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. 2013 Mar 27;43(5):483–491. doi: 10.1093/jjco/hyt040

Table 2.

Risk factors for grade 3–4 leukopenia, thrombocytopenia and diarrhea in patients receiving irinotecan therapy

Variable G3–4 leukopenia
G3–4 thrombocytopenia
G3–4 diarrhea
na Univariate
Multivariate (n = 12 023)
na Univariate
Multivariate (n = 12 022)
na Univariate
Multivariate (n = 11 983)
Odds (95% CI) P valuec Odds (95% CI) P valuec Odds (95% CI) P valuec Odds (95% CI) P valuec Odds (95% CI) P valuec Odds (95% CI) P valuec
Gender (female/male) 13 915 1.48 (1.38–1.58) 0.0001 1.62 (1.50–1.75) 0.0001 13 915 1.08 (0.98–1.20) 0.1307 1.16 (1.03–1.29) 0.0120 13 861 1.05 (0.94–1.17) 0.4237 1.15 (1.02–1.30) 0.0271
Age (≥65/≤64 years) 13 912 1.20 (1.12–1.30) 0.0001 1.41 (1.30–1.53) 0.0001 13 912 1.37 (1.24–1.52) 0.0001 1.50 (1.34–1.68) 0.0001 13 858 1.34 (1.20–1.50) 0.0001 1.39 (1.22–1.57) 0.0001
PS (≥3/≤2) 13 670 2.05 (1.71–2.45) 0.0001 1.66 (1.36–2.03) 0.0001 13 669 2.79 (2.28–3.42) 0.0001 2.32 (1.85–2.91) 0.0001 13 624 2.01 (1.58–2.54) 0.0001 1.70 (1.31–2.21) 0.0001
Prior chemotherapy 13 804 1.23 (1.14–1.33) 0.0001 13 803 1.56 (1.40–1.75) 0.0001 1.43 (1.26–1.62) 0.0001 13 749 1.01 (0.90–1.14) 0.8347
Prior radiotherapy 13 752 1.63 (1.50–1.77) 0.0001 1.73 (1.58–1.90) 0.0001 13 751 1.37 (1.22–1.54) 0.0001 1.22 (1.07–1.39) 0.0023 13 697 1.21 (1.07–1.38) 0.0035 1.20 (1.05–1.38) 0.0098
Pleural effusionb 13 328 1.31 (1.15–1.48) 0.0001 1.25 (1.09–1.43) 0.0013 13 327 1.34 (1.13–1.59) 0.0009 1.26 (1.05–1.52) 0.0121 13 283 1.82 (1.53–2.16) 0.0001 1.66 (1.38–2.00) 0.0001
Massive ascitesb 13 324 1.56 (1.33–1.83) 0.0001 1.41 (1.19–1.68) 0.0001 13 323 1.24 (0.99–1.56) 0.0559 13 279 1.39 (1.10–1.76) 0.0061
Watery stoolb 13 453 1.52 (1.01–2.27) 0.0426 13 453 0.73 (0.37–1.45) 0.3617 13 407 4.03 (2.59–6.26) 0.0001 4.14 (2.50–6.85) 0.0001
Infectionb 13 370 1.83 (1.38–2.43) 0.0001 1.70 (1.24–2.31) 0.0009 13 370 2.28 (1.64–3.18) 0.0001 1.87 (1.30–2.68) 0.0007 13 326 2.64 (1.88–3.72) 0.0001 1.99 (1.37–2.90) 0.0003
Jaundiceb 12 771 2.01 (1.27–3.16) 0.0027 12 771 2.96 (1.80–4.88) 0.0001 12 725 0.89 (0.41–1.93) 0.7585
Ileusb 13 662 2.20 (1.17–4.13) 0.0145 13.662 2.46 (1.20–5.05) 0.0145 13 615 1.02 (0.36–2.86) 0.9764
Hepatic dysfunctionb 13 754 1.45 (1.23–1.71) 0.0001 1.41 (1.18–1.69) 0.0002 13 752 1.51 (1.21–1.88) 0.0002 1.35 (1.07–1.71) 0.0125 13 699 1.30 (1.02–1.67) 0.0366
Renal dysfunctionb 13 754 2.03 (1.65–2.51) 0.0001 1.76 (1.39–2.22) 0.0001 13 752 2.24 (1.75–2.88) 0.0001 1.82 (1.38–2.40) 0.0001 13 699 1.81 (1.36–2.41) 0.0001 1.62 (1.19–2.21) 0.0022
Diabetesb 13 754 0.75 (0.64–0.86) 0.0001 0.73 (0.62–0.86) 0.0001 13 752 0.98 (0.80–1.20) 0.8385 13 699 1.16 (0.93–1.43) 0.1843

aNo. of patients for univariate analysis.

bAt the beginning of irinotecan treatment.

cWald chi-square test.