Table 4.
Linear Mixed Effects Model of IQ Change Over Time by RT Group for Focal RT Only (n = 54)*
| Parameter | Beta† | 95% CI | P |
|---|---|---|---|
| Time since RT, years | −0.6 | −2.0 to 0.8 | .401 |
| RT group (XRT) × time since RT, years | −1.0 | −3.0 to 1.0 | .342 |
| RT group (XRT) | −3.0 | −12.6 to 6.6 | .541 |
| Age at RT, years | −0.3 | −1.5 to 0.9 | .602 |
| Total RT dose to tumor, Gy | −0.5 | −1.6 to 0.6 | .360 |
| VP shunt | −1.5 | −10.3 to 7.2 | .730 |
| Tumor location‡ | 3.0 | −9.4 to 15.4 | .640 |
| Tumor diameter, cm‡ | −3.0 | −6.0 to 0.0 | .051 |
| Histology | .323 | ||
| Glioma | — | ||
| Medulloblastoma/PNET | −12.0 | −31.9 to 8.0 | .241 |
| Ependymoma | 6.4 | −10.0 to 22.8 | .446 |
| Germ cell tumor | −12.6 | −31.8 to 6.6 | .199 |
| Other§ | 0.3 | −10.6 to 11.2 | .955 |
| Performance score ≤ 80‡║ | 2.4 | −9.5 to 14.2 | .697 |
| SES‡ | −79.2 | −125.7 to −32.8 | .001 |
| Race/ethnicity‡ | .065 | ||
| White | — | ||
| Black | −1.5 | −14.4 to 11.5 | .825 |
| Hispanic/Latino | −1.6 | −13.6 to 10.3 | .789 |
| Other¶ | −26.5 | −45.9 to −7.1 | .007# |
| IQ test type | |||
| Leiter | — | ||
| Wechsler | −15.1 | −28.9 to −1.3 | .031 |
Abbreviations: —, reference group; IQ, intelligence quotient; PNET, primitive neuroectodermal tumor; RT, radiation therapy; SES, socioeconomic status; VP, ventriculoperitoneal; XRT, photon radiation therapy.
Fourteen focal patients were excluded from the model because of missing data on covariates.
Beta = slope.
Data were missing for tumor location (n = 1), tumor diameter (n = 4), performance score (n = 8), and race/ethnicity (n = 1).
Other histology category includes craniopharyngioma (n = 13), choroid plexus carcinoma (n = 1), meningioma (n = 2), and neuronal glial (n = 1).
║Performance score was obtained from the Lansky/Karnofsky rating at the first clinic visit after diagnosis.
Other race category includes Asian (n = 3) and American Indian (n = 1).
Because the overall effect for race/ethnicity was not significant, the significant result for the other versus white contrast is not interpreted as a significant effect.