Clinical Study

EDSS Change Relates to Physical HRQoL While Relapse Occurrence Relates to Overall HRQoL in Patients with Multiple Sclerosis Receiving Subcutaneous Interferon β-1a

Table 3

Results of multivariable analyses: unique associations of EDSS score increase of ≥1 point with follow-up MSQOL-54 PCS and MCS.

Estimate (SE)-value value

6 months
MSQOL-54 PCS, = 279
 New to DMD−4.53 (1.89)−2.400.017
 EDSS change ≥1 point7.95 (2.34)3.400.0008
MSQOL-54 MCS, = 302
 Greater than secondary education5.00 (1.80)2.780.006
 EDSS change ≥1 point−4.40 (2.82)−1.56NS

12 months
MSQOL-54 PCS, = 248
 EDSS change ≥1 point5.34 (2.49)2.140.033
MSQOL-54 MCS, = 269
 Greater than secondary education4.07 (1.99)2.050.042
 EDSS change ≥1 point−2.88 (2.75)−1.05NS

18 months
MSQOL-54 PCS, = 210
 Age−0.34 (0.12)−2.860.005
 EDSS change ≥1 point7.36 (2.84)2.590.010
MSQOL-54 MCS, = 229
 New to DMD6.80 (2.89)2.350.019
 EDSS change ≥1 point−4.35 (3.04)−1.43NS

24 months
MSQOL-54 PCS, = 181
 EDSS change ≥1 point6.70 (2.74)2.450.016
MSQOL-54 MCS, = 196
 Greater than secondary education6.03 (2.53)2.380.018
 EDSS change ≥1 point−2.67 (2.97)−0.90NS

Significant associations between EDSS change ≥1 point and follow-up MSQOL-54 PCS or MCS are highlighted in bold. The generalized linear model procedure was used. All models included age, sex, highest level of education (not greater than or greater than secondary), whether naïve to DMD at study onset, whether terminated the study early, and baseline HRQoL measure score. Baseline HRQoL measure score was significant in all models.
DMD, disease-modifying drug; EDSS, Expanded Disability Status Scale; HRQoL, health-related quality of life; MCS, mental health composite score; MSQOL-54, Multiple Sclerosis Quality of Life-54; NS, not statistically significant; PCS, physical health composite score; SE, standard error.