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Table 3 REMARK profile for Xing et al. (2015) [23]

From: Structured reporting to improve transparency of analyses in prognostic marker studies

Part a: Patients, treatment, and variables

 Patients: consecutively selected patients treated for papillary thyroid cancer (PTC) at 16 medical centers in 8 countries (USA, Italy, Poland, Japan, Australia, Spain, Czech Rep, South Korea), over differing time periods spanning 1978-2011.

  ?

Patients assessed

  ?

Patients excluded

  2099

Patients included for analysis, subgroups by v8 (v8-S1: CPTC, n = 1448; v8-S2: FVPTC, n = 431), v9 (v9-S1: stage I, n = 1273; v9-S2: stage II, n = 234), and v4 (v4-S1: tumor size ≤ 1.0 cm, n = 534)

Missing data not mentioned—appears to have been none

 Treatment and follow-up: total thyroidectomy and neck dissection in all patients, postoperative hormone suppression, and radioiodine ablation (in all centers except the Japanese center). Median follow-up 36 months (IQR 14 to 75 months)

  Marker:

M = BRAF V600E mutation (positive/negative)

  Outcome (events)

Recurrence free survival (RFS, events overall: n = 338; in subgroups: v8-S1: n = 247, v8-S2: n = 43, v9-S1: n = 119, v9-S2: n = 32, v4-S1: n = 57). Expressed as both a proportion of recurrences, and as rate of recurrence per 1000 person-years of follow-up

  Further variables

v1 = age, v2 = sex, v3 = medical center, v4 = tumor size, v5 = extrathyroidal invasion, v6 = lymph node metastasis, v7 = multifocality, v8 = PTC subtype, v9 = tumor stage

Adjustment model 2: v1–v3; model 3: v1–v8

Part b: Statistical analysis of survival outcomes

 Aim

n

Outcome (events)

Variables considered

Results/remarks

  Ch1: check of proportional hazards assumption after initially fitting models A2 and A3

   

Led to stratification by medical center (v3) and revision of these analyses

  IDA1: computation of rates of recurrence per 1000 person-years

Total and all subgroups

  

Displayed in Tables 2 and 4 and A3

  A1: univariable unadjusted model 1

All

2099

RFS (338)

M

Poisson regression p-values and CI; Cox regression HR, CI: Table 2; Kaplan-Meier estimates of recurrence-free survival, p-values: Fig. 1

v8-S1

1448

RFS (247)

v8-S2

431

RFS (43)

  A2: multivariable model 2

All

2099

RFS (338)

M, v1–v3

p-values, HR, CI, Table 2

v8-S1

1448

RFS (247)

v8-S2

431

RFS (43)

  A3: multivariable model 3

All

2099

RFS (338)

M, v1–v8

p-values, HR, CI, Table 2

v8-S1

1448

RFS (247)

v8-S2

431

RFS (43)

  A4: sensitivity analysis, excluding patients with < 3 year follow-up, no recurrence

?

RFS ?

M

Results p.44 text. Data not shown

  A5: interaction of M with conventional risk factors, univariable

2099

RFS (338)

M, v1 (dichotomized), v5, v6

Kaplan-Meier estimates, p-values, Fig. 2, Synergy Index, CI, Table 3

  A6: low-risk patients, unadjusted model 1

v9-S1

1273

RFS (119)

M

Poisson regression p-values and CI; Cox regression HR, CI: Table 4

v9-S2

234

RFS (32)

v4-S1

534

RFS (57)

  A7: low-risk patients, multivariable model 2

v9-S1

1273

RFS (119)

M, v1–v3

p-values, HR, CI, Table 4

v9-S2

234

RFS (32)

v4-S1

534

RFS (57)

  A8: low-risk patients, multivariable model 3

v9-S1

1273

RFS (119)

M, v1–v8

p-values, HR, CI, Table 4

v9-S2

234

RFS (32)

v4-S1

534

RFS (57)

  A9: univariable model in v4 subgroups

Varies by subgroup

RFS (varies)

M

p-values, HR, CI, Tab. A2

  A10: univariable model for 35 subgroups by v1, v2, and v8

Varies by subgroup

RFS (Varies)

M

HR, CI, Tab. A4

  1. Statistical software packages used: SAS v.9.3
  2. CPTC conventional PTC, FVPTC follicular-variant PTC