Research Article
Prognostic Nomogram and Therapeutic Option of Cancer-Specific Death in the Patients with Metachronous Second Primary Lung Cancer
Table 1
The detailed demographic and clinical characteristics of study population.
| | Survival status | -value | Alive | Cause-specific death | Other-specific death |
| N | 582 | 538 | 180 | | Age(years) | 72.0 (66.0–77.0) | 74.0 (68.0–80.0) | 73.0 (66.8–80.0) | <0.001 |
| Age | | | | 0.062 | <65 years | 120 (20.6%) | 82 (15.2%) | 31 (17.2%) | | ≥65 years | 462 (79.4%) | 456 (84.8%) | 149 (82.8%) | |
| Sex | | | | <0.001 | Female | 373 (64.1%) | 281 (52.2%) | 103 (57.2%) | | Male | 209 (35.9%) | 257 (47.8%) | 77 (42.8%) | |
| Marital status | | | | 0.009 | Unmarried | 250 (43.0%) | 264 (49.1%) | 77 (42.8%) | | Married | 332 (57.0%) | 274 (50.9%) | 103 (57.2%) | |
| Race | | | | 0.405 | Other | 37 (6.4%) | 22 (4.1%) | 7 (3.9%) | | Black | 74 (12.7%) | 77 (14.3%) | 24 (13.3%) | | White | 471 (80.9%) | 439 (81.6%) | 149 (82.8%) | |
| Laterality (SPLC) | | | | 0.672 | Left | 265 (45.5%) | 231 (42.9%) | 81 (45.0%) | | Right | 317 (54.5%) | 307 (57.1%) | 99 (55.0%) | |
| Primary site (SPLC) | | | | 0.006 | Main | 7 (1.2%) | 25 (4.6%) | 2 (1.1%) | | Upper | 302 (51.9%) | 292 (54.3%) | 92 (51.1%) | | Middle | 49 (8.4%) | 35 (6.5%) | 17 (9.4%) | | Low | 224 (38.5%) | 186 (34.6%) | 69 (38.3%) | |
| Histology (SPLC) | | | | <0.001 | Small cell carcinoma | 17 (2.9%) | 92 (17.1%) | 10 (5.6%) | | Large cell carcinoma | 16 (2.7%) | 21 (3.9%) | 6 (3.3%) | | Squamous cell carcinoma | 116 (19.9%) | 145 (27.0%) | 58 (32.2%) | | Adenocarcinoma | 381 (65.5%) | 243 (45.2%) | 95 (52.8%) | | Other | 52 (8.9%) | 37 (6.9%) | 11 (6.1%) | |
| Tumor size (SPLC) | | | | <0.001 | ≤2 cm | 368 (63.2%) | 192 (35.7%) | 89 (49.4%) | | >2 cm | 214 (36.8%) | 346 (64.3%) | 91 (50.6%) | |
| AJCC N, 6th ed (SPLC) | | | | <0.001 | N0 | 536 (92.1%) | 333 (61.9%) | 145 (80.6%) | | N1 | 13 (2.2%) | 40 (7.4%) | 14 (7.8%) | | N2 | 25 (4.3%) | 121 (22.5%) | 19 (10.6%) | | N3 | 8 (1.4%) | 44 (8.2%) | 2 (1.1%) | |
| AJCC M, 6th ed(SPLC) | | | | <0.001 | M0 | 555 (95.4%) | 405 (75.3%) | 157 (87.2%) | | M1 | 27 (4.6%) | 133 (24.7%) | 23 (12.8%) | |
| AJCC T, 6th ed(SPLC) | | | | <0.001 | T1 | 386 (66.3%) | 229 (42.6%) | 98 (54.4%) | | T2 | 103 (17.7%) | 160 (29.7%) | 43 (23.9%) | | T3 | 11 (1.9%) | 26 (4.8%) | 5 (2.8%) | | T4 | 82 (14.1%) | 123 (22.9%) | 34 (18.9%) | |
| Tumor stage (SPLC) | | | | <0.001 | I | 450 (77.3%) | 246 (45.7%) | 115 (63.9%) | | II | 24 (4.1%) | 29 (5.4%) | 14 (7.8%) | | III | 81 (13.9%) | 130 (24.2%) | 28 (15.6%) | | IV | 27 (4.6%) | 133 (24.7%) | 23 (12.8%) | |
| SEER combined summary Stage (SPLC) | | | | <0.001 | Localized | 403 (69.2%) | 220 (40.9%) | 99 (55.0%) | | Regional | 140 (24.1%) | 150 (27.9%) | 49 (27.2%) | | Distant | 39 (6.7%) | 168 (31.2%) | 32 (17.8%) | |
| Chemotherapy (SPLC) | | | | <0.001 | Yes | 100 (17.2%) | 201 (37.4%) | 42 (23.3%) | | No/unknown | 482 (82.8%) | 337 (62.6%) | 138 (76.7%) | |
| Radiation/surgery (SPLC) | | | | <0.001 | Surgery alone | 315 (54.1%) | 134 (24.9%) | 66 (36.7%) | | Radiation | 173 (29.7%) | 158 (29.4%) | 63 (35.0%) | | Radiation + surgery | 46 (7.9%) | 65 (12.1%) | 16 (8.9%) | | No | 48 (8.2%) | 181 (33.6%) | 35 (19.4%) | |
| Primary site (IPLC) | | | | 0.004 | Main | 2 (0.3%) | 10 (1.9%) | 1 (0.6%) | | Upper | 364 (62.5%) | 345 (64.1%) | 105 (58.3%) | | Middle | 33 (5.7%) | 51 (9.5%) | 13 (7.2%) | | Low | 183 (31.4%) | 132 (24.5%) | 61 (33.9%) | |
| Laterality (IPLC) | | | | 0.539 | Left | 268 (46.0%) | 236 (43.9%) | 75 (41.7%) | | Right | 314 (54.0%) | 302 (56.1%) | 105 (58.3%) | |
| Histology (IPLC) | | | | <0.001 | Small cell carcinoma | 29 (5.0%) | 27 (5.0%) | 5 (2.8%) | | Large cell carcinoma | 24 (4.1%) | 30 (5.6%) | 17 (9.4%) | | Squamous cell carcinoma | 108 (18.6%) | 162 (30.1%) | 52 (28.9%) | | Adenocarcinoma | 367 (63.1%) | 269 (50.0%) | 93 (51.7%) | | Other | 54 (9.3%) | 50 (9.3%) | 13 (7.2%) | |
| Histology of IPLC and SPLC | | | | <0.001 | Different | 410 (70.4%) | 433 (80.5%) | 135 (75.0%) | | Same | 172 (29.6%) | 105 (19.5%) | 45 (25.0%) | | Interval time of IPLC and SPLC(months) | 70.0 (58.0–90.0) | 68.0 (55.2–83.8) | 67.0 (56.0–82.2) | 0.003 |
| Tumor stage (IPLC) | | | | 0.045 | I | 416 (77.0%) | 382 (78.1%) | 116 (69.0%) | | II | 29 (5.4%) | 28 (5.7%) | 21 (12.5%) | | III | 82 (15.2%) | 67 (13.7%) | 26 (15.5%) | | IV | 13 (2.4%) | 12 (2.5%) | 5 (3.0%) | |
| Chemotherapy (IPLC) | | | | 0.397 | Yes | 149 (25.6%) | 154 (28.6%) | 44 (24.4%) | | No/unknown | 433 (74.4%) | 384 (71.4%) | 136 (75.6%) | |
| Radiation/surgery (SPLC) | | | | <0.001 | Surgery alone | 502 (86.3%) | 414 (77.0%) | 146 (81.1%) | | Radiation | 27 (4.6%) | 65 (12.1%) | 12 (6.7%) | | Radiation + surgery | 42 (7.2%) | 45 (8.4%) | 18 (10.0%) | | No | 11 (1.9%) | 14 (2.6%) | 4 (2.2%) | |
| Follow-up time (months) | 30.0 (19.0–46.0) | 12.0 (5.0–24.0) | 17.0 (7.0–31.2) | <0.001 |
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Note. IPLC, initial primary lung cancer; SPLC, second primary lung cancer.
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