Research Article

Impact of BMI and Gender on Outcomes in DLBCL Patients Treated with R-CHOP: A Pooled Study from the LYSA

Table 3

Statistical analysis for OS and PFS in the global population.

PFS   OS  

Univariate analysis
BMI (<18.5/18.5–25/>25)* 
>25 versus ≤25
<18.5 versus ≥18.5
  
  
HR = 1.1
95% CI  (0.94–1.37)

HR = 0.9
95% CI (0.53–1.57)


HR = 1.18
95% CI (0.95–1.46)

HR = 0.86
95% CI (0.47–1.59)
Gender (male versus female)
HR = 1.237
95% CI (1.0251.493)
  
.218
95% CI (0.985–1.505)
aaIPI (2-3 versus 0-1)
HR = 1.967
95% CI (1.622.38)
   
HR = 2.407
95% CI (1.923.01)
Age (≥60 y versus <60)   
HR = 1.61
95%  CI (1.2072.148)
   
HR = 2.021  
95% CI (1.4092.898)
Cox model
BMI > 25 versus normal   
HR = 1.097
95% CI (0.56–2.11)

HR = 0.917
95% CI (0.4162.00)
BMI < 18.5 versus normal
HR = 1.16
95% CI (0.86–1.55)
  
HR = 1.394
95%  CI (1.001.94)
Gender (male versus female)
HR = 1.226
95% CI (0.93–1.61)
  
HR = 1.342
95% CI (0.97–1.84)
Age (≥60 y versus <60)   
HR = 1.096
95% CI (0.79–1.51)
  
HR = 1.215
95% CI (0.81–1.80)
aaIPI (>1 versus 0-1)    
HR = 1.926
95%  CI  (1.552.38)
    
HR = 2.287
95%  CI (1.782.93)
BMI and gender   
HR = 0.716
95% CI (0.21–2.36)
  
HR = 1.055
95% CI (0.29–3.76)

The test was performed using the 3 BMI classes: <18.5, 18.5–25, and >25. When 16.5 and 30 were used as the cut-offs, BMI had no impact on OS or PFS ( and 0.71, resp.).
In a Cox regression model including BMI, gender, age, aaIPI score, and the interaction between BMI and gender as covariables, a high aaIPI score was the only factor associated with a worse PFS and OS. Low BMI significantly impacted OS but not PFS.