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. 2014 Dec 29;33(5):479–491. doi: 10.1200/JCO.2014.57.4863

Table 3.

Prevalence Ratios and 95% CIs for Adverse Health Status Outcomes by Host and Treatment-Related Factors Among Survivors

Variable Poor General Health
Adverse Mental Health
Functional Impairment
Activity Limitations
Cancer-Related Pain
Cancer-Related Anxiety
Adverse Outcome in Any Domain
PR 95% CI PR 95% CI PR 95% CI PR 95% CI PR 95% CI PR 95% CI PR 95% CI
Sex
    Male Reference Reference Reference Reference Reference Reference Reference
    Female 1.20 1.06 to 1.35 1.16 1.05 to 1.29 1.45 1.30 to 1.61 1.96 1.74 to 2.21 1.23 1.07 to 1.41 1.73 1.55 to 1.94 1.51 1.40 to 1.64
Race/ethnicity
    White Reference Reference Reference Reference
    Nonwhite 1.41 1.18 to 1.68 1.10 0.93 to 1.29 1.32 1.12 to 1.55 1.12 0.99 to 1.27
Age at interview, years
    18-24 Reference Reference Reference Reference Reference
    25-29 1.74 1.44 to 2.10 1.62 1.37 to 1.91 1.20 1.00 to 1.43 1.19 0.99 to 1.44 1.13 1.02 to 1.26
    30-34 1.95 1.63 to 2.33 2.15 1.84 to 2.51 1.32 1.11 to 1.57 1.18 0.97 to 1.42 1.20 1.09 to 1.33
    35-39 2.29 1.89 to 2.77 2.82 2.38 to 3.33 1.89 1.56 to 2.29 1.11 0.90 to 1.37 1.27 1.14 to 1.42
    40-44 2.81 2.29 to 3.45 3.50 2.89 to 4.23 2.42 1.96 to 2.98 1.14 0.90 to 1.45 1.28 1.13 to 1.46
    ≥ 45 3.52 2.79 to 4.43 4.54 3.63 to 5.66 3.57 2.82 to 4.51 0.93 0.69 to 1.27 1.63 1.40 to 1.90
Age at diagnosis, years
    0-4 Reference Reference
    5-9 1.18 0.96 to 1.45 0.78 0.62 to 0.98
    10-14 0.99 0.82 to 1.19 0.75 0.61 to 0.92
    15-20 0.93 0.79 to 1.09 0.89 0.74 to 1.06
Income < $20,000/year
    Yes 2.25 1.98 to 2.56 1.84 1.65 to 2.05 2.46 2.18 to 2.77 2.14 1.87 to 2.44 2.02 1.75 to 2.35 1.51 1.33 to 1.72 1.89 1.72 to 2.08
    No Reference Reference Reference Reference Reference Reference Reference
High school graduate
    Yes Reference Reference Reference Reference Reference Reference Reference
    No 2.14 1.76 to 2.60 1.43 1.19 to 1.73 2.65 2.22 to 3.16 1.85 1.51 to 2.27 1.48 1.16 to 1.89 1.23 0.99 to 1.51 1.90 1.63 to 2.22
Body mass index
    < 18.5 kg/m2 1.70 1.35 to 2.13 1.12 0.92 to 1.38 1.45 1.17 to 1.80 1.65 1.32 to 2.07 1.43 1.11 to 1.84 1.44 1.22 to 1.69
    18.5-24.9 kg/m2 Reference Reference Reference Reference Reference Reference
    25.0-29.9 kg/m2 1.15 1.01 to 1.30 1.08 0.97 to 1.20 1.09 0.98 to 1.23 1.10 0.97 to 1.25 1.10 0.95 to 1.28 1.08 0.99 to 1.17
    ≥ 30 kg/m2 1.83 1.59 to 2.11 1.24 1.10 to 1.41 1.27 1.11 to 1.45 1.61 1.40 to 1.85 1.25 1.05 to 1.50 1.32 1.20 to 1.46
Smoking status
    Never Reference Reference Reference Reference Reference Reference Reference
    Former 1.50 1.27 to 1.77 1.53 1.33 to 1.75 1.46 1.26 to 1.69 1.05 0.89 to 1.24 1.62 1.35 to 1.94 1.24 1.06 to 1.45 1.35 1.21 to 1.51
    Current 1.91 1.66 to 2.20 1.92 1.71 to 2.16 1.12 0.98 to 1.28 1.07 0.92 to 1.24 1.58 1.35 to 1.86 1.25 1.09 to 1.44 1.44 1.31 to 1.60
Meets CDC physical activity guidelines*
    Yes Reference Reference Reference Reference Reference Reference Reference
    No 1.89 1.70 to 2.10 1.26 1.15 to 1.38 1.62 1.47 to 1.79 1.89 1.71 to 2.10 1.22 1.07 to 1.39 1.10 0.99 to 1.22 1.31 1.22 to 1.41
Anthracyclines
    Yes 1.15 1.00 to 1.33 1.31 1.13 to 1.51 1.32 1.12 to 1.54 1.14 1.00 to 1.29 1.11 1.01 to 1.22
    No Reference Reference Reference Reference Reference
Alkylating agents
    Yes 1.26 1.10 to 1.44 1.19 1.08 to 1.32 1.21 1.08 to 1.35 1.18 1.03 to 1.35 1.18 1.02 to 1.37 1.20 1.06 to 1.36 1.16 1.06 to 1.27
    No Reference Reference Reference Reference Reference Reference Reference
Cranial radiation, Gy
    None Reference Reference Reference Reference Reference
    3.0-23.9 0.83 0.66 to 1.04 1.01 0.83 to 1.24 0.80 0.64 to 1.01 0.78 0.59 to 1.03 0.98 0.85 to 1.13
    24.0-29.9 1.02 0.84 to 1.24 1.00 0.83 to 1.19 0.72 0.58 to 0.89 1.05 0.84 to 1.32 1.05 0.92 to 1.19
    ≥ 30.0 1.52 1.21 to 1.91 2.39 1.97 to 2.92 1.28 1.02 to 1.60 1.14 0.91 to 1.43 1.63 1.39 to 1.91
Chest radiation, Gy
    None Reference Reference Reference Reference
    6.2-23.9 1.33 1.06 to 1.65 0.98 0.81 to 1.20 1.20 0.92 to 1.56 1.22 1.05 to 1.41
    24.0-37.9 1.35 1.12 to 1.62 0.90 0.76 to 1.07 1.36 1.09 to 1.69 1.20 1.05 to 1.37
    ≥ 38.0 1.27 1.04 to 1.55 1.18 0.99 to 1.41 1.55 1.22 to 1.95 1.28 1.12 to 1.47
Abdominal radiation, Gy
    None Reference Reference
    1.4-23.9 1.02 0.77 to 1.36 0.96 0.75 to 1.22
    24.0-34.9 0.77 0.60 to 0.99 1.11 0.90 to 1.37
    ≥ 35.0 1.03 0.82 to 1.29 1.34 1.12 to 1.60
Craniotomy
    Yes 1.19 0.94 to 1.52 1.23 1.05 to 1.44 1.82 1.48 to 2.23 1.47 1.17 to 1.86 1.27 1.08 to 1.49
    No Reference Reference Reference Reference Reference
Thoracotomy
    Yes 1.32 1.05 to 1.67 1.24 1.04 to 1.47
    No Reference Reference
Nephrectomy
    Yes 0.84 0.66 to 1.07 0.79 0.61 to 1.03
    No Reference Reference
Cystectomy
    Yes 2.69 1.56 to 4.63 2.46 1.46 to 4.16 3.49 2.04 to 5.98 2.22 1.28 to 3.83 1.61 1.05 to 2.49
    No Reference Reference Reference Reference Reference
Lower extremity amputation
    Yes 1.94 1.58 to 2.38 2.82 2.29 to 3.49 2.50 1.98 to 3.15 2.14 1.79 to 2.56
    No Reference Reference Reference Reference
Upper extremity amputation
    Yes 1.72 0.85 to 3.47 2.85 1.54 to 5.30
    No Reference Reference

Abbreviations: CDC, Centers for Disease Control and Prevention; PR, prevalence ratio.

*

At least 150 minutes per week of moderate physical activity. For each outcome, all generalized estimating equations were adjusted for other host- and treatment-related risk factors with a reported PR and for within-person correlation. Variables with P < .10 were retained using backward selection criteria.