Research Article

[Retracted] Might Patients with Metastatic Gastrointestinal Stromal Tumors Benefit from Operative Management? A Population-Based Retrospective Study

Table 4

Association between surgery and OS and GSS among non-metastatic GIST patients in the SEER dataseta.

Resection (no vs. yes)GSSOS
CrudeAdjustedCrudeAdjusted
HR (95% CI) valueHR (95% CI) valueHR (95% CI) valueHR (95% CI) value

Chemotherapy
 Yes2.16 (1.76-2.64)<0.0012.39 (1.93-2.97)<0.0012.17 (1.80-2.64)<0.0012.37 (1.93-2.91)<0.001
 No/unknown2.55 (1.88-3.45)<0.0013.13 (2.26-4.32)<0.0012.29 (1.73-3.03)<0.0012.65 (1.97-3.56)<0.001
Age at diagnosis, y2.12 (1.79-250)<0.0012.60 (2.17-3.12)<0.0012.03 (1.73-2.37)<0.0012.44 (2.06-2.89)<0.001
Marital status
 Married2.42 (1.93-3.03)<0.0012.86 (2.23-3.66)<0.0012.36 (1.90-2.93)<0.0012.74 (2.16-3.47)<0.001
 Unmarried1.76 (1.37-2.27)<0.0012.23 (1.70-2.94)<0.0011.69 (1.34-2.13)<0.0012.10 (1.63-2.70)<0.001
Tumor site
 Stomach2.36 (1.84-3.02)<0.0012.71 (2.08-3.54)<0.0012.21 (1.75-2.78)<0.0012.53 (1.98-3.24)<0.001
 Small intestine1.51 (1.01-2.26)0.0431.84 (1.18-2.86)0.0071.51 (1.03-2.20)0.0331.79 (1.18-2.71)0.006
 Other digestive organs1.69 (1.08-2.62)0.0211.96 (1.18-3.25)0.0091.62 (1.06-2.46)0.0251.78 (1.11-2.87)0.017
 Non-digestive organs2.12 (1.22-3.69)0.0082.37 (1.26-4.45)0.0072.15 (1.30-3.55)0.0032.39 (1.35-4.26)0.003
Tumor size, cm
 <20.88 (0.36-2.14)0.7822.00 (0.58-7.01)0.2750.78 (0.34-1.78)0.5581.71 (0.54-5.44)0.363
 2-4.91.70 (1.00-2.87)0.0482.07 (1.19-3.59)0.0101.73 (1.07-2.81)0.0272.00 (1.20-3.33)0.008
 5-9.92.62 (1.90-3.63)<0.0013.07 (2.17-4.34)<0.0012.42 (1.80-3.26)<0.0012.83 (2.05-3.91)<0.001
 ≥102.37 (1.90-2.96)<0.0012.72 (2.14-3.46)<0.0012.28 (1.85-2.81)<0.0012.57 (2.05-3.22)<0.001
Grade
 Poor differentiated or undifferentiated2.66 (1.75-4.05)<0.0013.10 (1.99-4.85)<0.0012.50 (1.67-3.75)<0.0013.00 (1.96-4.61)<0.001
 Well or moderately differentiated3.35 (1.55-7.22)0.0022.68 (1.14-6.32)0.0243.38 (1.62-7.03)0.0012.72 (1.21-6.15)0.016

aAge at diagnosis and year at diagnosis were included as continuous variables; all other covariates were categorical. adjusted for gender, age at diagnosis, race, marital status, site of the tumor, tumor size, chemotherapy and grade of the tumor. OS: overall survival; GSS: GIST-specific survival; GIST: gastrointestinal stromal tumor; SEER: Surveillance, Epidemiology, and End Results.