Background
Methods
Study sample
Analytic variables
Statistical analysis
Clinical service | ||||
---|---|---|---|---|
SCT( n = 191) | MED/RAD (n = 436) | |||
N | % | N | % | |
Sex, Male
| 111 | 58.1 | 229 | 52.5 |
Age, years
| 49 (12.9) | 56 (13.9) | ||
Mean (SD) | ||||
Range | 19-75 | 18-89 | ||
Ethnicity, Hispanic/Latino
| 2 | 1.0 | 9 | 2.1 |
Race, minority or multiple
| 13 | 6.8 | 32 | 7.3 |
Some college or college graduate
| 146 | 76.4 | 299 | 68.6 |
Married/Partnered
| 138 | 72.3 | 303 | 69.5 |
Low annual household income (<=$35,000)
| 44 | 23.0 | 101 | 23.2 |
Study Group (Intervention)*
| 92 | 48.2 | 217 | 49.8 |
Incident cancer diagnosis
| 134 | 70.2 | 370 | 84.9 |
Cancer type
| 0 | 0 | 42 | 9.6 |
Breast | ||||
GI | 0 | 0 | 80 | 18.3 |
GU | 0 | 0 | 70 | 16.1 |
Gyn | 0 | 0 | 49 | 11.2 |
Head and Neck | 0 | 0 | 53 | 12.2 |
Leukemia | 88 | 46.1 | 6 | 1.4 |
Lung | 0 | 0 | 41 | 9.4 |
Lymphoma | 62 | 32.5 | 40 | 9.2 |
Myeloma | 38 | 19.9 | 7 | 1.6 |
Other | 3 | 1.5 | 48 | 11.0 |
Days between T1 and T2, days
| ||||
Median, range | 42 (14–107) | 41(11–105) |
Clinical service | QLQ-C30 domain | |||||
---|---|---|---|---|---|---|
Physical function | Emotional function | Social function | Cognitive function | Global QOL | ||
SCT
|
Change
| −15.80 (−18.44,-13.17) | 1.86 (−0.40, 4.13) | −11.76 (−16.26, -7.26) | −9.51 (−12.62, -6.40) | −19.19 (−22.26, -16.12) |
Scale*
| Medium | Trivial | Medium | Medium | Large | |
MED/RAD
|
Change
| −4.10 (−5.54, -2.67) | 3.15 (1.56, 4.74) | −2.91 (−5.27, -0.55) | −1.46 (−3.11,-0.20) | −3.40 (−5.11, -1.69) |
Scale*
| Trivial | Trivial | Trivial | Small | Trivial |
Results
Sample
QLQ-C30 scores and SSQ ratings
Association of QLQ-C30 score changes and SSQ ratings
QLQ-C30 domain | Clinical service | SSQ rating categories | ||||||
---|---|---|---|---|---|---|---|---|
Very much worse | Moderately worse | A little worse | About the same | A little better | Moderately better | Very much better | ||
Physical function
|
SCT
| −2.1 | −0.97 | −1.2 | −0.4 | −1.17 | −0.17 | 0.04 |
(12.2) | (20.2) | (15.0) | (13.0) | (17.5) | (23.9) | (22.5) | ||
MED/RAD
| −1.38 | −0.94 | −0.42 | −0.17 | −0.07 | −0.02 | 0.17 | |
(16.5) | (18.6) | (15.5) | (9.5) | (16.4) | (19.5) | (17.9) | ||
Emotional function
|
SCT
| NA | −0.76 | −0.03 | 0.26 | 0.27 | 0.63 | 0.47 |
(13.9) | (13.9) | (15.5) | (13.7) | (23.0) | (20.1) | |||
MED/RAD
| −0.86 | −0.73 | −0.25 | 0.31 | 0.44 | 0.38 | 0.65 | |
(23.2) | (22.9) | (16.4) | (13.0) | (15.1) | (21.6) | (20.4) | ||
Social function
|
SCT
| −0.69 | −0.63 | −0.78 | −0.08 | −0.31 | −0.21 | 0.3 |
(31.5) | (32.2) | (25.6) | (30.2) | (27.1) | (39.7) | (56.1) | ||
MED/RAD
| −0.72 | −1.18 | −0.4 | 0.02 | −0.08 | 0.16 | 0.42 | |
(33.4) | (22.6) | (24.7) | (21.3) | (29.0) | (22.2) | (33.8) | ||
Cognitive function
|
SCT
| −1.61 | −0.79 | −1.02 | −0.06 | 0.51 | −0.73 | −0.29 |
(28.5) | (23.9) | (16.0) | (20.4) | (19.6) | (13.1) | (19.2) | ||
MED/RAD
| −0.48 | −0.78 | −0.51 | 0.06 | 0.43 | 0.13 | 0.73 | |
(43.9) | (32.6) | (18.3) | (12.5) | (21.6) | (16.5) | (19.5) | ||
Global QOL
|
SCT
| −1.28 | −1.43 | −1.28 | −0.77 | −0.8 | 0.26 | 0.17 |
(28.2) | (20.8) | (17.7) | (18.4) | (17.0) | (27.0) | (25.0) | ||
MED/RAD
| −0.77 | −1.31 | −0.76 | −0.13 | 0.22 | 0.54 | 0.17 | |
(43.3) | (20.9) | (15.9) | (15.4) | (16.0) | (16.3) | (20.5) |
QLQ-C30 Domain | Clinical service | Intercept | Slope-improvement | Slope-deterioration | |||
---|---|---|---|---|---|---|---|
Est. | p-value | Est. | p-value | Est. | p-value | ||
Physical function
|
SCT
| −9.21 | 0 | 1.72 | 0.36 | 5.70 | <.0001 |
MED/RAD
| −1.30 | 0.19 | 1.11 | 0.14 | 7.15 | <.0001 | |
Emotional function
|
SCT
| 4.09 | 0.0074 | 2.22 | 0.17 | 6.35 | .0005 |
MED/RAD
| 4.04 | 0 | 2.68 | 0.002 | 9.12 | <.0001 | |
Social function
|
SCT
| −5.75 | 0.073 | 3.39 | 0.41 | 7.71 | .002 |
MED/RAD
| −0.35 | 0.82 | 2.95 | 0.042 | 10.60 | <.0001 | |
Cognitive function
|
SCT
| −1.33 | 0.51 | −0.61 | 0.82 | 11.39 | <.0001 |
MED/RAD
| 0.89 | 0.35 | 3.21 | 0.005 | 10.79 | <.0001 | |
Global QOL
|
SCT
| −15.22 | 0 | 6.85 | 0.005 | 7.27 | <.0001 |
MED/RAD
| −1.37 | 0.20 | 3.33 | 0.0007 | 11.76 | <.0001 |