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Table 4 Prognostic Effect of BPI-SF and RSCL on Survival

From: Patient-reported pain and other quality of life domains as prognostic factors for survival in a phase III clinical trial of patients with advanced breast cancer

HRQOL subscale variables a

n b

HR

95 % CI

p-value

HR

95 % CI

p-value

 

Univariate

Multivariatec

BPI-SF – Pain Interference

282

1.07

1.02–1.12

0.0061

1.02

0.97–1.08

0.3931

BPI-SF – Worst Pain

279

1.07

1.03–1.12

0.0013

1.05

1.00–1.10

0.0342

RSCL – Activity Level

330

0.86

0.82–0.91

<0.0001

0.89

0.83–0.95

0.0004

RSCL – Physical Distress

333

0.88

0.81–0.97

0.0104

0.92

0.83–1.02

0.1053

RSCL – Psychological Distress

332

0.96

0.91–1.01

0.1025

0.98

0.92–1.03

0.3800

RSCL – HRQOL

324

0.91

0.87–0.96

0.0002

0.95

0.90–1.01

0.0810

  1. BPI-SF Brief Pain Inventory-Short Form; CI confidence interval; HR hazard ratio; HRQOL health-related quality of life; KPS Karnofsky Performance Status; n number of patients with nonmissing values on a variable among randomized patients; RSCL Rotterdam Symptom Checklist
  2. aHRs for every 1-point increase in the BPI-SF and every 10-point increase in the RSCL subscales
  3. bIncludes 1 patient with missing KPS score and not included in Tables 2 and 3. This patient’s scores were as follows: BPI Pain Interference, 0; BPI Worst Pain, 0; RSCL Activity, 100; RSCL Physical, missing; RSCL Psychological, missing; RSCL HRQOL, 83.33
  4. cMultivariate Cox proportional hazards models were used to determine each HR in the presence of 11 demographic/clinical variables: age, race, KPS, estrogen receptor status, progesterone receptor status, presence of visceral disease, prior radiotherapy, prior hormonal treatment, menopausal status, basis for pathological diagnosis, and pathological diagnosis