Research Article
Anatomic Subsites and Prognosis of Gastric Signet Ring Cell Carcinoma: A SEER Population-Based 1 : 1 Propensity-Matched Study
Table 3
Impact of tumor localization on the CSS by univariate and multivariate survival analysis before PSM.
| Characteristics | Univariate analysis | Multivariate analysis | Log rank | value | HR | 95% CI | value |
| Tumor localization | | 47.0 | <0.001 | | | | | DGC | | | Reference | | OGC | | | 1.33 | 1.28-1.37 | <0.001 | PGC | | | 1.18 | 1.10-1.23 | <0.001 |
| Age | | 45.0 | <0.001 | | | | | 18-49 | | | Reference | | 50-59 | | | 1.00 | 0.83-1.21 | 0.972 | 60-69 | | | 1.02 | 0.85-1.23 | 0.816 | 70-79 | | | 1.70 | 1.39-2.09 | <0.001 | ≥80 | | | 1.46 | 1.14-1.88 | 0.003 |
| Race | | 13.9 | 0.003 | | | | | White | | | Reference | | Black | | | 1.01 | 0.84-1.22 | 0.896 | API | | | 0.86 | 0.72-1.03 | 0.093 | AI | | | 1.07 | 0.53-2.19 | 0.843 |
| Marital status | | 16.8 | <0.001 | | | | | Divorced | | | Reference | | Married | | | 0.98 | 0.81-1.19 | 0.843 | Widowed | | | 1.01 | 0.78-1.31 | 0.954 | Single | | | 1.04 | 0.83-1.30 | 0.751 |
| Median household income | | 15.7 | 0.001 | | | | | Quartile 1 | | | Reference | | Quartile 2 | | | 0.90 | 0.80-1.02 | 0.090 | Quartile 3 | | | 1.05 | 0.93-1.19 | 0.388 | Quartile 4 | | | 0.90 | 0.79-1.01 | 0.080 |
| TNM stage | | 471.1 | <0.001 | | | | | I | | | Reference | | II | | | 1.88 | 1.46-2.42 | <0.001 | III | | | 3.77 | 2.98-4.75 | <0.001 | IV | | | 4.62 | 3.62-5.90 | <0.001 |
| Tumor size | | 247.9 | <0.001 | | | | | ≤2 | | | Reference | | ≤5 | | | 1.50 | 1.15-1.96 | 0.003 | >5 cm | | | 2.15 | 1.64-2.81 | <0.001 | Unknown | | | 2.07 | 1.59-2.69 | <0.001 |
| Regional node examined | | 116.8 | <0.001 | | | | | ≤16 | | | Reference | | >16 | | | 0.85 | 0.71-1.02 | 0.074 |
| Bone metastasis | | 83.4 | <0.001 | | | | | Yes | | | Reference | | No | | | 0.86 | 0.64-1.15 | 0.299 |
| Liver metastasis | | 94.0 | <0.001 | | | | | Yes | | | Reference | | No | | | 0.88 | 0.68-1.14 | 0.321 |
| Lung metastasis | | 74.2 | <0.001 | | | | | Yes | | | Reference | | No | | | 0.87 | 0.63-1.19 | 0.374 | Surgery | | 525.4 | <0.001 | | | | | No | | | Reference | | Yes | | | 0.34 | 0.28-0.40 | <0.001 |
| Radiation | | 22.2 | <0.001 | | | | | No/unknown | | Reference | | Yes | | | 0.97 | 0.83-1.13 | 0.707 |
| Chemotherapy | | 6.5 | 0.010 | | | | | No/unknown | | Reference | | Yes | | | 0.42 | 0.36-0.49 | <0.001 |
|
|
CSS: cancer-specific survival; PSM: propensity score matching; HR: hazard ratio; CI: confidence interval.
|