Table 4.
Proportion of Patients with Improvement in GCSI (≥1 point on GCSI) at 48 Weeks for Baseline Predictors and Corresponding Mean Change from Baseline in GCSI Scores
| Baseline Characteristics | Total No. (N=262) | Improved At 48 Wk N (%) | P* | Mean Baseline GCSI | P† | Mean Change in GCSI | P† |
|---|---|---|---|---|---|---|---|
| Demographics: | |||||||
| Sex | .69 | .01 | .19 | ||||
| Male | 47 | 12 (26%) | 2.64 | −0.23 | |||
| Female | 215 | 61 (28%) | 3.01 | −0.47 | |||
| Race | .21 | .96 | .58 | ||||
| White | 234 | 68 (29%) | 2.98 | −0.44 | |||
| Non-white | 28 | 5 (18%) | 2.99 | −0.31 | |||
| Age | .04 | .01 | .16 | ||||
| ≥ 50 years | 83 | 30 (36%) | 2.74 | −0.58 | |||
| <50 years | 179 | 43 (24%) | 3.09 | −0.35 | |||
| Education: | .22 | .01 | .16 | ||||
| College degree or higher | 83 | 19 (23%) | 2.75 | −0.28 | |||
| Some college or less | 179 | 54 (30%) | 3.10 | −0.49 | |||
| Income: | .25 | .02 | .55 | ||||
| $50,000 or higher | 143 | 44 (31%) | 2.85 | −0.39 | |||
| < $50,000 | 119 | 29 (24%) | 3.15 | −0.47 | |||
| Symptoms: Investigator- and Patient-rated | |||||||
| Global symptom severity (investigator-rated) | .48 | <.001 | .48 | ||||
| Mild | 36 | 11 (31%) | 2.40 | −0.44 | |||
| Moderate | 136 | 34 (25%) | 2.99 | −0.36 | |||
| Gastric failure | 87 | 28 (32%) | 3.24 | −0.55 | |||
| Nausea/vomiting moderate/severe‡ | .004 | <.001 | <.001 | ||||
| Yes | 114 | 42 (37%) | 3.58 | −0.75 | |||
| No | 148 | 31 (37%) | 2.53 | −0.17 | |||
| Fullness moderate/severe‡ | .002 | <.001 | <.001 | ||||
| Yes | 185 | 62 (34%) | 3.40 | −0.62 | |||
| No | 77 | 11 (14%) | 1.98 | 0.06 | |||
| Bloating moderate/severe‡ | .17 | <.001 | <.001 | ||||
| Yes | 162 | 50 (31%) | 3.52 | −0.61 | |||
| No | 100 | 23 (23%) | 2.11 | −0.13 | |||
| Abdominal pain mod/severe‡ | .81 | <.001 | .008 | ||||
| Yes | 191 | 54 (28%) | 3.28 | −0.53 | |||
| No | 71 | 19 (27%) | 2.18 | −0.13 | |||
| GERD moderate/severe‡ | .95 | <.001 | .10 | ||||
| Yes | 65 | 18 (28%) | 3.75 | −0.62 | |||
| No | 196 | 55 (28%) | 2.73 | −0.36 | |||
| Predominant symptom‡: | .03 | <.001 | .003 | ||||
| Other PAGI-SYM | 104 | 25 (24%) | 2.63 | −0.26 | |||
| Nausea/vomiting | 111 | 40 (36%) | 3.33 | −0.66 | |||
| Upper abdominal pain | 47 | 8 (17%) | 2.95 | −0.23 | |||
| Gastric emptying scintigraphy: | |||||||
| Gastric Retention at 4 hours: | .04 | .13 | .23 | ||||
| ≤ 20% | 109 | 23 (21%) | 2.97 | −0.34 | |||
| >21% | 153 | 50 (33%) | 3.15 | −0.59 | |||
| Medical history: | |||||||
| Etiology: | .63 | .94 | .45 | ||||
| Idiopathic | 177 | 52 (29%) | 3.00 | −0.46 | |||
| Diabetes Type 2 | 45 | 11 (28%) | 2.96 | −0.49 | |||
| Diabetes Type 1 | 40 | 10 (22%) | 2.92 | −0.20 | |||
| BMI category‡ | .006 | .47 | .05 | ||||
| Overweight or obese | 147 | 31 (21%) | 2.94 | −0.30 | |||
| Not overweight | 115 | 42 (37%) | 3.04 | −0.58 | |||
| Smoked (ever regularly) | .03 | .41 | .003 | ||||
| Yes | 84 | 16 (19%) | 2.91 | −0.13 | |||
| No | 178 | 57 (32%) | 3.02 | −0.56 | |||
| Acute onset of symptoms | .41 | .20 | .59 | ||||
| Acute | 139 | 42 (30%) | 2.91 | −0.46 | |||
| Insidious | 121 | 31 (26%) | 3.08 | −0.46 | |||
| Initial infectious prodrome | .02 | .71 | .38 | ||||
| Yes | 48 | 20 (42%) | 2.93 | −0.55 | |||
| No | 214 | 53 (25%) | 3.00 | −0.39 | |||
| Inflammation‡ | .41 | .82 | .71 | ||||
| Yes | 111 | 28 (25%) | 3.00 | −0.39 | |||
| No | 151 | 45 (30%) | 2.97 | −0.45 | |||
| HbA1c (%): | .49 | .34 | .33 | ||||
| < 7 % | 208 | 60 (29%) | 3.01 | −0.46 | |||
| ≥ 7 % | 54 | 13 (24%) | 2.86 | −0.29 | |||
| Current medication use: | |||||||
| Narcotics | .09 | .08 | .49 | ||||
| Yes | 115 | 26 (23%) | 3.11 | −0.37 | |||
| No | 147 | 47 (32%) | 2.88 | −0.46 | |||
| Protein pump inhibitors | .28 | .98 | .42 | ||||
| Yes | 212 | 56 (26%) | 2.98 | −0.40 | |||
| No | 50 | 17 (34%) | 2.98 | −0.54 | |||
| Prokinetics | .24 | .88 | .98 | ||||
| Yes | 148 | 37 (25%) | 2.99 | −0.42 | |||
| No | 114 | 36 (32%) | 2.97 | −0.42 | |||
| Antiemetics | .89 | <.001 | .23 | ||||
| Yes | 167 | 47 (28%) | 3.17 | −0.48 | |||
| No | 95 | 26 (27%) | 2.66 | −0.31 | |||
| Antidepressants | .44 | .70 | .40 | ||||
| Yes | 105 | 32 (30%) | 3.02 | −0.33 | |||
| No | 157 | 41 (26%) | 2.97 | −0.46 | |||
| Anxiolytics | .02 | .21 | .03 | ||||
| Yes | 50 | 7 (14%) | 3.15 | −0.11 | |||
| No | 212 | 66 (31%) | 2.94 | −0.50 | |||
| Pain modulators | .07 | .47 | .55 | ||||
| Yes | 63 | 12 (19%) | 3.07 | −0.34 | |||
| No | 199 | 61 (31%) | 2.96 | −0.45 | |||
| TPN | .42 | .04 | .20 | ||||
| On | 26 | 9 (35%) | 3.38 | −0.69 | |||
| Not on | 236 | 64 (27%) | 2.94 | −0.39 | |||
| GES implantation | .99 | .07 | .94 | ||||
| Yes | 18 | 5 (28%) | 3.40 | −0.40 | |||
| No | 244 | 68 (28%) | 2.95 | −0.42 | |||
| Psychological & QOL | |||||||
| Depression (BDI) | .07 | <.001 | .68 | ||||
| Moderate/severe(> 20) | 109 | 24 (22%) | 3.31 | −0.39 | |||
| Mild to none (≤ 20) | 153 | 49 (32%) | 2.75 | −0.45 | |||
| State-Trait Anxiety Inventory: | |||||||
| State anxiety ≥ 50 | .25 | .01 | .24 | ||||
| Yes | 86 | 20 (23%) | 3.21 | −0.31 | |||
| No | 176 | 53 (30%) | 2.87 | −0.48 | |||
| Trait anxiety ≥ 50 | .49 | .07 | .57 | ||||
| Yes | 80 | 20 (25%) | 3.16 | −0.36 | |||
| No | 182 | 53 (29%) | 2.91 | −0.45 | |||
| PAGI-QOL score | .82 | <.001 | .88 | ||||
| Medium to high (≥ 3) | 87 | 25 (29%) | 2.29 | −0.41 | |||
| Low (score < 3) | 175 | 48 (27%) | 3.33 | −0.43 | |||
| SF-36v2 Overall Health: | |||||||
| Physical health: | .42 | <.001 | .28 | ||||
| Score ≥ 35 | 101 | 31 (31%) | 2.59 | −0.33 | |||
| Score < 35 | 161 | 42 (26%) | 3.23 | −0.48 | |||
| Mental health: | .33 | .002 | .73 | ||||
| Score ≥ 35 | 149 | 45 (30%) | 2.81 | −0.44 | |||
| Score < 35 | 113 | 28 (25%) | 3.21 | −0.40 |
Improved defined as the 48 week PAGI-SYM GCSI being 1 or more points lower than the baseline (BS) GCSI. P (2-sided) determined from either a Pearson’s Chi-Square test.
P (2-sided) determined from t-test or ANOVA for outcomes with 3 categories.
Definitions: Nausea/vomiting, fullness (post-prandial), bloating, and GERD symptoms were each defined as moderate to severe if the subscale was 3 or higher; abdominal pain was defined as moderate to severe if any of the components of the subscale was 3 or higher; Predominant symptom is the patient’s selection for the most severe among any symptom on the PAGI-SYM questionnaire in the previous 2 weeks, and the other category includes post-prandial fullness, bloating, lower abdominal pain, GERD, constipation, or diarrhea; Overweight or obese defined as BMI≥25kg/m2, not overweight is BMI <25kg/m2; Inflammation defined as an elevated C-reactive protein (CRP) level or erythrocyte sedimentation rate (ESR).