Barely Significant

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highly significantp < 0.0010.0× alphaqualifiedgold
As shown in Supplemental Table S1B and the corresponding forest plot ( Supplemental Figure S1C ), the signature remained a highly significant independent predictor ( p < 0.001) with a high odds ratio when adjusting for prior systemic therapy, IMDC risk category, and the presence of sarcomatoid or rhabdoid features.
highly significantp < 0.0010.0× alphaqualifiedgold
Results: Multivariable GEE analysis demonstrated that the Systemic Immune-Inflammation Index (SII) was a highly significant independent risk factor (OR for a 500-unit increase = 1.490, 95% CI: 1.234–1.798, p < 0.001).
a slight trendp < 0.0010.0× alphagold
Subgroup Analysis Age stratification: Overall the age did not impact the outcome; however older patients aged > 60 years with positive ctDNA at baseline had a slight trend towards poor PFS compared to ctDNA negative patients [pHR = 1.62; 95%CI: 0.72–2.52, p < 0.001; I 2 = 71.28%], while younger patients (age ≤60 years) showed no difference ([pHR = 1.11; 95%CI: 0.39–1.84, p < 0.001; I 2 = 98.26%]; Supplementary Figure S3a ).