Variables Univariate COX regression Multivariate COX regression Training cohort Validation cohort Training cohort Validation cohort HR (95% CI) valueHR (95% CI) valueHR (95% CI) valueHR (95% CI) valueRisk stratification Low risk Reference Reference Reference Reference High risk 3.70 (2.05, 6.66) < 0.001 2.54 (1.27, 5.07) 0.009 3.89 (2.13, 7.11) < 0.001 2.73 (1.29, 5.78) 0.008 Age, years ≤ 60 Reference Reference Reference Reference >60 1.58 (1.00, 2.50) 0.051 1.97 (0.98, 3.97) 0.057 1.77 (1.10, 2.85) 0.018 1.95 (0.95, 4.00) 0.067 Gender Female Reference Reference Male 0.83 (0.47, 1.46) 0.513 0.71 (0.31, 1.64) 0.424 T T1-2 Reference Reference T3-4 0.96 (0.57, 1.64) 0.891 1.55 (0.60, 4.01) 0.369 N N0 Reference Reference Reference Reference N1-3 2.16 (1.32, 3.54) 0.002 2.02 (0.99, 4.12) 0.053 1.11 (0.57, 2.17) 0.758 2.47 (0.66, 9.24) 0.179 TNM stage I/II Reference Reference Reference Reference III/IV 2.16 (1.32, 3.54) 0.002 2.01 (1.01, 4.01) 0.046 1.91 (0.99, 3.71) 0.055 0.80 (0.22, 2.99) 0.742 Tumor grade Well Reference Reference Moderate/poor 1.00 (0.56, 1.80) 0.989 2.04 (0.62, 6.70) 0.239