Table 2

Factors associated with overall survival in FIGO 2009 stage IIIB cervical cancer in Botswana: univariate and multivariable analyses (n=187)

FactorNOverall survival, UVA (HR (95% CI))P valueOverall survival, MVA (HR (95% CI))P value
Age (≥50 years)891.04 (0.71 to 1.53)0.851.23 (0.72 to 2.07)0.449
HIV status (seropositive)1181.14 (0.76 to 1.70)0.531.50 (0.88 to 2.57)0.138
Weight (kg) (60)* 810.69 (0.45 to 1.06)0.09
Body mass index (kg/m2) (≤20)* 421.13 (0.70 to 1.83)0.61
Tumor histology (SCC vs non-SCC)1650.99 (0.55 to 1.82)0.99
History of tuberculosis (yes)170.84 (0.41 to 1.73)0.63
CD4 count (<400)* 621.52 (0.91 to 2.55)0.11
Viral load (≥400)* 111.24 (0.56 to 2.74)0.60
Hemoglobin (g/dL) (<12)* 1391.35 (0.79 to 2.31)0.281.10 (0.61 to 1.96)0.759
Creatinine (μmol/L) (>90)* 311.45 (0.89 to 2.38)0.14
KPS (40–80 vs 90–100)* 541.33 (0.88 to 2.01)0.181.27 (0.81 to 1.96)0.294
ART (yes)1101.41 (0.51 to 3.87)0.51
Treatment
Total RT dose, EQD2 (≥80 Gy)650.52 (0.34 to 0.82)0.040.57 (0.35 to 0.92)0.023
Brachytherapy (yes)* 1200.42 (0.28 to 0.62)<0.01
CRT (yes)900.57 (0.38 to 0.85)0.010.63 (0.39 to 0.99)0.045
Treatment response (complete)*†800.45 (0.29 to 0.70)<0.01
Treatment year (2013–15 vs 2016–18)730.85 (0.57 to 1.27)0.43
TTT (>3 months)*‡901.16 (0.73 to 1.84)0.54
RT course length (<7 weeks)* 1060.91 (0.62 to 1.35)0.642
  • *Data are incomplete due to missing individual patient data.

  • †Treatment response is defined as clinically apparent tumor regression on examination.

  • ‡TTT is defined as time from pathological diagnosis to initiation of treatment.

  • ART, antiretroviral therapy; CRT, chemoradiation therapy; EQD2, radiobiological equivalent dose; FIGO, International Federation of Gynecology and Obstetrics; HIV, human immunodeficiency virus; KPS, Karnofsky Performance Score; MVA, multivariable analysis; RT, radiation therapy; SCC, squamous cell carcinoma; UVA, univariate multivariable analysis.