Barely Significant

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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 ).
highly significantp < 0.0010.0× alphaqualifiedgold
Kaplan–Meier analysis demonstrated a highly significant difference in overall survival among the geneClusters ( p < 0.001) ( Figure 4 C), indicating that this DEG-based secondary classification further refines outcome stratification beyond the initial senescence clusters.
an increasing trendp = 0.00110.0× alphagold
As for the Non-Diab group, we found an increasing trend for non-Hodgkin lymphoma [APC: 3.23% (1.25–5.15%), p = 0.0011] and thyroid [APC: 3.07% (0.67–5.38%), p = 0.0112] cancers, and a decreasing trend for gallbladder [APC: −6.04% (−8.98–−3.20%), p < 0.0001], stomach [APC: −5.25% (−7.12–−3.43%), p < 0.0001], colorectal [APC: −1.17% (−1.99–−0.37%), p = 0.
highly significantp = 0.00130.0× alphaqualifiedgold
Sub-group analysis in relation to gender revealed a highly significant influence of ERα expression on OS and RFS in males but not in females, both for the ERα-positive primary tumor cohort (males: p = 0.0013; p < 0.0001; females: p = 0.56; p = 0.89) and the ERα-positive primary tumor/primary lymph node metastasis cohort (males: p < 0.0001; p < 0.0001; females: p = 0.95; p = 0.96).