Table 4. Cox regression analyses of the association between both frailty classifications and overall survival.
Unadjusted |
Adjusted model with mGAa |
Adjusted model with oncologists classificationa |
|||||
---|---|---|---|---|---|---|---|
N 288 | HR (95% CI) | P-value | HR (95% CI) | P-value | HR (95% CI) | P-value | |
Systematic mGA | |||||||
mGA-non-frail | 148 | ||||||
mGA-frail | 140 | 1.86 (1.36; 2.56) | <0.001 | 1.61 (1.14; 2.27) | 0.007 | ||
Oncologists’ assessment | |||||||
Onc-non-frail | 182 | ||||||
Onc-frail | 104 | 1.94 (1.41; 2.66) | <0.001 | 1.43 (0.97; 2.10) | 0.071 | ||
Age (continuous) | 1.02 (0.99; 1.05) | 0.185 | 1.05 (1.01; 1.09) | 0.010 | 1.06 (1.02; 1.10) | 0.002 | |
Gender | |||||||
Male | 162 | 1b | 1b | 1b | |||
Female | 126 | 0,64 (0.46; 0.89) | 0.007 | 0.62 (0.41; 0.93) | 0.019 | 0.66 (0.45; 0.98) | 0.040 |
Cancer type | |||||||
Breast | 30 | 1b | 1b | 1b | |||
Prostate | 56 | 7.18 (2.20; 23.42) | 0.001 | n.s. | n.s. | ||
Other gastrointestinal | 34 | 19.31 (5.84; 63.79) | <0.001 | 6.25 (1.75; 22.32) | 0.005 | 7.59 (2.12; 27.20) | 0.002 |
Lung | 59 | 16.28 (5.05; 52.43) | <0.001 | 5.17 (1.48; 18.13) | 0.010 | 5.85 (1.67; 20.51) | 0.006 |
Colorectal | 83 | 4.37 (1.34; 14.26) | 0.014 | n.s. | n.s. | ||
Other | 26 | 8.40 (2.43; 29.05) | 0.001 | n.s. | n.s. | ||
Stage | |||||||
Local | 73 | 1b | 1b | 1b | |||
Locally advanced | 55 | 3.04 (1.69; 5.47) | <0.001 | n.s. | n.s. | ||
Metastasised | 160 | 4.63 (2.77; 7.74) | <0.001 | 1.84 (0.95; 3.58) | 0.071 | 1.77 (0.91; 3.43) | 0.094 |
Treatment | |||||||
Curative | 91 | 1b | 1b | 1b | |||
Palliative chemotherapy | 126 | 7.76 (4.67; 12.89) | <0.001 | 2.54 (1.27; 5.11) | 0.009 | 2.57 (1.28; 5.18) | 0.008 |
Other palliative systemic cancer treatment | 51 | 2.74 (1.49; 5.05) | 0.001 | n.s | n.s. | ||
Non-systemic palliative treatment | 20 | 9.47 (4.81; 18.67) | <0.001 | 4.95 (2.31; 10.63) | <0.001 | 6.01 (2.79; 12.97) | <0.001 |
ECOG | |||||||
0–1 | 244 | 1b | 1b | 1b | |||
2–4 | 43 | 1.79 (1.20; 2.66) | 0.004 | n.s. | n.s. |
Cox regression analysis adjusted for age, sex, diagnosis, stage, treatment and ECOG-PS.
Reference category.
Bold numbers are statistically significant.