15 research outputs found

    IGF-Binding Proteins, Adiponectin, and Survival in Metastatic Colorectal Cancer: Results From CALGB (Alliance)/SWOG 80405

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    Background: Energy balance-related biomarkers are associated with risk and prognosis of various malignancies. Their relationship to survival in metastatic colorectal cancer (mCRC) requires further study. Methods: Baseline plasma insulin-like growth factor (IGF)-1, IGF-binding protein (IGFBP)-3, IGFBP-7, C-peptide, and adiponectin were measured at time of trial registration in a prospective cohort of patients with mCRC participating in a National Cancer Institute-sponsored trial of first-line systemic therapy. We used Cox proportional hazards regression to adjust for confounders and examine associations of each biomarker with overall survival (OS) and progression-free survival (PFS). P values are 2-sided. Results: Median follow-up for 1086 patients was 6.2 years. Compared with patients in the lowest IGFBP-3 quintile, patients in the highest IGFBP-3 quintile experienced an adjusted hazard ratio (HR) for OS of 0.57 (95% confidence interval [CI] = 0.42 to 0.78; P nonlinearity < .001) and for PFS of 0.61 (95% CI = 0.45 to 0.82; P trend = .003). Compared with patients in the lowest IGFBP-7 quintile, patients in the highest IGFBP-7 quintile experienced an adjusted hazard ratio for OS of 1.60 (95% CI = 1.30 to 1.97; P trend < .001) and for PFS of 1.38 (95% CI = 1.13 to 1.69; P trend < .001). Plasma C-peptide and IGF-1 were not associated with patient outcomes. Adiponectin was not associated with OS; there was a nonlinear U-shaped association between adiponectin and PFS (P nonlinearity = .03). Conclusions: Among patients with mCRC, high plasma IGFBP-3 and low IGFBP-7 were associated with longer OS and PFS. Extreme levels of adiponectin were associated with shorter PFS. These findings suggest potential avenues for prognostic and therapeutic innovation

    "Fitting In": The Effects of Relational Demography and Person-Organization Fit on Group Process and Performance

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    We integrate two complementary streams of research on "fit" that document the positive impacts of similarity and the negative effects of dissimilarity. Fit with the organization's culture typically focuses on similarity in values while relational demography examines similarity or dissimilarity in demographic attributes. Although both approaches emphasize fit and draw on similar underlying theories, little research investigates both simultaneously. In a longitudinal study, both cultural and demographic fit had independent effects on performance; however, "deeper" value fit effects were stronger than "surface" demographic fit. These findings raise the possibility that previous findings of the negative effects from demographic heterogeneity may stem, in part, from a lack of underlying culture fit.

    Women's Careers: The Impact of Sex and Gender Identity on Career Attainment

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    This longitudinal study examined the interactive effects of sex and gender identity on the career motivation and career success of MBA graduates. Based on discriminant analysis of organizational culture preferences, we derived four gender identity categories. We observed greater success for individuals whose career choices were congruent with their espoused preferences for aggressive versus supportive cultures. We interpret these findings as support for a tournament-like aspect of careers where the combination of effort and ability result in overall success.

    Top Executive Pay: Tournament or Teamwork?

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    Tournament mechanisms suggest the need for ever larger rewards to motivate those at the highest organizational levels. But arguments for the efficiency of executive pay compression have also been made. This study reports the results of an empirical investigation of executive compensation using over two-hundred firms and in excess of two thousand executives per year over a five-year period. Results are consistent with the operation of tournaments but fail to find support for the empirical importance of considerations of pay equity at the top of corporations. Copyright 1993 by University of Chicago Press.
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