Research Article

Association between Cervical Lymph Node Metastasis and the Incidence of Radiation-Induced Hypothyroidism in Nasopharyngeal Carcinoma

Table 2

Univariate analysis of radiation-induced HT.

VariablesBetaOR (95% CI)

Age−0.020.98 (0.95–1.00)0.076
Sex0.932.53 (1.38–4.64)0.003
Pretreatment TSH concentration1.23.33 (2.24–4.95)<0.001
Volume (cm3)−0.130.88 (0.83–0.94)<0.001
T-Stage (T1–2 vs. T3–4)0.001.00 (0.50–2.01)0.996
N-stage (N2–3 vs. N0–1)0.591.80 (1.00–3.22)0.048
M-Stage (M1 vs. M0)0.561.75 (0.43–7.21)0.437
Clinical stage (III–IV vs I–II)0.171.18 (0.40–3.50)0.763
Neoadjuvant chemotherapy (yes vs. no)0.521.69 (0.52–5.50)0.386
Distance from thyroid 1–2 cm (vs. 0–1 cm)−0.17−0.17 (0.34–2.05)0.703
Distance from thyroid 2–3 cm (vs. 0–1 cm)−0.8−0.80 (0.20–1.02)0.056
Distance from thyroid >3 cm (vs. 0–1 cm)−1.31−1.31 (0.12–0.63)0.002
N.Ib (1∼2 vs 0)0.310.31 (0.51–3.68)0.536
N.Ib (3+ vs 0)−14.71−14.71 (0.00-Inf)0.987
N.IIa (1∼2 vs 0)1.21.20 (1.11–9.81)0.031
N.IIa (3+ vs 0)0.630.63 (0.51–6.98)0.342
N.IIb (1∼2 vs 0)1.871.87 (2.05–20.59)0.001
N.IIb (3+ vs 0)1.321.32 (1.12–12.51)0.032
N.III (1∼2 vs 0)0.480.48 (0.85–3.09)0.143
N.III (3+ vs 0)0.950.95 (1.20–5.58)0.015
N.IVa (1∼2 vs 0)0.860.86 (1.25–4.43)0.008
N.IVa (3+ vs 0)1.291.29 (1.11–11.83)0.033
N.IVb (1∼2 vs 0)15.455112076.84 (0.00-Inf)0.983
N.Va (1∼2 vs 0)0.550.55 (0.97–3.09)0.064
N.Va (3+ vs 0)1.891.89 (0.77–56.65)0.084
N.Vb (1∼2 vs 0)0.571.77 (0.86–3.63)0.119
N.Vc (1∼2 vs 0)0.261.29 (0.21–7.90)0.782
N.VIIa (1∼2 vs 0)−0.090.91 (0.49–1.70)0.774
Maxdiameter.Ib (0, 1) cm−0.14−0.14 (0.29–2.58)0.802
Maxdiameter.Ib ≥ 1 cm1.251.25 (0.38–31.69)0.269
Maxdiameter.IIa (0, 1) cm1.021.02 (0.92–8.39)0.069
Maxdiameter.IIa ≥ 1 cm1.291.29 (1.15–11.52)0.028
Maxdiameter.IIb (0, 1) cm1.721.72 (1.73–17.86)0.004
Maxdiameter.IIb ≥ 1 cm1.661.66 (1.63–17.03)0.006
Maxdiameter.III (0, 1) cm0.710.71 (1.10–3.80)0.024
Maxdiameter.III ≥ 1 cm0.290.29 (0.52–3.42)0.55
Maxdiameter.IVa (0, 1) cm0.930.93 (1.36–4.67)0.003
Maxdiameter.IVa ≥ 1 cm1.041.04 (0.70–11.38)0.146
Maxdiameter.IVb (0, 1) cm15.4515.45 (0.00-Inf)0.988
Maxdiameter.IVb ≥ 1 cm15.4515.45 (0.00-Inf)0.988
Maxdiameter.Va (0, 1) cm0.690.69 (1.09–3.64)0.026
Maxdiameter.Va ≥ 1 cm0.390.39 (0.48–4.49)0.498
Maxdiameter.Vb (0, 1) cm0.460.46 (0.73–3.46)0.244
Maxdiameter.Vb ≥ 1 cm1.051.05 (0.56–14.58)0.206
Maxdiameter.Vc (0, 1) cm−0.15−0.15 (0.12–6.23)0.882
Maxdiameter.Vc ≥ 1 cm14.4214.42 (0.00-Inf)0.987
Maxdiameter.VIIa (0, 1) cm0.00−0.00 (0.52–1.93)1
Maxdiameter.VIIa ≥ 1 cm−0.31−0.31 (0.33–1.62)0.441
N. all0.11.11 (1.03–1.19)0.008
Maxdiameter.all0.591.81 (1.03–3.18)0.04

OR = odds ratio; CI = confidence interval; Distance from thyroid = the shortest distance between metastatic lymph nodes and the thyroid gland; N = number. , , .