Table 3.
Multivariable logistic regression analysis.
KPS Postop—20 Drop | KPS FU—PRE ≤ 20 + QOL < 183 | ||||||||
Univariable | Multivariable | Univariable | Multivariable | ||||||
Parameters | OR (95% C.I.) | p Value | OR (95% C.I.) | p Value | OR (95% C.I.) | p Value | OR (95% C.I.) | p Value | |
Demographics | Age > 65 | 5.890 (0.673–51.568) | 0.109 | 2.310 (0.994–5.369) | 0.002 ** | 0.420 (0.127–1.392) | 0.156 | ||
Age > 70 | 4.235 (0.751–23.880) | 0.102 | 1.960 (0.858–4.481) | 0.111 | |||||
Age > 80 | 9.600 (1.778–21.835) | 0.009 ** | 0.720 (0.038–13.569) | 0.827 | 2.841 (0.965–5.363) | 0.002 ** | 0.956 (0.212–4.312) | 0.953 | |
Previous surgery | 1.390 (0.154–12.515) | 0.769 | 2.218 (0.776–6.339) | 0.137 | |||||
Clinical and Functional | ASA Score | 22.414 (2.523–39.139) | 0.005 ** | 5.553 (1.760–7.642) | 0.023 * | 2.616 (1.074–5.368) | 0.034 * | 2.620 (0.815–8.429) | 0.106 |
KPS pre-op | 0.682 (0.539–0.862) | 0.001 ** | // | 0.923 (0.863–0.988) | 0.021 * | // | |||
KPS pre-op < 80 | 15.800 (11.523–19.498) | <0.001 *** | 1.46 (0.017–7.494) | 0.98 | 16.320 (1.631–26.269) | 0.017 * | 4.824 (0.274–85.050) | 0.282 | |
Frailty Index (FI) | 4.100 (1.595–10.538) | 0.003 ** | // | 3.107 (1.744–5.534) | <0.001 *** | // | |||
FI > 0.10 (Semi-Fit) | 0.560 (0.100–3.145) | 0.510 | 1.983 (0.865–4.549) | 0.016 * | 12.479 (2.764–16.349) | 0.001 ** | |||
FI > 0.20 (Frail) | 8.937 (1.663–28.032) | 0.011 * | 14.752 (1.463–148.777) | 0.022 * | 4.582 (1.643–8.778) | 0.004 ** | 35.457 (25.210–41.318) | <0.001 *** | |
Surgical | Skull base location | 9.196 (1.048–20.669) | 0.045 * | 4.232 (0.280–63.975) | 0.050 * | 1.607 (0.707–3.654) | 0.002 ** | 0.821 (0.228–2.961) | 0.763 |
Infratentorial location | 3.917 (0.669–22.922) | 0.013 * | 6.079 (1.573–9.282) | 0.028 * | 4.167 (1.515–9.457) | 0.006 ** | 7.514 (1.514–37.280) | 0.014 * | |
Diameter > 2.5 cm | 11.224 (1.277–18.625) | 0.029 * | 16.078 (0.939–27.310) | 0.050 * | 2.899 (1.264–6.651) | 0.012 * | 4.983 (1.720–14.440) | 0.003 ** | |
Diameter > 3 cm | 3.543 (0.685–18.331) | 0.013 * | 4.363 × 106 (0.000—//) | 0.989 | 1.764 (0.722–4.308) | 0.213 | |||
Diameter > 4 cm | 6.950 (1.312–16.828) | 0.023 * | 2.754 × 109 (0.000—//) | 0.998 | 1.925 (0.683–5.424) | 0.215 | |||
Radiological | Calcification | 1.051 (0.186–5.935) | 0.955 | 1.206 (0.512–2.841) | 0.668 | ||||
Severe peritumoral edema | 1.714 (0.335–8.784) | 0.518 | 3.238 (1.394–7.522) | 0.006 ** | 4.162 (1.299–13.331) | 0.016 * | |||
Necrosis | 2.177e^–8 (0.000—//) | 0.995 | 1.059 (0.419–2.677) | 0.904 | |||||
Hyperostosis | 1.527 (0.269–8.678) | 0.633 | 1.000 (0.389 2.571) | 0.997 | |||||
Heterogeneous Gd enhancement | 2.167 (0.350–3.406) | 0.004 ** | 2.251 (0.348–14.570) | 0.394 | 1.232 (0.508–2.990) | 0.04 * | 0.850 (0.281–2.567) | 0.773 | |
Sinus invasion | 1.935 (0.339–11.057) | 0.004 ** | 2.064 (0.313–13.603) | 0.451 | 2.560 (1.046–6.265) | 0.039 * | 4.458 (1.392–14.279) | 0.012 * | |
Tumor shape (Multilobated > 2) | 1.679 (0.298–9.449) | 0.557 | 1.500 (0.638–3.526) | 0.353 | |||||
DWI hyperintensity | 1.829 (0.248–13.470) | 0.553 | 2.303 (0.887–5.981) | 0.037 * | 3.208 (1.040–9.891) | 0.042 * | |||
Absence of a Tumor-Brain cleft | 4.567 (0.771–7.056) | 0.044 ** | 5.910 (0.880–39.675) | 0.047 * | 2.138 (0.687–6.650) | 0.001 ** | 4.350 (1.006–18.818) | 0.049 * | |
Nagelkerke R²: 0.560
AIC: 40.695 |
Nagelkerke R²: 0.347
AIC: 129.927 |
All of the given parameters were entered into a single variable logistic regression model and were tested for association with the outcomes investigated in the study (post-operative KPS reduction of at least 20 points and follow-up KPS score 20 points lower than baseline plus a quality of life assessment under the 75th percentile of the overall population). Those reporting significance at the univariable regression analysis entered a multivariable logistic regression model to test for independent association. Significant results are followed by an asterisk (*). * p ≤ 0.05; ** p ≤ 0.01; *** p ≤ 0.001. Quality of model fitting is reported by means of the Nagelkerke R2 and Akaike information criterion (AIC). OR: odd ratio; CI: confidence interval; QOL: quality of life.