Table 1.
Characteristic | N (%)a | PCS score |
Unadjusted |
P value | Adjustedb |
P value | ||
---|---|---|---|---|---|---|---|---|
≥45.7 | 32.7–45.7 | <32.7 | OR (95% CI) | OR (95% CI) | ||||
Sex | ||||||||
Male | 1,489 (60.1) | 498 | 517 | 474 | 1.00 (Ref) | 1.00 (Ref) | ||
Female | 989 (39.9) | 294 | 325 | 370 | 1.23 (1.06–1.43) | 0.005 | 1.10 (0.93–1.30) | 0.29 |
Age at diagnosis, yrs | ||||||||
18–44 | 162 (6.5) | 45 | 56 | 61 | 1.00 (Ref) | 1.00 (Ref) | ||
45–54 | 534 (21.5) | 165 | 197 | 172 | 0.82 (0.60–1.14) | 0.24 | 0.83 (0.59–1.17) | 0.29 |
55–64 | 888 (35.8) | 306 | 303 | 279 | 0.75 (0.55–1.02) | 0.06 | 0.76 (0.54–1.05) | 0.10 |
65–74 | 651 (26.3) | 207 | 214 | 230 | 0.87 (0.63–1.19) | 0.38 | 0.91 (0.65–1.29) | 0.60 |
≥75 | 243 (9.8) | 69 | 72 | 102 | 1.10 (0.76–1.59) | 0.61 | 1.06 (0.71–1.60) | 0.77 |
P for trend | 0.29 | 0.35 | ||||||
Marital status | ||||||||
Married | 1952 (78.8) | 640 | 684 | 628 | 1.00 (Ref) | 1.00 (Ref) | ||
Never married | 203 (8.2) | 61 | 66 | 76 | 1.20 (0.92–1.57) | 0.18 | 1.10 (0.83–1.46) | 0.50 |
Divorced | 138 (5.6) | 44 | 38 | 56 | 1.25 (0.90–1.73) | 0.18 | 1.11 (0.79–1.56) | 0.55 |
Widowed | 167 (6.7) | 42 | 51 | 74 | 1.58 (1.18–2.13) | 0.002 | 1.10 (0.79–1.54) | 0.58 |
Others | 18 (0.7) | 5 | 3 | 10 | 2.09 (0.83–5.29) | 0.12 | 2.91 (1.13–7.51) | 0.03 |
Race | ||||||||
Non-Hispanic whites | 1966 (79.3) | 678 | 655 | 633 | 1.00 (Ref) | 1.00 (Ref) | ||
African-Americans | 166 (6.7) | 34 | 54 | 78 | 1.94 (1.44–2.61) | <0.001 | 1.33 (0.97–1.83) | 0.07 |
Hispanics | 186 (7.5) | 34 | 72 | 80 | 1.81 (1.38–2.39) | <0.001 | 1.69 (1.26–2.26) | <0.001 |
Others | 160 (6.5) | 46 | 61 | 53 | 1.16 (0.87–1.55) | 0.32 | 1.01 (0.74–1.39) | 0.93 |
Education | ||||||||
< High school | 171 (6.9) | 29 | 55 | 87 | 1.00 (Ref) | 1.00 (Ref) | ||
High school/vocational | 681 (27.5) | 190 | 199 | 292 | 0.65 (0.47–0.89) | 0.008 | 0.80 (0.57–1.12) | 0.19 |
≥ College degree | 1508 (60.9) | 540 | 545 | 423 | 0.38 (0.28–0.52) | <0.001 | 0.59 (0.42–0.83) | <0.001 |
Unknown | 118 (4.8) | 33 | 43 | 42 | 0.54 (0.35–0.84) | 0.006 | 0.69 (0.43–1.10) | 0.12 |
P for trend | <0.001 | <0.001 | ||||||
Occupation | ||||||||
White collar | 914 (36.9) | 307 | 339 | 268 | 1.00 (Ref) | 1(reference) | ||
Blue collar | 311 (12.6) | 81 | 114 | 116 | 1.41 (1.12–1.78) | 0.004 | 1.12 (0.86–1.45) | 0.40 |
Others | 164 (6.6) | 55 | 56 | 53 | 1.07 (0.79–1.45) | 0.67 | 0.83 (0.60–1.15) | 0.26 |
Unknown | 1089 (43.9) | 349 | 333 | 407 | 1.24 (1.06–1.46) | 0.008 | 1.10 (0.92–1.31) | 0.30 |
Smoking status | ||||||||
Never | 1122 (45.6) | 373 | 382 | 367 | 1.00 (Ref) | 1.00 (Ref) | ||
Former | 1056 (42.9) | 345 | 367 | 344 | 1.01 (0.87–1.18) | 0.90 | 1.07 (0.91–1.26) | 0.43 |
Current | 282 (11.5) | 72 | 83 | 127 | 1.60 (1.25–2.04) | <0.001 | 1.59 (1.23–2.06) | <0.001 |
P for trend | 0.004 | 0.003 | ||||||
Alcohol use | ||||||||
Never | 1030 (41.8) | 275 | 329 | 426 | 1.00 (Ref) | 1.00 (Ref) | ||
Former | 671 (27.3) | 171 | 248 | 252 | 0.93 (0.78–1.11) | 0.44 | 0.93 (0.77–1.13) | 0.47 |
Current | 761 (30.9) | 344 | 255 | 162 | 0.41 (0.34–0.49) | <0.001 | 0.46 (0.38–0.55) | <0.001 |
P for trend | <0.001 | <0.001 | ||||||
Tumour size | ||||||||
0–20 mm | 105 (4.2) | 44 | 35 | 26 | 1.00 (Ref) | 1.00 (Ref) | ||
21–30 mm | 233 (9.4) | 94 | 81 | 58 | 1.04 (0.68–1.60) | 0.85 | 1.20 (0.77–1.88) | 0.42 |
>30 mm | 526 (21.2) | 173 | 174 | 179 | 1.52 (1.03–2.24) | 0.04 | 1.40 (0.92–2.13) | 0.11 |
Unknown | 1614 (65.1) | 481 | 552 | 581 | 1.70 (1.18–2.45) | 0.004 | 1.49 (0.99–2.25) | 0.06 |
P for trend | <0.001 | 0.04 | ||||||
AJCC cancer stage | ||||||||
I | 97 (3.9) | 45 | 33 | 19 | 1.00 (Ref) | 1.00 (Ref) | ||
II | 221 (8.9) | 103 | 66 | 52 | 1.07 (0.69–1.67) | 0.77 | 1.08 (0.68–1.72) | 0.75 |
III | 162 (6.5) | 58 | 54 | 50 | 1.64 (1.03–2.62) | 0.04 | 1.80 (1.10–2.94) | 0.02 |
IV | 533 (21.5) | 140 | 184 | 209 | 2.47 (1.65–3.69) | <0.001 | 2.32 (1.50–3.59) | <0.001 |
Unknown | 1465 (59.1) | 446 | 505 | 514 | 2.05 (1.40–3.00) | <0.001 | 1.72 (1.12–2.65) | 0.01 |
P for trend | <0.001 | <0.001 | ||||||
Metastatic site(s) | ||||||||
1 | 239 (44.8) | 64 | 76 | 99 | 1.00 (Ref) | |||
≥2 | 294 (55.2) | 76 | 108 | 110 | 0.92 (0.67–1.26) | 0.61 | 0.89 (0.64–1.25) | 0.52 |
Comorbidity | ||||||||
No | 721 (29.1) | 268 | 255 | 198 | 1.00 (Ref) | 1.00 (Ref) | ||
Yes | 1757 (70.9) | 524 | 587 | 646 | 1.46 (1.24–1.71) | <0.001 | 1.39 (1.17–1.65) | <0.001 |
Heart disease | ||||||||
No | 2003 (80.8) | 666 | 679 | 658 | 1.00 (Ref) | 1.00 (Ref) | ||
Yes | 475 (19.2) | 126 | 163 | 186 | 1.30 (1.06–1.60) | 0.002 | 1.30 (1.06–1.60) | 0.01 |
Lung disease | ||||||||
No | 2281 (92.1) | 751 | 783 | 747 | 1.00 (Ref) | 1.00 (Ref) | ||
Yes | 197 (7.9) | 41 | 59 | 97 | 1.95 (1.48–2.57) | <0.001 | 1.86 (1.39–2.48) | <0.001 |
Diabetes | ||||||||
No | 1825 (73.6) | 635 | 625 | 565 | 1.00 (Ref) | 1.00 (Ref) | ||
Yes | 653 (26.4) | 157 | 217 | 279 | 1.67 (1.42–1.97) | <0.001 | 1.43 (1.19–1.72) | <0.001 |
Hypertension | ||||||||
No | 1343 (54.2) | 470 | 449 | 424 | 1.00 (Ref) | 1.00 (Ref) | ||
Yes | 1135 (45.8) | 322 | 393 | 420 | 1.31 (1.14–1.52) | <0.001 | 1.11 (0.92–1.34) | 0.27 |
Liver disease | ||||||||
No | 2343 (94.6) | 759 | 796 | 788 | 1.00 (Ref) | 1.00 (Ref) | ||
Yes | 135 (5.4) | 33 | 46 | 56 | 1.43 (1.04–1.97) | 0.03 | 1.06 (0.76–1.49) | 0.72 |
Renal disease | ||||||||
No | 2210 (89.0) | 729 | 756 | 725 | 1.00 (Ref) | 1.00 (Ref) | ||
Yes | 268 (10.8) | 63 | 86 | 119 | 1.62 (1.28–2.06) | <0.001 | 1.48 (1.14–1.91) | <0.001 |
Infectious disease | ||||||||
No | 2439 (98.4) | 786 | 829 | 824 | 1.00 (Ref) | 1.00 (Ref) | ||
Yes | 39 (1.6) | 6 | 13 | 20 | 2.19 (1.21–3.97) | 0.01 | 1.85 (0.99–3.43) | 0.05 |
Stroke | ||||||||
No | 2397 (96.7) | 786 | 812 | 799 | 1.00 (Ref) | 1.00 (Ref) | ||
Yes | 81 (3.3) | 6 | 30 | 45 | 2.89 (1.90–4.39) | <0.001 | 2.57 (1.65–3.99) | <0.001 |
Digestive tract bleeding | ||||||||
No | 2420 (97.7) | 780 | 825 | 815 | 1.00 (Ref) | 1.00 (Ref) | ||
Yes | 58 (2.3) | 12 | 17 | 29 | 1.93 (1.17–3.16) | 0.01 | 1.55 (0.93–2.60) | 0.09 |
Seizure | ||||||||
No | 2449 (98.8) | 786 | 835 | 828 | 1.00 (Ref) | 1.00 (Ref) | ||
Yes | 29 (1.2) | 6 | 7 | 16 | 2.24 (1.09–4.57) | 0.03 | 1.83 (0.87–3.83) | 0.11 |
Time since diagnosisc | ||||||||
< 1 month | 1174 (47.4) | 429 | 375 | 370 | 1.00 (Ref) | 1.00 (Ref) | ||
1–3 months | 890 (35.9) | 226 | 326 | 338 | 1.49 (1.27–1.74) | <0.001 | 1.27 (1.07–1.52) | 0.007 |
3–6 months | 218 (8.8) | 64 | 72 | 82 | 1.36 (1.04–1.77) | 0.03 | 1.10 (0.79–1.52) | 0.58 |
≥ 6 months | 196 (7.9) | 73 | 69 | 54 | 0.90 (0.68–1.19) | 0.47 | 0.83 (0.59–1.16) | 0.28 |
P for trend | 0.17 | 0.99 | ||||||
Years of diagnosis | ||||||||
1999–2001 | 218 (8.8) | 59 | 79 | 80 | 1.00 (Ref) | 1.00 (Ref) | ||
2002–2004 | 355 (14.3) | 109 | 110 | 136 | 0.96 (0.71–1.31) | 0.81 | 0.97 (0.70–1.34) | 0.86 |
2005–2007 | 632 (25.5) | 204 | 215 | 213 | 0.83 (0.63–1.10) | 0.20 | 0.87 (0.64–1.17) | 0.35 |
2008–2010 | 820 (33.1) | 269 | 275 | 276 | 0.82 (0.63–1.08) | 0.16 | 0.89 (0.66–1.18) | 0.41 |
2011–2012 | 453 (18.3) | 151 | 163 | 139 | 0.76 (0.57–1.02) | 0.07 | 0.87 (0.64–1.20) | 0.40 |
P for trend | 0.03 | 0.34 |
Abbreviations: AJCC, American Joint Committee on Cancer; CI, confidence interval; OR, odds ratio; PCS, Physical Component Summary.
Missing values not included: smoking status (N = 18); alcohol status (N = 16), percentages may not add up to 100% due to rounding.
Adjusted for sex, age, marital status, race, education level, occupation, smoking, alcohol use, tumour size, cancer stage, comorbidity, treatment before survey, time since diagnosis and years of diagnosis if appropriate.
The interval between initial diagnosis and quality-of-life survey.