Variable | Univariate | Multivariate | ||
HR (95% CI) | P value | HR (95% CI) | P value | |
Sex | ||||
Female | 1 | 0.45 | ||
Male | 1.46 (0.55 to 3.84) | |||
Primary site | ||||
Cutaneous | 1 | 0.082 | ||
Other | 2.67 (0.88 to 8.09) | |||
ECOG at first recurrence | ||||
0 | 1 | 0.84 | ||
≥1 | 1.12 (0.37 to 3.38) | |||
LDH at first recurrence | ||||
Normal (≤ULN) | 1 | 0.55 | ||
Elevated (>ULN) | 1.82 (0.57 to 5.80) | |||
Unknown | 0.95 (0.32 to 2.77) | |||
Surgical margins first recurrence resection | ||||
Involved | 1 | 0.38 | ||
Clear | 2.48 (0.33 to 18.54) | |||
Locoregional recurrence site | ||||
LN only | 1 | 0.58 | ||
ITM/satellites only | 1.67 (0.64 to 4.40) | |||
Both LN+ITM | NA | |||
ENE if LN involved: | ||||
No | 1 | 0.39 | ||
Yes | 0.48 (0.09 to 2.60) | |||
Stage at first recurrence | ||||
IIIB | 1 | 0.48 | ||
IIIC | 3.50 (0.47 to 26.25) | |||
IIID | NA | |||
Recurrence detected by | ||||
Symptoms | 1 | 0.76 | ||
Clinical examination | 0.63 (0.17 to 2.30) | |||
Imaging | 0.61 (0.15 to 2.45) | |||
Adjuvant RT at first recurrence | ||||
No | 1 | 0.031 | 1 | 0.015 |
Yes | 0.20 (0.05 to 0.87) | 0.16 (0.04 to 0.70) | ||
Adjuvant systemic therapy at first recurrence | ||||
No drug | 1 | 1 | ||
Same drug continued | 0.98 (0.28 to 3.48) | 0.84 | 0.56 (0.15 to 2.02) | 0.41 |
New drug | 0.27 (0.09 to 0.85) | 0.029 | 0.21 (0.07 to 0.67) | 0.012 |
ECOG, Eastern Cooperative Oncology Group; ENE, extranodal extension ; ITM, in-transit metastases ; LDH, lactate dehydrogenase ; LN, lymph node; RT, radiotherapy; ULN, upper limit of normal.