Table 5– Prognostic factors for overall survival (OS) of nonsmall cell lung cancer patients who presented with miliary intrapulmonary carcinomatosis at initial diagnosis
FactorPatients nOS monthsUnivariate analysisMultivariate analysis#
p-valueHR (95% CI)p-value
Sex
 Female4412.3
 Male4112.40.770
Age yrs
 <655411.5
 ≥653113.40.893
Smoking
 Nonsmokers6314.6
 Current/former smokers228.30.226
ECOG PS
 0–16314.1
 2–4226.80.165
Tumour type
 Nonadenocarcinoma43.51
 Adenocarcinoma8113.10.0490.16 (0.03–0.96)0.0448
Extrapulmonary metastasis
 Yes7010.41
 No1523.50.0320.45 (0.20–1.01)0.0514
EGFR
 Wild type1810.61
 Mutation4217.80.0080.19 (0.08–0.44)0.0001
TKI use
 No144.8
 Yes7116.2<0.001
Treatment sequence
 Best supportive care50.3106.19 (18.24–618.11)<0.0001
 TKI only+186.94.46 (2.00–9.95)0.0003
 Chemotherapy only+56.3
 TKI then chemotherapy2520.9
 Chemotherapy then TKI1516.2
 Chemotherapy then chemotherapy1719.7
  • HR: hazard ratio; ECOG PS: Eastern Cooperative Oncology Group performance status; EGFR: epidermal growth factor receptor, TKI: tyrosine kinase inhibitor. #: before performing multivariate analysis, we performed logistic regression to identify potential factors associated with the 25 patients lacking EGFR sequencing data. Potential factors mainly included male sex, poor performance status and chemotherapy as the first-line treatment. After weighting the missing data of the 25 patients lacking EGFR sequencing data by logistic regression, we used the Cox proportional hazard method for multivariate analysis of OS.: the sequence of patient treatment courses was classified according to the first- and second-line medications. +: TKI-only and chemotherapy-only patients received only first-line systemic treatment without second-line treatment.