borderline significanceP = .052
This superiority persisted in the test cohort (n = 40), where the PM-TERR maintained strong statistical significance (HR = 6.20, 95% CI: 1.85-20.81, P = .003), while ESMO showed only borderline significance (HR = 4.50, 95% CI: 0.98-20.58, P = .052).