Sex-Related Differences in Outcomes for Oropharyngeal Squamous Cell Carcinoma by HPV Status
Table 3
Adjusted Cox proportional hazard models for overall survival (OS) and head and neck cancer-specific survival (HNCSS) by sex∗.
OS
HNCSS
Men median, mo
Women median, mo
HR (95% CI)
value
Men median, mo
Women median, mo
HR (95% CI)
value
HPV positive
All stages
—
—
1.05 (0.90–1.22)
0.57
—
—
1.21 (0.98–1.49)
0.08
Rec Trt
—
—
1.06 (0.89–1.28)
0.51
—
—
1.18 (0.91–1.51)
0.21
Stage I
—
—
0.94 (0.73–1.21)
0.61
—
—
1.12 (0.78–1.60)
0.53
Rec Trt
—
—
0.94 (0.70–1.27)
0.70
—
—
1.09 (0.72–1.65)
0.69
Stage II
—
—
1.13 (0.83–1.56)
0.43
—
—
1.46 (0.97–2.20)
0.07
Rec Trt
—
—
0.99 (0.68–1.44)
0.97
—
—
1.17 (0.71–1.92)
0.55
Stage III
80
—
1.21 (0.90–1.62)
0.20
—
—
1.36 (0.93–2.01)
0.11
Rec Trt
—
—
1.35 (0.96–1.88)
0.08
—
—
1.50 (0.97–2.31)
0.07
Stage IV
20
23
0.95 (0.57–1.59)
0.86
—
35
0.91 (0.44–1.89)
0.81
Rec Trt
32
31
1.01 (0.48–2.11)
0.98
—
—
0.61 (0.18–2.06)
0.42
HPV negative
All stages
61
42
1.15 (1.02–1.29)
0.02∗
—
—
1.17 (0.99–1.38)
0.06
Rec Trt
81
50
1.28 (1.11–1.47)
0.001∗
—
—
1.30 (1.07–1.59)
0.009∗
Stage I
76
62
1.45 (0.90–2.32)
0.13
—
—
1.11 (0.49–2.50)
0.80
Rec Trt
—
62
1.57 (0.95–2.60)
0.08
—
—
1.18 (0.49–2.82)
0.72
Stage II
74
62
1.15 (0.76–1.72)
0.51
—
—
1.31 (0.72–2.39)
0.37
Rec Trt
74
62
1.27 (0.83–1.94)
0.27
—
—
1.48 (0.80–2.74)
0.21
Stage III
—
51
1.13 (0.83–1.53)
0.45
—
—
0.97 (0.64–1.47)
0.88
Rec Trt
—
62
1.43 (1.01–2.01)
0.04∗
—
—
1.09 (0.67–1.80)
0.72
Stage IVA
69
38
1.20 (1.01–1.43)
0.04∗
—
—
1.27 (1.00–1.61)
0.05∗
Rec Trt
81
47
1.22 (0.99–1.50)
0.06
—
—
1.38 (1.05–1.83)
0.02∗
Stage IVB
28
11
1.33 (0.93–1.91)
0.12
—
36
2.02 (1.26–3.24)
0.003∗
Rec Trt
48
18
1.72 (1.05–2.82)
0.03∗
—
41
2.64 (1.40–4.98)
0.003∗
Stage IVC
10
10
0.95 (0.63–1.43)
0.80
18
44
0.69 (0.39–1.21)
0.20
Rec Trt
11
16
1.09 (0.52–2.30)
0.81
25
—
0.90 (0.29–2.78)
0.86
Median survival not calculable for missing values. OS, overall survival; HNCSS, head and neck cancer-specific survival; HPV, human papillomavirus; HR, hazard ratio; CI, confidence interval; Rec Trt, recommended treatment.