Jw. Gamel et As. Jones, SQUAMOUS CARCINOMA OF THE HEAD AND NECK - CURED FRACTION AND MEDIAN SURVIVAL-TIME AS FUNCTIONS OF AGE, SEX, HISTOLOGIC TYPE, AND NODE STATUS, British Journal of Cancer, 67(5), 1993, pp. 1071-1075
The multivariate lognormal survival model can be used to determine the
relationship of prognostic covariates to two important parameters of
malignancy. Cured fraction and median survival time among uncured pati
ents. Analysis with this model revealed that cured fraction is primari
ly a function of histologic type and node status, while median surviva
l time is primarily a function of age and node status. Patient sex was
also related to likelihood of cure, but this association was of margi
nal significance. The symmetric impact of node status on both cured fr
action and median survival time is consistent with known biologic prin
ciples. The strongly asymmetric relationships of histologic grade to c
ured fraction and age to survival time suggest, however, that likeliho
od of cure and survival time may not operate by identical biologic mec
hanisms.