | 72 (50.0) | 19 (15–23) | |||
≥18 | 72 (50.0) | 15 (8–21) | |||
Heart V30, % | 0.607 | ||||
Median 16.5 (range 0.0–85.9) | |||||
<17 | 73 (50.3) | 20 (15–25) | |||
≥17 | 72 (49.7) | 14 (7–21) | |||
Local recurrence | <0.0001 | ||||
Yes | 59 | 15 (10–20) | 0.74 (0.48–1.14) | 0.722 | |
No | 90 | 23 (7–38) | Ref. |