Table 3

Prognostic factors by primary cancer

Renal cancer crude HR (95% c.i.)Lung cancer crude HR (95% c.i.)Colorectal cancer crude HR (95% c.i.)Other cancer crude HR (95% c.i.)
Sex
 Female1.28 (0.88–1.85)0.95 (0.62–1.46)0.92 (0.40–2.14)0.77 (0.42–1.40)
 Male1.001.001.001.00
Age (per 10 years)1.16 (0.96–1.40)0.73 (0.55–0.98)1.52 (0.95–2.41)1.05 (0.78–1.42)
Age at surgery
 Under 60 years1.001.001.001.00
 60–70 years1.10 (0.71–1.72)0.66 (0.41–1.07)1.45 (0.48–4.32)0.72 (0.36–1.43)
 More than 70 years1.26 (0.79–2.01)0.50 (0.27–0.93)3.16 (1.07–9.30)1.55 (0.78–3.08)
CCI (per 1)1.12 (0.98–1.28)1.25 (0.99–1.59)1.19 (0.80–1.77)1.29 (0.92–1.80)
BMI in kg/m2 (per 1)0.97 (0.93–1.02)0.99 (0.95–1.04)1.07 (0.97–1.17)0.97 (0.90–1.03)
Tumour size
 Under 25 mm1.001.001.001.00
 25–50 mm1.00 (0.62–1.60)1.32 (0.72–2.42)1.54 (0.55–4.34)0.75 (0.33–1.71)
 More than 50 mm1.58 (0.91–2.72)2.66 (1.44–4.89)2.16 (0.76–6.16)1.12 (0.49–2.57)
Size (per 10 mm)1.04 (0.97–1.13)1.08 (1.02–1.15)1.05 (0.94–1.17)1.03 (0.95–1.10)
Mode of discovery
 Synchronous2.17 (1.47–3.20)1.33 (0.84–2.10)0.98 (0.37–2.58)3.83 (1.53–9.55)
 Metachronous1.001.001.001.00
Extra-adrenal metastases at time of surgery
 No1.001.001.001.00
 Yes1.21 (0.81–1.83)1.79 (1.07–3.01)1.41 (0.66–3.00)1.71 (0.96–3.04)
Surgical approach
 Laparoscopic1.001.001.001.00
 Open2.07 (1.38–3.09)1.27 (0.69–2.36)1.11 (0.53–2.31)2.00 (1.12–3.58)
Radicality
 R0 resection1.001.001.001.00
 R1 resection1.79 (1.24–2.60)2.35 (1.51–3.65)1.90 (0.92–3.90)0.83 (0.46–1.50)
 R2 resection3.02 (0.93–9.74)2.47 (0.98–6.25)4.58 (0.99–21.17)3.60 (1.07–12.10)
Renal cancer crude HR (95% c.i.)Lung cancer crude HR (95% c.i.)Colorectal cancer crude HR (95% c.i.)Other cancer crude HR (95% c.i.)
Sex
 Female1.28 (0.88–1.85)0.95 (0.62–1.46)0.92 (0.40–2.14)0.77 (0.42–1.40)
 Male1.001.001.001.00
Age (per 10 years)1.16 (0.96–1.40)0.73 (0.55–0.98)1.52 (0.95–2.41)1.05 (0.78–1.42)
Age at surgery
 Under 60 years1.001.001.001.00
 60–70 years1.10 (0.71–1.72)0.66 (0.41–1.07)1.45 (0.48–4.32)0.72 (0.36–1.43)
 More than 70 years1.26 (0.79–2.01)0.50 (0.27–0.93)3.16 (1.07–9.30)1.55 (0.78–3.08)
CCI (per 1)1.12 (0.98–1.28)1.25 (0.99–1.59)1.19 (0.80–1.77)1.29 (0.92–1.80)
BMI in kg/m2 (per 1)0.97 (0.93–1.02)0.99 (0.95–1.04)1.07 (0.97–1.17)0.97 (0.90–1.03)
Tumour size
 Under 25 mm1.001.001.001.00
 25–50 mm1.00 (0.62–1.60)1.32 (0.72–2.42)1.54 (0.55–4.34)0.75 (0.33–1.71)
 More than 50 mm1.58 (0.91–2.72)2.66 (1.44–4.89)2.16 (0.76–6.16)1.12 (0.49–2.57)
Size (per 10 mm)1.04 (0.97–1.13)1.08 (1.02–1.15)1.05 (0.94–1.17)1.03 (0.95–1.10)
Mode of discovery
 Synchronous2.17 (1.47–3.20)1.33 (0.84–2.10)0.98 (0.37–2.58)3.83 (1.53–9.55)
 Metachronous1.001.001.001.00
Extra-adrenal metastases at time of surgery
 No1.001.001.001.00
 Yes1.21 (0.81–1.83)1.79 (1.07–3.01)1.41 (0.66–3.00)1.71 (0.96–3.04)
Surgical approach
 Laparoscopic1.001.001.001.00
 Open2.07 (1.38–3.09)1.27 (0.69–2.36)1.11 (0.53–2.31)2.00 (1.12–3.58)
Radicality
 R0 resection1.001.001.001.00
 R1 resection1.79 (1.24–2.60)2.35 (1.51–3.65)1.90 (0.92–3.90)0.83 (0.46–1.50)
 R2 resection3.02 (0.93–9.74)2.47 (0.98–6.25)4.58 (0.99–21.17)3.60 (1.07–12.10)

i.q.r., interquartile range; CCI, Charlson co-morbidity index; HR, hazard ratio. Cox proportional regression analysis was used for overall survival after adrenal metastasectomy for each primary cancer.

Table 3

Prognostic factors by primary cancer

Renal cancer crude HR (95% c.i.)Lung cancer crude HR (95% c.i.)Colorectal cancer crude HR (95% c.i.)Other cancer crude HR (95% c.i.)
Sex
 Female1.28 (0.88–1.85)0.95 (0.62–1.46)0.92 (0.40–2.14)0.77 (0.42–1.40)
 Male1.001.001.001.00
Age (per 10 years)1.16 (0.96–1.40)0.73 (0.55–0.98)1.52 (0.95–2.41)1.05 (0.78–1.42)
Age at surgery
 Under 60 years1.001.001.001.00
 60–70 years1.10 (0.71–1.72)0.66 (0.41–1.07)1.45 (0.48–4.32)0.72 (0.36–1.43)
 More than 70 years1.26 (0.79–2.01)0.50 (0.27–0.93)3.16 (1.07–9.30)1.55 (0.78–3.08)
CCI (per 1)1.12 (0.98–1.28)1.25 (0.99–1.59)1.19 (0.80–1.77)1.29 (0.92–1.80)
BMI in kg/m2 (per 1)0.97 (0.93–1.02)0.99 (0.95–1.04)1.07 (0.97–1.17)0.97 (0.90–1.03)
Tumour size
 Under 25 mm1.001.001.001.00
 25–50 mm1.00 (0.62–1.60)1.32 (0.72–2.42)1.54 (0.55–4.34)0.75 (0.33–1.71)
 More than 50 mm1.58 (0.91–2.72)2.66 (1.44–4.89)2.16 (0.76–6.16)1.12 (0.49–2.57)
Size (per 10 mm)1.04 (0.97–1.13)1.08 (1.02–1.15)1.05 (0.94–1.17)1.03 (0.95–1.10)
Mode of discovery
 Synchronous2.17 (1.47–3.20)1.33 (0.84–2.10)0.98 (0.37–2.58)3.83 (1.53–9.55)
 Metachronous1.001.001.001.00
Extra-adrenal metastases at time of surgery
 No1.001.001.001.00
 Yes1.21 (0.81–1.83)1.79 (1.07–3.01)1.41 (0.66–3.00)1.71 (0.96–3.04)
Surgical approach
 Laparoscopic1.001.001.001.00
 Open2.07 (1.38–3.09)1.27 (0.69–2.36)1.11 (0.53–2.31)2.00 (1.12–3.58)
Radicality
 R0 resection1.001.001.001.00
 R1 resection1.79 (1.24–2.60)2.35 (1.51–3.65)1.90 (0.92–3.90)0.83 (0.46–1.50)
 R2 resection3.02 (0.93–9.74)2.47 (0.98–6.25)4.58 (0.99–21.17)3.60 (1.07–12.10)
Renal cancer crude HR (95% c.i.)Lung cancer crude HR (95% c.i.)Colorectal cancer crude HR (95% c.i.)Other cancer crude HR (95% c.i.)
Sex
 Female1.28 (0.88–1.85)0.95 (0.62–1.46)0.92 (0.40–2.14)0.77 (0.42–1.40)
 Male1.001.001.001.00
Age (per 10 years)1.16 (0.96–1.40)0.73 (0.55–0.98)1.52 (0.95–2.41)1.05 (0.78–1.42)
Age at surgery
 Under 60 years1.001.001.001.00
 60–70 years1.10 (0.71–1.72)0.66 (0.41–1.07)1.45 (0.48–4.32)0.72 (0.36–1.43)
 More than 70 years1.26 (0.79–2.01)0.50 (0.27–0.93)3.16 (1.07–9.30)1.55 (0.78–3.08)
CCI (per 1)1.12 (0.98–1.28)1.25 (0.99–1.59)1.19 (0.80–1.77)1.29 (0.92–1.80)
BMI in kg/m2 (per 1)0.97 (0.93–1.02)0.99 (0.95–1.04)1.07 (0.97–1.17)0.97 (0.90–1.03)
Tumour size
 Under 25 mm1.001.001.001.00
 25–50 mm1.00 (0.62–1.60)1.32 (0.72–2.42)1.54 (0.55–4.34)0.75 (0.33–1.71)
 More than 50 mm1.58 (0.91–2.72)2.66 (1.44–4.89)2.16 (0.76–6.16)1.12 (0.49–2.57)
Size (per 10 mm)1.04 (0.97–1.13)1.08 (1.02–1.15)1.05 (0.94–1.17)1.03 (0.95–1.10)
Mode of discovery
 Synchronous2.17 (1.47–3.20)1.33 (0.84–2.10)0.98 (0.37–2.58)3.83 (1.53–9.55)
 Metachronous1.001.001.001.00
Extra-adrenal metastases at time of surgery
 No1.001.001.001.00
 Yes1.21 (0.81–1.83)1.79 (1.07–3.01)1.41 (0.66–3.00)1.71 (0.96–3.04)
Surgical approach
 Laparoscopic1.001.001.001.00
 Open2.07 (1.38–3.09)1.27 (0.69–2.36)1.11 (0.53–2.31)2.00 (1.12–3.58)
Radicality
 R0 resection1.001.001.001.00
 R1 resection1.79 (1.24–2.60)2.35 (1.51–3.65)1.90 (0.92–3.90)0.83 (0.46–1.50)
 R2 resection3.02 (0.93–9.74)2.47 (0.98–6.25)4.58 (0.99–21.17)3.60 (1.07–12.10)

i.q.r., interquartile range; CCI, Charlson co-morbidity index; HR, hazard ratio. Cox proportional regression analysis was used for overall survival after adrenal metastasectomy for each primary cancer.

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