Table 2.
Association between pelvic radiation and disease-specific-related patient-reported functional outcomes.
| Time | N | Pelvic Radiation, median (quartiles) | No Pelvic Radiation, median (quartiles) | Combined, median (quartiles) | Crude P-valuea | Multivariable adjusted modelb | |
|---|---|---|---|---|---|---|---|
| Pelvic Radiation vs. No Pelvic Radiation | |||||||
| Effect estimate (95% CI) | P-value | ||||||
| EPIC-26 urinary incontinence domain score | |||||||
| Baseline | 560 | 93 (73, 100) | 100 (79, 100) | 100 (79, 100) | 0.04 | n/a | |
| 6 month | 570 | 92 (67, 100) | 100 (77, 100) | 100 (73, 100) | 0.08 | 0.55 (−3.83 to 4.93) | 0.81 |
| 1 year | 522 | 92 (71, 100) | 100 (79, 100) | 100 (75, 100) | 0.28 | 1.78 (−1.85 to 5.42) | 0.34 |
| 3 year | 458 | 100 (75, 100) | 94 (75, 100) | 94 (75, 100) | 0.95 | 4.12 (−0.32 to 8.57) | 0.07 |
| 5 year | 402 | 100 (73, 100) | 100 (75, 100) | 100 (73, 100) | 0.99 | 3.78 (−1.80 to 9.36) | 0.18 |
| EPIC-26 urinary irritative domain score | |||||||
| Baseline | 560 | 88 (69, 94) | 88 (75, 94) | 88 (75, 94) | 0.83 | n/a | |
| 6 month | 564 | 88 (75, 94) | 88 (75, 94) | 88 (75, 94) | 0.32 | 0.59 (−2.70 to 3.87) | 0.73 |
| 1 year | 540 | 88 (81, 98) | 88 (77, 94) | 88 (80, 94) | 0.82 | 1.74 (−0.86 to 4.34) | 0.19 |
| 3 year | 458 | 88 (81, 100) | 88 (81, 100) | 88 (81, 100) | 0.26 | 3.20 (0.01 to 6.39) | 0.05 |
| 5 year | 403 | 94 (81, 100) | 88 (81, 100) | 88 (81, 100) | 0.99 | 1.41 (−2.50 to 5.32) | 0.48 |
| EPIC-26 bowel function score | |||||||
| Baseline | 572 | 100 (88, 100) | 100 (92, 100) | 100 (92, 100) | 0.24 | n/a | |
| 6 month | 570 | 100 (79, 100) | 96 (83, 100) | 96 (83, 100) | 0.68 | 0.94 (−2.60 to 4.49) | 0.60 |
| 1 year | 549 | 96 (83, 100) | 96 (83, 100) | 96 (83, 100) | 0.78 | 2.02 (−0.75 to 4.79) | 0.15 |
| 3 year | 469 | 96 (84, 100) | 96 (83, 100) | 96 (83, 100) | 0.54 | 3.07 (−0.38 to 6.52) | 0.081 |
| 5 year | 409 | 96 (83, 100) | 96 (88, 100) | 96 (88, 100) | 0.65 | 0.76 (−3.38 to 4.90) | 0.72 |
| EPIC-26 sexual function score | |||||||
| Baseline | 548 | 48 (12, 80) | 58 (22, 80) | 58 (18, 80) | 0.09 | n/a | |
| 6 month | 535 | 5 (0, 38) | 35 (0, 68) | 27 (0, 67) | <0.001 | −1.78 (−7.60 to 4.03) | 0.55 |
| 1 year | 529 | 7 (0, 58) | 38 (10, 65) | 33 (7, 65) | <0.001 | −1.71 (−7.59 to 4.16) | 0.57 |
| 3 year | 448 | 8 (0, 57) | 38 (10, 70) | 33 (7, 70) | <0.001 | −0.23 (−7.63 to 7.16) | 0.95 |
| 5 year | 384 | 16 (0, 52) | 32 (7, 66) | 28 (5, 65) | 0.01 | 2.50 (−5.84 to 10.83) | 0.56 |
| EPIC-26 hormonal domain score | |||||||
| Baseline | 553 | 90 (75, 100) | 90 (80, 100) | 90 (80, 100) | 0.06 | n/a | |
| 6 month | 555 | 80 (65, 90) | 90 (75, 100) | 85 (75, 100) | <0.001 | −0.36 (−4.03 to 3.32) | 0.85 |
| 1 year | 534 | 85 (70, 95) | 90 (75, 100) | 90 (75, 100) | 0.06 | 1.41 (−1.82 to 4.65) | 0.39 |
| 3 year | 455 | 90 (75, 95) | 95 (80, 100) | 94 (80, 100) | 0.12 | 4.74 (1.22 to 8.27) | 0.01 |
| 5 year | 398 | 90 (80, 95) | 95 (80, 100) | 95 (80, 100) | 0.16 | 4.18 (0.40 to 7.97) | 0.03 |
Crude P-values are calculated by Wilcoxon test.
All regression models are adjusted for baseline domain score, time since treatment, biopsy Gleason score, PSA at diagnosis (corrected) and propensity scores.