Research Article

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

Table 4

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

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

Sex (male/female)1.61 (0.72–3.60)0.2511.21 (0.48–3.05)0.691
Age0.99 (0.96–1.02)0.5251.00 (0.95–1.04)0.831
BMI1.04 (0.93–1.17)0.4771.10 (0.95–1.26)0.202
Primary tumor location (colon/rectum)1.26 (0.38–4.24)0.7070.52 (0.07–3.87)0.519
Primary tumor size (>2 cm/≤ 2 cm)1.17 (0.40–3.41)0.7741.77 (0.41–7.68)0.449
Primary tumor shape (ulcerative/protruding)1.12 (0.79–1.61)0.5252.80 (1.05–7.46)0.0392.10 (0.79–5.62)0.139
Tumor differentiation (NEC/NET)1.83 (0.84–3.99)0.1297.08 (2.28–22.01)0.0016.09 (1.96–18.95)0.002
TNM T stage (T3 and T4/T1 and T2)0.37 (0.05–3.00)0.3500.20 (0.02–1.68)0.139
TNM N stage (N1/N0)0.62 (0.22–1.81)0.3832.40 (0.32–18.12)0.396
Extrahepatic metastasis (Yes/No)0.69 (0.32–1.51)0.3540.76 (0.30–1.88)0.548
Surgical resection (Yes/No)1.13 (0.53–2.40)0.7611.71 (0.66–4.43)0.268

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