Colon (n=38 070) | Multivariable Cox model | Multivariable FPM with TVCs | Multivariable FPM with TVCs | |||
Overall survival | Overall survival | Net survival | ||||
Adjusted HR* | 95% CI | Adjusted HR* | 95% CI | Adjusted EHR* | 95% CI | |
SES | ||||||
1 (affluent) | Reference | Reference | Reference | |||
2 | 1.03 | 0.97 to 1.08 | 1.03 | 0.97 to 1.09 | 1.01 | 0.95 to 1.08 |
3 | 1.04 | 0.99 to 1.10 | 1.04 | 0.99 to 1.10 | 1.00 | 0.94 to 1.07 |
4 | 1.13 | 1.07 to 1.19 | 1.13 | 1.07 to 1.19 | 1.08 | 1.02 to 1.16 |
5 (deprived) | 1.15 | 1.09 to 1.22 | 1.15 | 1.09 to 1.22 | 1.08 | 1.00 to 1.15 |
Sex | TVC | TVC | ||||
Male | Reference | |||||
Female | 0.94 | 0.91 to 0.98 | ||||
Age group | TVC | TVC | ||||
<65 | Reference | |||||
65–80 | 1.43 | 1.37 to 1.50 | ||||
80< | 2.32 | 2.20 to 2.43 | ||||
Cancer site† | TVC | TVC | ||||
Right-sided colon | Reference | |||||
Transverse colon | 1.01 | 0.96 to 1.07 | ||||
Left-sided colon | 0.80 | 0.76 to 0.83 | ||||
Overlapping or unspecified | 1.08 | 0.99 to 1.17 | ||||
Stage at diagnosis | TVC | TVC | ||||
I | Reference | |||||
II | 1.69 | 1.36 to 2.11 | ||||
III | 3.33 | 2.69 to 4.12 | ||||
IV | 11.10 | 9.05 to 13.62 | ||||
Tumour grade | TVC | TVC | ||||
G1/G2 | Reference | |||||
G3/G4 | 1.73 | 1.67 to 1.80 | ||||
Emergency presentation | TVC | TVC | ||||
No | Reference | |||||
Yes | 1.89 | 1.82 to 1.96 | ||||
Received major resection | TVC | TVC | ||||
Yes | Reference | |||||
No | 3.05 | 2.92 to 3.18 | ||||
Number of chronic comorbidities | ||||||
0 | Reference | Reference | Reference | |||
1 | 1.21 | 1.15 to 1.28 | 1.21 | 1.15 to 1.28 | 1.21 | 1.13 to 1.30 |
2+ | 1.65 | 1.49 to 1.82 | 1.64 | 1.48 to 1.81 | 1.69 | 1.49 to 1.91 |
Number of acute comorbidities | TVC | TVC | ||||
0 | Reference | |||||
1 | 1.23 | 1.17 to 1.29 | ||||
2+ | 1.66 | 1.51 to 1.82 |
Calculated for complete cases only.
*All variables are mutually adjusted. For SES only, adjusted HRs/EHRs are shown without interaction between SES and stage. For other variables, interaction between SES and stage is adjusted.
†Right-sided colon includes ascending colon, hepatic flexure and caecum. Transverse colon includes transverse colon and splenic flexure. Left-sided colon includes descending colon and sigmoid colon.
EHR, excess hazard ratio; FPM, flexible parametric model; HR, hazard ratio; SES, socioeconomic status; TVC, time-varying covariate.