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. 2022 Apr;13(3):287–293. doi: 10.1016/j.jgo.2021.12.009

Table 5.

Hazard ratios for progression and death (respectively) within the trial period, by frailty category (for each frailty measure).

Survival outcomes Hazard ratios (HR) for progression and death respectively, calculated via cox proportional hazards regression
Score Unadjusted HR for progression (CI) Adjusteda HR for progression (CI) Unadjusted HR for death (CI) Adjusteda HR for death (CI)
PS category 0 1 1 1 1
1 1.01 (0.76, 1.33) 0.99 (0.75, 1.31) 0.92 (0.68, 1.25) 0.93 (0.68, 1.25)
2 1.44 (1.06, 1.95) 1.31 (0.96, 1.78) 1.46 (1.06, 2.01) 1.33 (0.96, 1.85)
>2 1.36 (0.74, 2.53) 1.27 (0.68, 2.40) 1.03 (0.51, 2.08) 0.96 (0.47, 2.00)
GO2FS category Not frail (0–1) 1 1 1 1
Frail (2) 1.11 (0.83, 1.50) 1.07 (0.79, 1.44) 1.09 (0.78, 1.51 1.09 (0.78, 1.52)
Sev frail (≥3) 1.47 (1.14, 1.90) 1.44 (1.11, 1.85)b 1.62 (1.23, 2.14) 1.66 (1.25, 2.20)b
mCFS category Fit (1–2) 1 1 1 1
Pre-frail (3–4) 1.54 (1.19, 2.00) 1.57 (1.21, 2.05)b 1.65 (1.25, 2.19) 1.71 (1.29, 2.28)b
Frail (5+) 1.66 (1.34, 2.06) 1.63 (1.30, 2.03)b 1.72 (1.35, 2.18) 1.75 (1.37, 2.22)b
G8 category ≤14 (‘abnormal’) 1 1 1 1
>14 (‘normal’) 0.63 (0.44, 0.90) 0.63 (0.44, 0.90)b 0.54 (0.35, 0.81) 0.54 (0.36, 0.82)b
CARG toxicity risk category Low (0–5) 1 1 1 1
Med (6–9) 0.88 (0.61, 1.25) 1.13 (0.77, 1.66) 0.88 (0.60, 1.28) 1.17 (0.78, 1.77)
High (10–19) 0.92 (0.64, 1.32) 1.25 (0.83, 1.86) 0.90 (0.62, 1.33) 1.26 (0.83, 1.92)

Statistically significant results in bold. a = adjusted for: age group, sex, histology, presence of metastases, planned use of trastuzumab, dose reduction due to renal/hepatic impairment. b = significant after adding in PS to adjustment factors.

Abbreviations: OTU = overall treatment utility, PS = Performance Status, GO2FS = GO2 Frailty Score, mCFS = ‘modified’ Clinical Frailty Scale, G8 = Geriatric-8, CARG = Cancer and Aging Research Group.