Research Article

Tumor Differentiation is the Dominant Prognostic Factor for Patients with Colorectal Neuroendocrine Neoplasms with Distant Metastasis

Table 3

Univariate and multivariate analysis of the risk factors of PFS and OS in the original cohort.

VariablesPFSOS
Univariate analysisMultivariate analysisUnivariate analysisMultivariate analysis
HR (95% CI)PHR (95% CI)PHR (95% CI)PHR (95% CI)P

Sex (male/female)1.30 (0.76–2.21)0.3351.08 (0.58–2.03)0.802
Age1.00 (0.97–1.02)0.5041.01 (0.98–1.04)0.511
BMI0.98 (0.91–1.05)0.5091.00 (0.92–1.09)0.926
Primary tumor location (colon/rectum)2.10 (1.19–3.68)0.0101.68 (0.93–3.05)0.0862.74 (1.42–5.29)0.0030.74 (0.37–1.47)0.392
Primary tumor size (>2 cm/≤ 2 cm)2.00 (0.97–4.10)0.0602.00 (0.83–4.82)0.122
Primary tumor shape (ulcerative/protruding)2.16 (1.24–3.76)0.0071.75 (0.95–3.21)0.0733.57 (1.79–7.13)<0.0011.44 (0.67–3.09)0.349
Tumor differentiation (NEC/NET)2.64 (1.51–4.63)0.0011.37 (0.71–2.63)0.34710.97 (4.37–27.54)<0.0018.28 (2.98–23.01)<0.001
TNM T stage (T3 and T4/T1 and T2)1.15 (0.54–2.44)0.7142.47 (0.76–8.03)0.132
TNM N stage (N1/N0)0.70 (0.33–1.48)0.3492.42 (0.72–8.20)0.155
Extrahepatic metastasis (Yes/No)1.09 (0.64–1.86)0.7501.21 (0.65–2.26)0.547
Surgical resection (Yes/No)0.99 (0.58–1.67)0.9551.33 (0.71–2.48)0.376

PFS, progression-free survival; OS, overall survival; HR, hazard ratio; CI, confidence interval; BMI, body mass index; NET, neuroendocrine tumor; NEC, neuroendocrine carcinoma.