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Table 4 Univariate and multivariate analysis of DLT events in male and female head and neck cancer patients

From: Chemotherapy dose per kilogram lean body mass increased dose-limiting toxicity event in male head and neck cancer with taxane and platinum-based induction therapy

Variables

Male (n = 163)

Female (n = 16)

OR (95% CI)

aOR (95% CI)

OR (95% CI)

aOR (95% CI)

Lean body mass (kg)

0.94 (0.88–1.01)

 

1.15 (0.83–1.59)

 

Skeletal muscle index (cm2/m2)

0.95 (0.9–1.01)

 

1.08 (0.81–1.42)

 

Docetaxel per kilogram lean body mass (mg/kg)a

 Lower third

1

1

1

 

 Middle third

1.43 (0.55–3.74)

1.52 (0.57–4.01)

-

 

 Upper third

2.86 (1.16–7.04)

3.18 (1.25–8.09)

1 (0.05–22)

 

Cisplatin per kilogram lean body mass (mg/kg)a

 Lower third

1

 

1

 

 Middle third

1.43 (0.55–3.74)

 

-

 

 Upper third

2.86 (1.16–7.04)

 

1 (0.05–22)

 

Age

0.99 (0.95–1.03)

 

0.86 (0.72–1.04)

 

Tumor stage

 cT3-4 vs cT1-2

0.69 (0.33–1.43)

 

0.4 (0.02–8.07)

 

 cN2-3 vs cN0-1

2.01 (0.88–4.59)

 

1 (0.05–19.36)

 

Tumor subsites

 Oral cavity

1

 

-

 

 Oropharynx

1.46 (0.62–3.43)

 

-

 

 Hypopharynx/Larynx

2.05 (0.84–5.04)

 

-

 

 Others

0.79 (0.09–7.25)

 

-

 

Comorbidities

 Chronic liver disease

3.25 (0.89–11.86)

3.98 (1.03–15.46)

-

 

 Hypertension

0.71 (0.25–2.03)

 

-

 

 Diabetes

0.40 (0.09–1.82)

 

-

 

Laboratory data

 WBC (× 1000/uL)

0.98 (0.89–1.09)

 

0.20 (0.02–2.06)

 

 Hemoglobin (g/dL)

1.03 (0.84–1.25)

 

1.77 (0.47–6.6)

 

 Platelet (× 1000/uL)

1.00 (0.99–1.00)

 

0.99 (0.98–1.02)

 

 BUN (mg/dL)

0.97 (0.91–1.04)

 

052 (0.14–1.96)

 

 Creatinine (mg/dL)

0.52 (0.051–5.2)

 

-

 

 eGFR (ml/min/1.73m2)

1.01 (0.99–1.03)

 

0.99 (0.9–1)

 

 Sodium (mEq/L)

1.03 (0.92–1.15)

 

1.32 (0.67–2.60)

 

 Potassium (mEq/L)

0.95 (0.5–1.8)

 

-

 

 Albumin (g/dL)

0.75 (0.32–1.79)

 

-

 

 Abnormal GOTb

2.59 (0.90–7.45)

 

-

 

 Abnormal GPTb

2.30 (0.94–5.63)

 2.61 (1.03–6.64)

-

 

 Abnormal total bilirubinb

-

 

-

 

Hematoloigcal markers

 Neutrophil to lymphocyte ratio

1.06 (0.9–1.14)

 

0.74 (0.28–1.96)

 

 CRP/Albumin

1.05 (0.57–1.93)

 

1.32 (-)

 

mGPS

 mGPS 0

1

   

 mGPS 1

0.54 (0.18–1.6)

 

-

 

 mGPS 2

1.69 (0.49–5.77)

 

-

 
  1. Abbreviation: OR Odds ratio, CI Confidence interval, aOR Adjusted odds ratio, LBM Lean body mass, BUN Blood urea nitrogen, eGFR estimated glomerular filtration rate, GOT Glutamic oxaloacetic transaminase (GOT), GPT Glutamic pyruvic transaminase, CRP C-reactive protein, mGPS modified Glasgow Prognostic score
  2. a The cutoff points were different between the male and female patients 
  3. b Abnormal GOT was defined as GOT > 40 U/L; Abnormal GPT was defined as GPT > 40 U/L; Abnormal total bilirubin was defined as total bilirubin > 1.2 mg/dL
  4. - Estimated data can’t be convergent