Research Article

Nomograms for Predicting Prognosis of Primary Mediastinal Seminoma: A Population-Based Study

Table 2

Univariate analysis and multivariate analysis of overall survival and cancer-specific survival in the training cohort.

VariableOverall survivalCancer-specific survival
Univariate analysisMultivariate analysisUnivariate analysisMultivariate analysis
valueHR (95%CI) value valueHR (95%CI) value

Sex0.0040.002
 MaleRef.Ref.
 Female1.43 (0.57–3.61)0.4451.55 (0.55–4.32)0.404

Age (years)<0.001<0.001
 <20Ref.Ref.
 20∼401.56 (0.70–3.51)0.2791.67 (0.65–4.29)0.284
 40∼602.64 (1.09–6.41)0.0322.67 (0.94–7.58)0.065
 ≥605.26 (1.75–15.81)0.0037.93 (2.22–28.32)0.001

Year of diagnosis0.0360.370
 <2004Ref.Ref.
 ≥20040.70 (0.44–1.11)0.1311.00 (0.59–1.69)0.989

Race0.2910.967
 WhiteRef.Ref.
 Black0.77 (0.38–1.54)0.4610.42 (0.16–1.06)0.067
 Other0.89 (0.42–1.90)0.7601.01 (0.44–2.35)0.974

Marital status0.0750.149
 SingleRef.Ref.
 Married0.74 (0.46–1.22)0.2390.57 (0.32–1.03)0.064
 Other1.29 (0.68–2.47)0.4381.11 (0.51–2.40)0.789

Extent of primary site<0.001<0.001
 CSORef.Ref.
 LNOS1.14 (0.53–2.42)0.7361.03 (0.40–2.65)0.944
 ACT2.55 (0.94–6.87)0.0652.54 (0.76–8.51)0.130
 AO/S1.86 (0.93–3.74)0.0801.79 (0.77–4.14)0.173
 FCE1.75 (0.59–5.21)0.3132.87 (0.86–9.58)0.087
 Unknown2.56 (1.07–6.13)0.0343.36 (1.21–9.31)0.020

Lymph nodes involved<0.001<0.001
 NoRef.Ref.
 Yes1.16 (0.68–1.99)0.5851.68 (0.90–3.15)0.105
 Unknown1.02 (0.54–1.92)0.9461.48 (0.70–3.15)0.304

Metastasis<0.001<0.001
 NoRef.Ref.
 Yes2.05 (1.12–3.75)0.0201.88 (0.94–3.75)0.073
 Unknown0.34 (0.13–0.93)0.0350.14 (0.03–0.56)0.006

Tumor size (cm)0.2460.202
 <10Ref.Ref.
 ≥101.07 (0.61–1.88)0.8211.01 (0.52–1.98)0.967
 Unknown0.98 (0.56–1.74)0.9551.02 (0.53–1.96)0.955

Surgery0.0120.029
 PerformedRef.Ref.
 NP/NA1.86 (1.14–3.03)0.0131.84 (1.02–3.31)0.041

Radiation0.3390.677
 PerformedRef.Ref.
 NP/NA1.11 (0.70–1.74)0.6641.28 (0.74–2.23)0.375

Chemotherapy0.3830.679
 PerformedRef.Ref.
 NP/NA1.56 (0.90–2.68)0.1121.70 (0.86–3.38)0.128

HR, hazard ratio; CI, confidence interval; Ref., reference; CSO, confined to site of origin; LNOS, localized (not otherwise specified); ACT, extend to adjacent connective tissue; AO/S, adjacent organs/structures; FCE, further contiguous extension; NP/NA, not performed or unknown.