Table 2.
Characteristic | AHO |
|||||||
---|---|---|---|---|---|---|---|---|
Tinnitus: yes∗ |
Hearing loss: yes∗ |
Raynaud phenomenon: yes∗ |
Peripheral neuropathy: yes∗ |
|||||
OR (95% CI) | P | OR (95% CI) | P | OR (95% CI) | P | OR (95% CI) | P | |
Clinical characteristic | ||||||||
Treatment | P overall = .0011 | P overall = .0016 | P overall = .0014 | P overall <.0001 | ||||
Surgery only | Ref. | Ref. | Ref. | Ref. | ||||
BEPx3† | 3.00 (1.61 to 5.60) | .0005 | 3.52 (1.71 to 7.28) | .0007 | 11.85 (2.74 to 51.29) | .0009 | 8.93 (3.04 to 26.29) | <.0001 |
BEPx4 | 3.71 (1.77 to 7.78) | .0005 | 3.80 (1.63 to 8.85) | .0020 | 20.56 (4.49 to 94.19) | <.0001 | 12.82 (4.01 to 40.94) | <.0001 |
Other chemotherapy‡ | 3.99 (1.83 to 8.72) | .0005 | 5.20 (2.14 to 12.63) | .0003 | 12.04 (2.52 to 57.62) | .0018 | 17.63 (5.47 to 56.83) | <.0001 |
Age at clinical evaluation, per 5 y | 1.11 (0.99 to 1.26) | .0764 | 1.16 (1.02 to 1.33) | .0259 | 1.02 (0.87 to 1.18) | .8260 | 1.23 (1.07 to 1.41) | .0033 |
Time since chemotherapy completion, per 1 y | 1.00 (0.96 to 1.04) | .9636 | 1.01 (0.97 to 1.06) | .4898 | 1.02 (0.97 to 1.06) | .5031 | 0.96 (0.92 to 1) | .0658 |
Cumulative dose of cisplatin, per 100 mg/m2§ | 1.44 (1.22 to 1.69) | <.0001 | 1.40 (1.17 to 1.66) | .0002 | § | § | 1.75 (1.41 to 2.17) | <.0001 |
Health behavior | ||||||||
Smoking status | Poverall = .4704 | P overall = .6835 | P overall = .0402 | P overall = .5185 | ||||
Never smoker | Ref | Ref | Ref | Ref | ||||
Former smoker | 0.83 (0.52 to 1.31) | .4261 | 0.81 (0.49 to 1.33) | .4002 | 0.93 (0.52 to 1.67) | .8146 | 1.27 (0.75 to 2.12) | .3740 |
Current smoker | 1.27 (0.65 to 2.48) | .4800 | 0.85 (0.40 to 1.78) | .6655 | 2.41 (1.16 to 5.02) | .0183 | 1.43 (0.68 to 2.99) | .3485 |
Average no. alcoholic drinks in past year | ‖ | ‖ | ‖ | ‖ | ‖ | ‖ | P overall = .6080 | |
Rarely or never | ‖ | ‖ | ‖ | ‖ | ‖ | ‖ | Ref | |
≤4/wk | ‖ | ‖ | ‖ | ‖ | ‖ | ‖ | 1.08 (0.6, 1.94) | .7885 |
5/wk–1/d | ‖ | ‖ | ‖ | ‖ | ‖ | ‖ | 1.25 (0.63, 2.48) | .5178 |
≥2/d | ‖ | ‖ | ‖ | ‖ | ‖ | ‖ | 1.61 (0.78, 3.34) | .2017 |
AHO specific risk factor | ||||||||
Cumulative dose of bleomycin, per 90 000 IU§ | ‖ | ‖ | ‖ | ‖ | 1.36 (1.12 to 1.65) | .0016 | ‖ | ‖ |
Noise exposure | P overall = .0189 | P overall = .0003 | ||||||
None | Ref | Ref | ‖ | ‖ | ‖ | ‖ | ||
Work-related noise only | 1.69 (1.02 to 2.79) | .0426 | 2.30 (1.32 to 4.00) | .0033 | ‖ | ‖ | ‖ | ‖ |
Non-work-related noise only | 2.1 (1.03 to 4.25) | .0399 | 3.64 (1.70 to 7.81) | .0009 | ‖ | ‖ | ‖ | ‖ |
Both | 2.13 (1.22 to 3.72) | .0078 | 2.75 (1.49 to 5.06) | .0012 | ‖ | ‖ | ‖ | ‖ |
Hypertension | 1.08 (0.57 to 2.02) | .8175 | 2.40 (1.23 to 4.67) | .0101 | 1.13 (0.53 to 2.39) | .7529 | 1.23 (0.62 to 2.43) | .5468 |
CVD | 1.33 (0.57 to 3.13) | .5118 | 1.05 (0.41 to 2.68) | .9245 | 0.58 (0.18 to 1.91) | .3720 | 0.95 (0.36 to 2.48) | .9086 |
Peripheral vascular disease | ‖ | ‖ | ‖ | ‖ | 0.84 (0.22 to 3.12) | .7895 | 8.72 (2.41 to 31.62) | .0010 |
Diabetes and on prescription medication | ‖ | ‖ | ‖ | ‖ | 2.23 (0.47 to 10.66) | .3164 | 1.53 (0.37 to 6.35) | .5614 |
Ref. = “no.” AHO = adverse health outcome; BEP = bleomycin, etoposide, cisplatin; CI = confidence interval; CVD = cardiovascular disease; EP = etoposide, cisplatin; IU = international unit; OR = odds ratio; TCS = testicular cancer survivors; VeIP = vinblastine, ifosfamide, cisplatin; VIP = etoposide, cisplatin, ifosfamide.
The standard BEP chemotherapy cycle that all of our patients received consists of bleomycin 30 000 IU days 1, 8, 15; etoposide 100 mg/m2 days 1 through 5; and cisplatin 20 mg/m2 days 1 through 5.
Includes 32 patients with other cisplatin-based regimens: 11 participants with VIP and one with VeIP. Each standard VIP chemotherapy cycle that our patients received consists of etoposide 75 mg/m2 days 1 through 5, cisplatin 100 mg/m2 days 1through 5, and ifosfamide 1200 mg/m2 days 1 through 5.
Reported results are calculated utilizing the statistical model that included the cumulative dose variable instead of the treatment group variable. Please refer to Supplementary Methods (available online) for details on the statistical analysis modeling used.
Variable not included in the analysis for the indicated AHO. Please refer to Supplementary Methods (available online).