Research Article

Prognostic Factors and Survival in Primary Central Nervous System Lymphoma: A Population-Based Study

Table 2

Univariate and multivariate survival analysis in immunocompromised patients with DLBCL.

VariableUnivariate analysisMultivariate analysis
HR (95% CI)HR (95% CI)

Age (years)
 <60Reference
 ≥600.727 (0.453–1.166)0.186
Race
 WhiteReference
 Black1.194 (0.988–1.443)0.067
 Other (American Indian/AK native, Asian/Pacific Islander)0.921 (0.573–1.480)0.734
Gender
 FemaleReference
 Male1.185 (0.908–1.546)0.212
Dates of diagnosis
 1973–1984ReferenceReference
 1985–19953.253 (1.027–10.304)0.0452.701 (0.472–15.466)0.264
 1996–20062.270 (0.718–7.179)0.1631.881 (0.329–10.747)0.477
2007–20142.740 (0.858–8.756)0.0892.376 (0.411–13.728)0.334
Primary site
 BrainReferenceReference
 Meninges/cranial nerves0.313 (0.076–1.287)0.1070.603 (0.073–5.004)0.640
 Spine0.465 (0.254–0.852)0.0130.487 (0.262–0.906)0.023
 Other0.593 (0.709–1.541)0.8241.052 (0.692–1.600)0.811
Laterality
 Not a paired siteReference
 Paired site (left/right—origin of primary)0.901 (0.709–1.145)0.393
Lymphoma Ann Arbor stage
 I–IIReferenceReference
 III–IV1.452 (1.157–1.824)0.0011.499 (1.187–1.892)0.001
 Unknown1.269 (0.833–1.935)0.2671.177 (0.735–1.886)0.497
Radiation
 NoReferenceReference<0.001
 Yes0.673 (0.562–0.806)<0.001 0.5690.662 (0.548–0.800)0.925
 Unknown0.823 (0.422–1.607)0.968 (0.490–1.914)
Chemotherapy
 NoReferenceReference
 Yes0.585 (0.465–0.735)<0.0010.554 (0.434–0.709)<0.001
Insurance status
 UninsuredReference
 Insured/any Medicaid0.708 (0.378–1.328)0.282
 Insurance status unknown0.735 (0.403–1.339)0.315
Marital status
 Never marriedReference
 Married0.847 (0.660–1.087)0.192
 Ever married (divorced, separated, and widowed)0.877 (0.647–1.189)0.399
 Unknown1.097 (0.731–1.646)0.654

OS: overall survival; HR: hazard ratio; CI: confidence interval; SEER: Surveillance, Epidemiology, and End Results; DLBCL: diffuse large B cell lymphoma; PCNSL: primary central nervous system lymphoma.