___Figure 3___
Subgroup analysis based on gender revealed striking differences in survival outcomes. Specifically, women over 60 exhibited markedly reduced survival durations compared to their younger counterparts (6.18 ± 5.41 months vs. 19.68 ± 18.76 months, p < 0.001). A similar trend was observed in men over 60 compared to younger males (7.41 ± 8.19 months vs. 13.27 ± 12.43 months, p = 0.009) (Figure 4). In the age subgroup analysis, men exhibited significantly lower survival rates than women in patients aged 60 or younger (13.27 ± 5.41 months vs. 19.68 ± 18.76 months, P < 0.045). However, no statistically significant difference was observed between males and females aged over 60 (p = 0.56). (Figure 5). The Summary of the results is shown in Table 2 and Table 3 .