Table 3.
Step 1. Survival in association with patients’ SEP adjusted for treatment, patients’ and disease characteristics
Main components | Model 1.0 (M1.0) | Model 1.1 | Model 1.2 | Model 1.3 | Model 1.4 | Model 1.5 | Model 1.6 | M 1.7 | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
M1.0 + perf. Status | M1.0 + AML ont | M1.0 + WBC. | M1.0 + cyto. Progn. | M1.0 + treatment | All but treatment | Fully adjusted | |||||||||||||||||
HR | [95% CI] | HR | [95% CI] | HR | [95% CI] | HR | [95% CI] | HR | [95% CI] | HR | [95% CI] | HR | [95% CI] | HR | [95% CI] | ||||||||
Age | 1.04 | [1.03; 1.05] | 1.03 | [1.02; 1.05] | 1.04 | [1.03; 1.05] | 1.04 | [1.03; 1.05] | 1.04 | [1.02; 1.05] | 1.01 | [1.00; 1.03] | 1.03 | [1.02; 1.05] | 1.02 | [1.00; 1.03] | |||||||
Sex | Men | ref | ref | ref | ref | ref | Ref | ref | |||||||||||||||
Women | 0.88 | [0.73; 1.07] | 0.86 | [0.71; 1.04] | 0.87 | [0.72; 1.05] | 0.89 | [0.74; 1.08] | 0.84 | [0.69; 1.01] | 0.87 | [0.72; 1.05] | 0.81 | [0.67; 0.98] | 0.82 | [0.68; 1.00] | |||||||
Patients’ SEP (quintile of deprivation score) | Q1 – least | ref | Ref | Ref | Ref | Ref | ref | Ref | |||||||||||||||
Q2 | 1.14 | [0.85; 1.53] | 1.11 | [0.83; 1.50] | 1.08 | [0.80; 1.45] | 1.17 | [0.87; 1.35] | 1.06 | [0.79; 1.42] | 1 | [0.84; 1.50] | 1.01 | [0.75; 1.37] | 0.96 | [0.71; 1.29] | |||||||
Q3 | 0.89 | [0.67; 1.18] | 0.85 | [0.64; 1.13] | 0.83 | [0.62; 1.11] | 0.88 | [0.66; 1.17] | 0.89 | [0.67; 1.18] | 0.84 | [0.69; 1.22] | 0.80 | [0.60; 1.07] | 0.78 | [0.58; 1.04] | |||||||
Q4 | 1.07 | [0.82; | 1.40] | 1.02 | [0.78; 1.33] | 1.03 | [0.79; 1.35] | 1.07 | [0.82; 1.40] | 1.06 | [0.81; 1.38] | 1 | [0.82; 1.40] | 0.99 | [0.75; 1.30] | 0.94 | [0.71; 1.24] | ||||||
Q5 – most | 1.39 | [1.04; 1.87] | 1.37 | [1.02; 1.84] | 1.31 | [0.97; 1.76] | 1.47 | [1.10; 1.97] | 1.30 | [0.97; 1.75] | 1.35 | [1.12; 2.01] | 1.28 | [0.95; 1.73] | 1.29 | [0.95; 1.74] | |||||||
Charlson comorbidity index | 0 | ref | ref | ref | ref | ref | ref | ref | |||||||||||||||
1 | 1.1 | [0.86; 1.41] | 1.02 | [0.80; 1.31] | 1.08 | [0.85; 1.38] | 1.15 | [0.90; 1.47] | 1.09 | [0.86; 1.40] | 1.01 | [0.79; 1.29] | 1.07 | [0.83; 1.37] | 1.00 | [0.78; 1.28] | |||||||
2+ | 1.29 | [1.01; 1.66] | 1.18 | [0.92; 1.52] | 1.21 | [0.94; 1.56] | 1.3 | [1.01; 1.66] | 1.35 | [1.06; 1.73] | 1.13 | [0.88; 1.45] | 1.19 | [0.92; 1.54] | 1.08 | [0.83; 1.41] | |||||||
Undefined | 2.1 | [1.60; 2.76] | 1.89 | [1.39; 2.56] | 1.88 | [1.40; 2.53] | 2.06 | [1.56; 2.73] | 1.97 | [1.49; 2.61] | 1.29 | [0.96; 1.74] | 1.66 | [1.20; 2.31] | 1.25 | [0.89; 1.75] | |||||||
Performance status | 0/1 | ref | Ref | ref | |||||||||||||||||||
2 | 1.51 | [1.16; 1.97] | 1.49 | [1.15; 1.95] | 1.50 | [1.15; 1.95] | |||||||||||||||||
3/4 | 2.36 | [1.70; 3.28] | 1.90 | [1.34; 2.68] | 1.72 | [1.22; 2.42] | |||||||||||||||||
Undefined | 1.75 | [1.24; 2.48] | 1.52 | [1.04; 2.20] | 1.29 | [0.88; 1.88] | |||||||||||||||||
AML ontogeny | AML de novo | ref | Ref | ref | |||||||||||||||||||
Secondary AML (post treatment / MDS) | 1.25 | [1.03; 1.52] | 1.21 | [0.99; 1.48] | 1.12 | [0.91; 1.38] | |||||||||||||||||
Undefined | 1.56 | [0.90; 2.72] | 1.60 | [0.90; 2.83] | 1.52 | [0.86; 2.70] | |||||||||||||||||
White blood cell (WBC) counts (tercile) | Tercile 1 – low | ref | Ref | ||||||||||||||||||||
Terticle 2 – intermediate | 1.42 | [1.10; 1.83] | 1.38 | [1.06; 1.79] | 1.34 | [1.04; 1.74] | |||||||||||||||||
Terticle 3 – high | 2.24 | [1.66; 3.01] | 2.16 | [1.59; 2.93] | 2.36 | [1.74; 3.20] | |||||||||||||||||
Undefined | 2.9 | [1.50; 5.60] | 2.28 | [1.14; 4.56] | 2.10 | [1.05; 4.21] | |||||||||||||||||
Cytogenetic prognosis | Favorable/Intermediate | ||||||||||||||||||||||
Unfavorable | 2.00 | [1.64; 2.43] | 2.01 | [1.64; 2.46] | 1.72 | [1.38; 2.13] | |||||||||||||||||
Undefinable | 1.99 | [1.34; 2.96] | 1.88 | [1.24; 2.86] | 1.44 | [0.95; 2.18] | |||||||||||||||||
Treatment | Intensive chemotherapy | ref | |||||||||||||||||||||
Low intensive therapy | 1.53 | [1.19; 1.96] | 1.36 | [1.01; 1.82] | |||||||||||||||||||
Best supportive care | 4.11 | [2.93; 5.77] | 3.24 | [2.21; 4.76] | |||||||||||||||||||
Time varying component | |||||||||||||||||||||||
Time * Performance status | 0.9998 [0.9997;0.9999] | 0.9999 [0.9998; 1.0000] | 0.9999 [0.9998; 1.0000] | ||||||||||||||||||||
Time * White blood cell counts | 0.9993 [0.9990; 0.9996] | 0.9993 [0.9989; 0.9996] | 0.9992 [0.9990; 0.9996] |
Adjusted hazard ratios [95% Confidence Intervals] of overall mortality from Adjusted Cox proportional hazards model with time dependent variables (n = 592)