Research Article

Prevalence and Risk Factors for Adrenal Insufficiency in Patients with Multiple Myeloma Receiving Long-Term Chemotherapy including Corticosteroids: A Retrospective Cohort Study

Table 3

Association between corticosteroid treatment and the occurrence of AI according to megestrol acetate use.
(a) Megestrol acetate user ()

No-AI ()AI ()

Age (years)0.420
Sex (male)13 (59.1)25 (53.2)0.646
BMI (kg/m2)0.675
Type of corticosteroid0.335
 Prednisolone only4 (18.2)14 (29.8)
 Dexamethasone only12 (54.5)23 (48.9)
 Combination6 (27.3)10 (21.3)
Cumulative dose of corticosteroids (mg)a,b41166 (11283–65049)17088 (7476–33108)0.016
Cumulative duration of corticosteroid use (days)a63.0 (31.8–111.0)36.0 (18.0–64.0)0.038
Cumulative dose/duration of corticosteroid use (mg/day)a,b532.8 (280.0–741.3)366.7 (278.9–700.5)0.549

(b) Megestrol acetate nonuser ()

No-AI ()AI ()

Age (years)0.266
Sex (male)62 (52.5)48 (50.5)0.770
BMI (kg/m2)0.093
Type of corticosteroid0.617
 Prednisolone only15 (12.7)13 (13.7)
 Dexamethasone only72 (61.0)52 (54.7)
 Combination31 (26.3)30 (31.6)
Cumulative dose of corticosteroids (mg)b28132 (12981–61840)33308 (12800–58035)0.199
Cumulative duration of corticosteroid use (days)55.5 (20.0–138.8)60.0 (28.0–110.0)0.811
Cumulative dose/duration of corticosteroid use (mg/day)b519.9 (360.2–770.9)504.0 (320.1–801.0)0.772

Data are presented as or median (interquartile range) or (%). a values were generated by Mann-Whitney test. bCorticosteroid doses were expressed in prednisolone equivalents.