Table 5.

Quality of life outcomes for studies grouped by baseline Hb levels: comparisons between control and epoetin-treated study arms

StudyTreatment
arm
No.evaluable
for
transfusion
No.evaluable
for QOL
Overall QOLEnergy levelDaily activitiesOther QOL
%
change
P%
change
P%
change
PMeasure5-150%
change
P
Mean/median baseline Hb below 10 g dL  
Kurz et al13 Control 12 12     −14.5  Well-being 4.0  
 Epoetin 23 23     −6.5 NS Well-being −0.1 NS 
 Control 12 12       Physical ability 8.0  
 Epoetin 23 23       Physical ability 8.3 NS 
 Control 12 12       Social activities 12.8  
 Epoetin 23 23       Social activities 1.0 NS  
Henry et al12 Control 61 40 0.2  6.2  0.7     
 Epoetin 64 46 11.0 .013 8.8 NS 8.2 NS    
Littlewood et al15 Control 115 108 NA  −5.8  −6.0     
 Epoetin 244 227 NA < .01 7.8 < .001 7.3 < .01    
 Control 115 90       FACT-An: anemia −9.4  
 Epoetin 244 200       FACT-An: anemia 14.4 < .01 
 Control 115 90       FACT-An: fatigue −4.2  
 Epoetin 244 200       FACT-An: fatigue 5.7 < .01 
 Control 115 ?       SF-36 NA  
 Epoetin 244 ?       SF-36 NA NS 
Leon et al60 Control 25 25       Karnofsky PS 1.4  
 Epoetin 25 25       Karnofsky PS 8.6 < .05 
Mean/median baseline Hb above 12 g/dL  
 Sweeney et al62 Control 24 24 6.3         
 Epoetin 22 22 19.1 .15, NS        
 Welch et al65 Control 15 ?15 NA  NA  NA     
 Epoetin 15 ?15 NA NS NA NS NA NS    
 Del Mastro et al64 Control 31 26       PDI score 2.3  
 Epoetin 31 27       PDI score 6.0 NS 
StudyTreatment
arm
No.evaluable
for
transfusion
No.evaluable
for QOL
Overall QOLEnergy levelDaily activitiesOther QOL
%
change
P%
change
P%
change
PMeasure5-150%
change
P
Mean/median baseline Hb below 10 g dL  
Kurz et al13 Control 12 12     −14.5  Well-being 4.0  
 Epoetin 23 23     −6.5 NS Well-being −0.1 NS 
 Control 12 12       Physical ability 8.0  
 Epoetin 23 23       Physical ability 8.3 NS 
 Control 12 12       Social activities 12.8  
 Epoetin 23 23       Social activities 1.0 NS  
Henry et al12 Control 61 40 0.2  6.2  0.7     
 Epoetin 64 46 11.0 .013 8.8 NS 8.2 NS    
Littlewood et al15 Control 115 108 NA  −5.8  −6.0     
 Epoetin 244 227 NA < .01 7.8 < .001 7.3 < .01    
 Control 115 90       FACT-An: anemia −9.4  
 Epoetin 244 200       FACT-An: anemia 14.4 < .01 
 Control 115 90       FACT-An: fatigue −4.2  
 Epoetin 244 200       FACT-An: fatigue 5.7 < .01 
 Control 115 ?       SF-36 NA  
 Epoetin 244 ?       SF-36 NA NS 
Leon et al60 Control 25 25       Karnofsky PS 1.4  
 Epoetin 25 25       Karnofsky PS 8.6 < .05 
Mean/median baseline Hb above 12 g/dL  
 Sweeney et al62 Control 24 24 6.3         
 Epoetin 22 22 19.1 .15, NS        
 Welch et al65 Control 15 ?15 NA  NA  NA     
 Epoetin 15 ?15 NA NS NA NS NA NS    
 Del Mastro et al64 Control 31 26       PDI score 2.3  
 Epoetin 31 27       PDI score 6.0 NS 

“Higher quality” trials in bold font; nonrandomized studies in italics. Data from Seidenfeld et al.3 (Tab22)

FACT-An indicates Functional Assessment of Cancer Therapy—Anemia; SF-36, Short Form 36; PS, performance status; and PDI, Psychological Distress Inventory.

F5-150

In order to accommodate several “Other” QoL instruments or different statistical testing results, study control and treatment arms may be listed more than once.

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