Table 4 Trajectory-adjusted mean change (95% CI)a in HRQoL outcomes by type of first SRE in AFFIRM

From: Skeletal-related events significantly impact health-related quality of life in metastatic castration-resistant prostate cancer: data from PREVAIL and AFFIRM trials

Outcome measure

Any SRE

Radiation or surgery to bone

Pathologic bone fracture

Spinal cord compression

 

n

TAMC (95% CI)

n

TAMC (95% CI)

n

TAMC (95% CI)

n

TAMC (95% CI)

FACT-P total score

139

–6.94 (–9.93, –3.95) b

96

–6.69 (–10.26, –3.12) b

23

–7.62 (–16.80, 1.56)

26

–9.69 (–16.10, –3.27) b

FACT-P PCS

139

–1.79 (–2.91, –0.68)b

96

–1.37 (–2.60, –0.13)b

23

–2.80 (–6.82, 1.22)

26

–2.66 (–5.01, –0.32) b

FACT-G

142

–5.46 (–7.55, –3.36) b

99

–5.57 (–8.13, –3.01) b

23

–5.18 (–10.88, 0.51)

26

–6.96 (–11.97, –1.94) b

  1. Abbreviations: CI, confidence interval; FACT-G, Functional Assessment of Cancer Therapy-General; FACT-P, Functional Assessment of Cancer Therapy-Prostate; HRQoL, health-related quality of life; PCS, prostate cancer subscale; SRE, skeletal-related event; TAMC, trajectory-adjusted mean change.
  2. Negative values indicate decline in health. Values in bold indicate clinically meaningful changes (versus established minimal clinically important difference (Table 1)). Linear mixed-effects model with intercept for time as random effects; fixed effects included time, baseline average pain score, baseline Eastern Cooperative Oncology Group Performance Status, baseline fatigue severity, age and number of prior chemotherapy regimens.
  3. aEstimates of change reflect difference between predicted and actual scores after SRE.
  4. b95% CI excludes zero, indicating a statistically significant change in TAMC.