Table 2:
Aged less than 70 years (n = 65) | Aged 70 or greater (n = 37) | P value | |||
---|---|---|---|---|---|
Number of chemotherapy cycles | |||||
Median (range) | 6 (3–7) | 6 (3–8) | NS | ||
Mean (standard deviation) | 5.7 (1.0) | 5.8(1.1) | |||
Relative dose intensity (mg/m2/week) | |||||
Doxorubicin* | 15.6 | 13.5 | 0.001 | ||
Cyclophosphamide | 236 | 220 | 0.04 | ||
Vincristine | 0.6 | 0.5 | 0.02 | ||
Prednisone | 158 | 150 | NS | ||
Rituximab | 120 | 116 | NS | ||
No. | % | No | % | ||
Dose delay of 7 days or greater | 12 | 23 | 11 | 30 | NS |
Chemotherapy Dose Reduction | |||||
At least one chemotherapy dose | 12 | 18 | 27 | 73 | 0.001 |
Planned dose reduction at onset | 3 | 5 | 8 | 22 | 0.008 |
Doxorubicin dose intensity* | |||||
At least 10mg/m2/week | 63 | 98 | 33 | 89 | 0.04 |
Less than 10mg/m2/week | 1 | 2 | 4 | 11 | |
Average relative dose intensity^ | |||||
Received 70% or greater of standard RDI | 60 | 94 | 32 | 86 | NS |
Received less than 70% of standard RDI | 4 | 6 | 5 | 14 | |
G-CSF Use | |||||
Used as prophylaxis (any cycle) | 43 | 66 | 37 | 100 | 0.001 |
Prophylaxis from cycle 1 | 18 | 28 | 34 | 92 | 0.001 |
One patient aged less than 70 received doxil in place of doxorubicin and is not included in the analysis
Relative dose intensity calculated using reference standard CHOP-R schedule – Doxorubicin 50mg/m2 (day 1), Cyclophosphamide 750mg/m2 (day 1), Vincristine 1.4mg/m2; max 2mg (day 1), Prednisone 100mg (day 1–5), and Rituximab 375mg/m2 (day 1); GCSF: granulocyte colony stimulating factor