Table 4

Multivariate survival analysis examining the prognostic value of the malignancy grading system in the context of known independent prognostic factors

VariableCategoryHR (95% CI)P
Multivariate analysis for OS
GOMHigh vs. low3.302 (2.350–4.641)< 0.001
Middle vs. low1.967 (1.433–2.700)< 0.001
TNM stageIII vs. I2.370 (1.791–3.137)< 0.001
II vs. I1.401 (1.065–1.843)0.016
Preoperative serum CA19-9 (U/mL)≥ 1000.0 vs. < 2001.622 (1.207–2.180)0.001
200–1000 vs. < 2001.364 (1.068–1.741)0.013
Postoperative adjuvant chemotherapyYes vs. no0.539 (0.434–0.669)< 0.001
Age at surgery≥ 70 vs. < 701.657 (1.235–2.223)0.001
Postoperative complicationsPresent vs. absent1.443 (1.126–1.849)0.004
Multivariate analysis for RFS
GOMHigh vs. low2.596 (1.904–3.538)< 0.001
Middle vs. low1.751 (1.324–2.315)< 0.001
TNM stageIII vs. I2.244 (1.736–2.901)< 0.001
II vs. I1.233 (0.957–1.588)0.106
Preoperative serum CA19-9 (U/mL)≥ 1000.0 vs. < 2001.905 (1.442–2.516)< 0.001
200–1000 vs. < 2001.350 (1.078–1.693)0.009
Postoperative adjuvant chemotherapyYes vs. no0.748 (0.613–0.913)0.004
Age at surgery≥ 70 vs. < 701.226 (0.924–1.625)0.157
Postoperative complicationPresent vs. absent1.207 (0.958–1.520)0.110

CA19-9, carbohydrate antigen 19-9; HR, hazard ratio; OS, overall survival; RFS, recurrence-free survival; GOM, grade of malignancy.