Table 4

Univariate and multivariate Cox regression analyses of sIL-6r concentration and other baseline prognostic factors

Prognostic factorn/N (%)Overall survival
HR (95% CI)P*
Univariate    
    Age, ≥ 65 y 167/626 (27) 1.69 (1.21, 2.37) .002 
    Albumin < 3.5 g/dL 204/623 (33) 1.65 (1.18, 2.31) .003 
    β2-microglobulin ≥ 3.5 mg/L 308/622 (50) 2.12 (1.51, 2.98) < .001 
    β2-microglobulin ≥ 5.5 mg/L 152/622 (24) 2.67 (1.91, 3.73) < .001 
    Creatinine ≥ 2 mg/dL 51/621 (8) 2.21 (1.39, 3.51) < .001 
    CRP ≥ 8 mg/L 184/623 (30) 1.41 (1.01, 1.97) .046 
    Hemoglobin < 10 g/dL 194/624 (31) 1.67 (1.20, 2.33) .002 
    LDH ≥ 190 U/L 145/624 (23) 1.81 (1.29, 2.54) < .001 
    Cytogenetic abnormalities 224/618 (36) 2.11 (1.52, 2.93) < .001 
    GEP70 high-risk 81/626 (13) 3.33 (2.33, 4.78) < .001 
    CD-1 subgroup 41/625 (7) 1.17 (0.63, 2.16) .617 
    CD-2 subgroup 89/625 (14) 0.71 (0.43, 1.18) .183 
    HY subgroup 196/625 (31) 0.79 (0.55, 1.14) .205 
    LB subgroup 66/625 (11) 0.84 (0.47, 1.48) .537 
    MF subgroup 36/625 (6) 2.13 (1.27, 3.59) .004 
    MS subgroup 77/625 (12) 0.81 (0.48, 1.39) .447 
    MY subgroup 50/625 (8) 0.98 (0.55, 1.73) .936 
    PR subgroup 70/625 (11) 1.74 (1.12, 2.69) .014 
    GEP proliferation index ≥ 10 52/626 (8) 2.64 (1.74, 4.00) < .001 
    TP53 deletion 108/626 (17) 1.40 (0.90, 2.18) .133 
    Amplification in 1q21 237/626 (38) 1.58 (1.15, 2.19) .005 
    sIL6r ≥ 81.5 ng/ml 129/626 (21) 2.26 (1.61, 3.18) < .001 
Multivariate (total R2 = 26.1%)    
    Age, ≥ 65 y 164/608 (27) 1.70 (1.21, 2.39) .002 
    β2-microglobulin ≥ 5.5 mg/L 148/608 (24) 1.99 (1.38, 2.86) < .001 
    Cytogenetic abnormalities 222/608 (37) 1.58 (1.11, 2.24) .011 
    GEP proliferation index ≥ 10 51/608 (8) 2.03 (1.30, 3.16) .002 
    sIL6r ≥ 81.5 ng/mL 124/608 (20) 1.52 (1.05, 2.21) .026 
Prognostic factorn/N (%)Overall survival
HR (95% CI)P*
Univariate    
    Age, ≥ 65 y 167/626 (27) 1.69 (1.21, 2.37) .002 
    Albumin < 3.5 g/dL 204/623 (33) 1.65 (1.18, 2.31) .003 
    β2-microglobulin ≥ 3.5 mg/L 308/622 (50) 2.12 (1.51, 2.98) < .001 
    β2-microglobulin ≥ 5.5 mg/L 152/622 (24) 2.67 (1.91, 3.73) < .001 
    Creatinine ≥ 2 mg/dL 51/621 (8) 2.21 (1.39, 3.51) < .001 
    CRP ≥ 8 mg/L 184/623 (30) 1.41 (1.01, 1.97) .046 
    Hemoglobin < 10 g/dL 194/624 (31) 1.67 (1.20, 2.33) .002 
    LDH ≥ 190 U/L 145/624 (23) 1.81 (1.29, 2.54) < .001 
    Cytogenetic abnormalities 224/618 (36) 2.11 (1.52, 2.93) < .001 
    GEP70 high-risk 81/626 (13) 3.33 (2.33, 4.78) < .001 
    CD-1 subgroup 41/625 (7) 1.17 (0.63, 2.16) .617 
    CD-2 subgroup 89/625 (14) 0.71 (0.43, 1.18) .183 
    HY subgroup 196/625 (31) 0.79 (0.55, 1.14) .205 
    LB subgroup 66/625 (11) 0.84 (0.47, 1.48) .537 
    MF subgroup 36/625 (6) 2.13 (1.27, 3.59) .004 
    MS subgroup 77/625 (12) 0.81 (0.48, 1.39) .447 
    MY subgroup 50/625 (8) 0.98 (0.55, 1.73) .936 
    PR subgroup 70/625 (11) 1.74 (1.12, 2.69) .014 
    GEP proliferation index ≥ 10 52/626 (8) 2.64 (1.74, 4.00) < .001 
    TP53 deletion 108/626 (17) 1.40 (0.90, 2.18) .133 
    Amplification in 1q21 237/626 (38) 1.58 (1.15, 2.19) .005 
    sIL6r ≥ 81.5 ng/ml 129/626 (21) 2.26 (1.61, 3.18) < .001 
Multivariate (total R2 = 26.1%)    
    Age, ≥ 65 y 164/608 (27) 1.70 (1.21, 2.39) .002 
    β2-microglobulin ≥ 5.5 mg/L 148/608 (24) 1.99 (1.38, 2.86) < .001 
    Cytogenetic abnormalities 222/608 (37) 1.58 (1.11, 2.24) .011 
    GEP proliferation index ≥ 10 51/608 (8) 2.03 (1.30, 3.16) .002 
    sIL6r ≥ 81.5 ng/mL 124/608 (20) 1.52 (1.05, 2.21) .026 

HR indicates hazard ratio; 95% CI, 95% confidence interval; CRP, C-reactive protein; and LDH, lactate dehydrogenase.

*

Wald χ2 test in Cox regression model. All univariate P values are reported regardless of significance.

Multivariate model uses stepwise selection with entry level 0.1 and variable remains if it meets the .05 level. The multivariate model includes all variables with univariate P < .15, except the GEP 70-gene model variable in the model.

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