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Table 3 Factors association with SEMS patency: A univariate and multivariate analyses by cox proportional hazard model

From: Factors associated with patency of self-expandable metal stents in malignant biliary obstruction

Factors

Patent SEMS

SEMS dysfunction

Univariate

Multivariate

n = 77

n = 37

 HR(95% CI)

P-value

HR (95% CI)

P-value

Antiplatelets use

5

4

1.53 (0.54, 4.34)

0.426

  

Ursodeoxycholic acid use

12

8

1.23 (0.56, 2.71)

0.602

  

Primary cancer

      

 Cholangiocarcinoma

5

5

2.2 (0.8, 5.9)

0.117

  

 Other

26

11

0.8 (0.4, 1.6)

0.485

  

 Pancreatic cancer

46

21

1

   

Size of cancer, median (IQR)

3.8 (3.0, 4.8)

4.0 (2.8, 5.1)

1.3 (1.1, 1.5)

0.006

1.20 (1.02, 1.40)

0.025

Length of stricture, median (IQR)

4.0 (3.0, 5.0)

4.0 (2.5, 4.0)

0.9 (0.7, 1.1)

0.231

  

Current treatment (chemo/ RT/ surgery)

45

27

1.4 (0.7, 3.1)

0.336

  

Presence of stones or sludge during SEMS placement

10

13

2.86 (1.43, 5.72)

0.003

3.91 (1.74, 8.75)

0.001

Total bilirubin at 1 month after SEMS placement, mg/dL, median (IQR)

1.6 (0.2–23)

1.8 (0.4, 29.3)

1.12 (1.05, 1.19)

0.001

1.14 (1.06, 1.22)

< 0.001

Length of stent

      

 10–12

1

1

1.35 (0.18, 10.02)

0.767

2.10 (0.27, 16.12)

0.476

 8

9

6

2.57 (1.05, 6.28)

0.039

2.96 (1.06, 8.30)

0.039

 6

67

30

1

 

1

 

Liver disease

5

5

2.49 (0.96, 6.45)

0.060

  

Perioperative bacterial infection

21

12

1.43 (0.72, 2.88)

0.310

  

Proximal common bile duct

5

3

1.43 (0.43, 4.67)

0.559

  

Distal common bile duct

66

27

0.49 (0.24, 1.02)

0.056

  

More than one level of common bile duct obstruction

25

9

1.29 (0.61, 2.74)

0.506

  

Stent type

      

 FC-SEMS

8

5

0.54 (0.17, 1.71)

0.295

  

 PC-SEMS

63

25

0.53 (0.23, 1.22)

0.135

  

 UC-SEMS

6

7

1

   

Change of total bilirubin: within 72 h, mg/dL, median (IQR)

-6.1 (-17.7, 3.1)

-2.2 (-15.7, 3.1)

1.04 (0.96, 1.12)

0.315

  

Change of total bilirubin at 1 month, mg/dL, median (IQR)

-10.5 (-31.4, 6.5)

-4.0 (-27.8, 20.9)

1.03 (0.98,1.07)

0.249

  

Stent insertion with difficulty

4

6

2.35 (0.98, 5.66)

0.056

  
  1. UC-SEMS Uncovered self-expandable metal stent, PC-SEMS Partially-covered self-expandable metal stent, FC-SEMS Fully-covered self-expandable metal stent, CBD Common bile duct, VS Versus, HR Hazard ratio