Table 3.
Linear Mixed Effects Model of IQ Change Over Time by RT Group for CSI Only (n = 69)*
Parameter | Beta† | 95% CI | P |
---|---|---|---|
Time since RT, years | −0.8 | −1.9 to 0.4 | .203 |
RT group (XRT) × time since RT, years | −0.1 | −1.6 to 1.4 | .890 |
RT group (XRT) | −12.5 | −21.1 to −3.9 | .004 |
Age at RT, years | −0.5 | −1.6 to 0.6 | .381 |
Total RT dose to tumor, Gy | 0.0 | −1.0 to 1.1 | .964 |
VP shunt | −5.0 | −12.9 to 2.9 | .217 |
Tumor location‡ | 2.7 | −9.9 to 15.2 | .680 |
Tumor diameter, cm‡ | −1.6 | −4.4 to 1.1 | .251 |
Histology | .608 | ||
Glioma | — | ||
Medulloblastoma/PNET | 0.8 | −34.3 to 35.8 | .966 |
Germ cell tumor | 1.9 | −31.8 to 35.7 | .911 |
Other§ | 14.8 | −22.9 to 52.4 | .441 |
Performance score ≤ 80‡║ | −14.4 | −22.7 to −6.0 | .001 |
SES‡ | −16.1 | −46.4 to 14.1 | .296 |
Race/ethnicity‡ | < .001 | ||
White | — | ||
Black | −16.0 | −26.2 to −5.8 | .002 |
Hispanic/Latino | 0.3 | −9.2 to 9.9 | .946 |
Other¶ | 16.5 | 3.7 to 29.2 | .011 |
IQ test type | < .001 | ||
Leiter | — | ||
Woodcock-Johnson | 13.4 | 6.1 to 20.7 | < .001 |
Wechsler | 3.9 | −2.3 to 10.0 | .218 |
Abbreviations: —, reference group; CSI, craniospinal irradiation; IQ, intelligence quotient; PNET, primitive neuroectodermal tumor; RT, radiation therapy; SES, socioeconomic status; VP, ventriculoperitoneal; XRT, photon radiation therapy.
Of the patients who underwent CSI, 13 were excluded from the model because of missing data on covariates.
Beta = slope.
Data were missing for tumor location (n = 1), tumor diameter (n = 3), performance score (n = 7), SES (n = 1), and race/ethnicity (n = 2).
Other histology category includes choroid plexus carcinoma (n = 3), ganglioneuroblastoma (n = 1), epidermoid (n = 1), and undetermined (n = 1).
║Performance score was obtained from the Lansky/Karnofsky rating at the first clinic visit after diagnosis.
Other race category includes Asian (n = 5) and American Indian (n = 1).