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Table 2 Univariate analysis of predictors for TRG in the training and validation cohorts

From: CEA clearance pattern as a predictor of tumor response to neoadjuvant treatment in rectal cancer: a post-hoc analysis of FOWARC trial

Variable

Training cohort

Validation cohort

TRG 0–1

TRG 2–3

P

TRG 0–1

TRG 2–3

P

No. of patients

33

38

 

33

42

 

Age (mean, y ± SD)

52 ± 12

56 ± 12

0.199

55 ± 13

55 ± 11

0.827

Gender

  

0.671

  

0.627

 Male

21 (64%)

26 (68%)

 

16 (49%)

18 (43%)

 

 Female

12 (36%)

12 (32%)

 

17 (51%)

24 (57%)

 

Pretreatment T stage

  

0.655

  

0.854

 T2

0

0

 

2 (6%)

4 (9%)

 

 T3

25 (76%)

27 (71%)

 

28 (85%)

34 (82%)

 

 T4

8 (24%)

11 (29%

 

3 (9%)

4 (9%)

 

Pretreatment N stage

  

0.928

  

0.638

 N0

5 (16%)

7 (18%)

 

10 (30%)

11 (26%)

 

 N1

14 (42%)

16 (42%)

 

16 (49%)

18 (43%)

 

 N2

14 (42%)

15 (40%)

 

7 (21%)

13 (31%)

 

Tumor differentiation

  

0.128

  

0.732

 Well/Moderately

19 (58%)

15 (40%)

 

24 (73%)

32 (76%)

 

 Poorly/Undifferentiated

14 (42%)

23 (60%)

 

9 (27%)

10 (24%)

 

Distance from the anal verge

  

0.120

  

0.924

5 cm

13 (39%)

22 (58%)

 

13 (39%)

17 (41%)

 

  > 5 cm

20 (61%)

16 (42%)

 

20 (61%)

25 (59%)

 

Tumor length

  

0.015

  

0.011

4 cm

19 (42%)

11 (71%)

 

19 (58%)

12 (29%)

 

  > 4 cm

14 (58%)

27 (29%)

 

14 (42%)

30 (64%)

 

Circumferential extent

  

0.022

  

0.163

50%

12 (36%)

5 (13%)

 

9 (27%)

18 (43%)

 

  > 50%

21 (64%)

33 (87%)

 

24 (73%)

24 (57%)

 

Pre-treatment CEA level

(mean, ng/ml; 95%CI)

29 (16–43)

25 (17–34)

0.615

15 (11–18)

14 (11–16)

0.548

Post- treatment CEA level (mean, ng/mL; 95%CI)

4 (1–7)

6 (4–9)

0.233

5 (4–7)

7 (4–9)

0.343

Normalization of post- treatment CEA Level

  

0.037

  

0.187

 Normal (< 5 ng/mL)

26 (79%)

21 (55%)

 

23 (70%)

23 (55%)

 

 Elevated (5 ng/mL)

7 (21%)

17 (45%)

 

10 (30%)

19 (45%)

 

CEA clearance pattern

  

0.028

  

0.016

 Exponential decrease (R20.9)

19 (58%)

12 (32%)

 

21 (64%)

15 (36%)

 

 Non-exponential decrease (R2 < 0.9)

14 (42%)

26 (68%)

 

12 (36%)

27 (64%)

 

Concurrent chemotherapy

  

0.135

  

NA

 Capecitabine

0

0

 

33 (44%)

42 (56%)

 

 Infusional fluorouracil

15 (45%)

24 (63%)

 

0

0

 

 mFOLFOX6

48 (55%)

14 (37%)

 

0

0

 
  1. Abbreviation: NA not applicable, TRG tumor regression grade
  2. The p value in boldface means statistically significant, that is, less than 0.05