Research Article

Nomogram Based on Systemic Immune-Inflammation Index to Predict Overall Survival in Gastric Cancer Patients

Table 3

Univariate and multivariate Cox regression analyses for overall survival in patients with gastric cancer.

VariablesUnivariate analysisMultivariate analysis
HR (95% CI) valueHR (95% CI) value

Primary cohort
Sex: male vs. female1.14 (0.92–1.41)0.223
Age: >60 vs. ≤601.24 (0.99–1.54)0.053
Tumor location0.0010.057
 Middle vs. upper0.71 (0.54–0.93)0.0180.84 (0.63–1.12)0.227
 Lower vs. upper0.58 (0.44–0.76)<0.0010.71 (0.53–0.95)0.020
Grade: poorly vs. well0.56 (0.40–0.72)<0.0011.12 (0.89–1.41)0.350
Lauren type0.137
 Intestinal vs. diffuse1.21 (0.91–1.62)0.195
 Mixed vs. diffuse0.98 (0.72–1.34)0.907
Tumor size: >5 vs. ≤52.38 (1.92–2.94)<0.0011.19 (0.94–1.51)0.142
Lymphovascular: yes vs. no1.21 (0.97–1.50)0.086
Perineural: yes vs. no1.58 (1.29–1.93)<0.0011.21 (0.96–1.53)0.101
TNM stage<0.001<0.001
 II vs. I2.03 (1.46–2.83)<0.0011.77 (1.26–2.47)0.001
 III vs. I4.68 (3.46–6.34)<0.0013.10 (2.27–4.24)<0.001
Chemotherapy: Yes vs. No1.12 (0.91–1.37)0.282
SII: >320 vs. ≤3202.47 (2.01–3.04)<0.0011.61 (1.27–2.05)0.041
NLR: >1.3 vs. ≤1.31.79 (1.47–2.20)<0.0011.25 (0.99–1.58)0.054
PLR: >135 vs. ≤1351.82 (1.46–2.27)<0.0011.04 (0.81–1.33)0.787
MLR: >0.23 vs. ≤0.231.88 (1.54–2.31)<0.0011.17 (0.93–1.47)0.183
Validation cohort
Sex: male vs. female1.01 (0.62–1.63)0.987
Age: >60 vs. ≤601.09 (0.88–1.36)0.442
Tumor location0.0460.098
 Middle vs. upper0.51 (0.29–0.89)0.0180.61 (0.30–1.41)0.146
 Lower vs. upper0.51 (0.27–0.94)0.0320.65 (0.38–1.10)0.087
Grade: poorly vs. well1.25 (1.01–1.54)0.0411.48 (0.95–2.29)0.080
Lauren type0.386
 Intestinal vs. diffuse0.65 (0.34–1.25)0.196
 Mixed vs. diffuse0.99 (0.63–1.57)0.979
Tumor size: >5 vs. ≤51.72 (1.09–2.70)0.0191.81 (0.81–4.04)0.151
Lymphovascular: yes vs. no1.48 (0.90–2.43)0.118
Perineural: yes vs. no1.70 (1.06–2.72)0.0281.43 (0.61–3.39)0.414
TNM stage<0.001<0.001
 II vs. I2.91 (1.45–5.83)0.0033.19 (1.43–3.63)0.002
 III vs. I7.12 (3.50–14.50)<0.0017.05 (3.15–15.81)<0.001
Chemotherapy: yes vs. no1.26 (0.79–2.01)0.001
SII: >320 vs. ≤3202.75 (1.75–4.32)<0.0012.94 (1.83–4.73)<0.001
NLR: >1.3 vs. ≤1.32.03 (1.23–3.35)0.0061.71 (0.96–3.39)0.067
PLR: >135 vs. ≤1351.90 (1.24–2.94)0.0041.46 (0.93–2.30)0.102
MLR: >0.23 vs. ≤0.231.56 (1.02–2.40)0.0461.22 (0.76–1.95)0.420