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Table 3 Factors associated with SACT initiation and OS outcomes in patients diagnosed with stage IIIB–IV NSCLC in 2015–2016

From: Real-world treatment patterns and survival outcomes for advanced non-small cell lung cancer in the pre-immunotherapy era in Portugal: a retrospective analysis from the I-O Optimise initiative

 

Patient characteristics, n (%)

Factors associated with SACT initiationa

Factors associated with OS in SACT-treated patientsb

Overall

SACT untreated

SACT treated

Parameter

N = 392

n = 95

n = 297

Adjusted OR (95% CI)

Overall P value

Adjusted HR (95% CI)

Overall

P value

Age at NSCLC diagnosis in years

    

0.059

 

0.024

  < 65

190 (48.5)

36 (37.9)

154 (51.9)

1.00 (ref)

1.00 (ref)

 65–74

118 (30.1)

26 (27.4)

92 (31.0)

0.85 (0.48–1.52)

1.42 (1.02–1.96)

  ≥ 75

84 (21.4)

33 (34.7)

51 (17.2)

0.33 (0.18–0.59)

1.60 (1.09–2.37)

Sex

    

0.234

 

0.060

 Male

303 (77.3)

75 (78.9)

228 (76.8)

1.00 (ref)

1.00 (ref)

 Female

89 (22.7)

20 (21.1)

69 (23.2)

1.45 (0.79–2.65)

0.68 (0.46–1.02)

TNM stage and brain metastasis at diagnosis

    

0.001

 

<  0.001

 Stage IIIB

54 (13.8)

7 (7.4)

47 (15.8)

1.00 (ref)

1.00 (ref)

 Stage IV without brain metastases

274 (69.9)

70 (73.7)

204 (68.7)

0.41 (0.17–0.99)

1.49 (0.96–2.33)

 Stage IV with brain metastases

64 (16.3)

18 (18.9)

46 (15.5)

0.29 (0.11–0.81)

2.93 (1.70–5.07)

Histology and mutations/rearrangements

    

0.401

 

0.001

 NSQ

289 (73.7)

68 (71.6)

221 (74.4)

1.00 (ref)

 NSQ EGFR/ALK wildtype

147 (49.5)

1.00 (ref)

 NSQ EGFR or ALK mutations/rearrangements

60 (20.2)

0.68 (0.44–1.06)

 NSQ EGFR/ALK not tested

14 (4.7)

0.96 (0.46–1.99)

 SQ

83 (21.2)

20 (21.1)

63 (21.2)

0.86 (0.46–1.60)

1.32 (0.90–1.93)

 NSCLC NOS/Others

20 (5.1)

7 (7.4)

13 (4.4)

0.51 (0.19–1.39)

3.08 (1.62–5.85)

  1. SACT systemic anti-cancer therapy, OS overall survival, NSCLC non-small cell lung cancer, OR odds ratio, CI confidence interval, HR hazard ratio, ref reference category, TNM tumour, node, and metastasis, NSQ non-squamous cell carcinoma, EGFR epidermal growth factor receptor gene, ALK anaplastic lymphoma kinase gene, SQ squamous cell carcinoma, NOS not otherwise specified
  2. a Multivariate logistic regression model; an OR < 1 indicates patients were less likely to receive SACT than the reference and an OR > 1 indicates more likely to receive SACT than the reference
  3. b Multivariate Cox model; survival within 2 years of diagnosis; an HR < 1 indicates better OS than the reference and an HR > 1 indicates a worse OS than the reference