Table 2. Univariate analysis of prognostic factors on PFS and OS.
Comorbidity | Definition | n | Median PFS (months) | P-valuea | Median OS (months) | P-valuea | HR (95% Confidence interval) | P-valuea |
---|---|---|---|---|---|---|---|---|
Lung disease | No/mild | 104 | 43 | 0.0014 | 103 | <0.0001 | 3.47 (2–6.14)c | <0.0001c |
Moderate | 13 | 21 | 37 | |||||
Severe | 10 | 11 | 25 | |||||
eGFRMDRD (ml/min/1.73m2) | ⩾90 | 60 | 50 | 0.005 | 98 | 0.0008 | 3.44 (1.58–7.49)c | 0.0018c |
60 to < 90 | 38 | 35 | 63 | |||||
30 to < 60 | 17 | 22 | 30 | |||||
< 30 | 12 | 15 | 15 | |||||
KPS | 100% | 35 | 61 | <0.0001 | — | 0.0003 | 2.69 (1.56–4.63)c | 0.0004c |
80–90% | 53 | 33 | 98 | |||||
⩽ 70% | 39 | 27 | 41 | |||||
Age (years) | ⩽59 | 65 | 61 | 0.0003 | 98 | 0.01 | 1.99 (1.17–3.41) | 0.0114 |
>59 | 62 | 26 | 53 | |||||
Additional malignancy apart from MMb | No | 119 | 36 | 0.0041 | 69 | 0.9605 | 1.04 (0.25–4.28) | 0.9599 |
Yes | 8 | 10 | — | |||||
Hepatic impairment | No/mild | 107 | 36 | 0.5081 | 76 | 0.6328 | 1.18 (0.6–2.35) | 0.6331 |
Moderate/severe | 20 | 27 | 69 | |||||
Cardiac impairment | No/mild | 102 | 36 | 0.5299 | 76 | 0.997 | 1.01 (0.52–1.95)c | 0.9831c |
Moderate | 10 | 27 | 46 | |||||
Severe | 15 | 35 | 62 | |||||
Hypertension | No | 106 | 35 | 0.7161 | 76 | 0.5949 | 0.81 (0.36–1.79) | 0.5958 |
Yes | 21 | 33 | 63 | |||||
Pain | No | 54 | 50 | 0.5038 | 98 | 0.2105 | 1.41 (0.82–2.41) | 0.2127 |
Yes | 73 | 32 | 60 | |||||
Diabetes | No | 114 | 35 | 0.8145 | 69 | 0.9782 | 0.99 (0.36–2.74) | 0.9783 |
Yes | 13 | 45 | 60 |
Abbreviations: eGFR, estimated glomerular filtration rate; HR, hazard ratio; KPS, Karnofsky Performance Status; MDRD, Modification of Diet in Renal Disease; MM, multiple myeloma; OS, overall survival; PFS, progression-free survival.
Log-rank test.
Any additional malignancy, apart from the MM, occurring prior, synchronous or after the MM diagnosis, which because of any of the 8 out of the 127 MM patients with additional malignancy, was not further subdivided within these groups.
These risk factors were summarized as two groups: lung disease, no/mild vs moderate/severe; eGFR <30 vs ⩾30 ml/min; KPS: >70 vs ⩽70% cardiac impairment, no/mild vs moderate/severe.