Characteristics of patients undergoing HLA-identical sibling bone marrow transplantation for myelodysplasia
Variable . | N evaluable . | N (%) Median (range) . |
---|---|---|
No. patients | 452 | |
Age, median (range), y | 452 | 38 (2-64) |
Age at transplantation 18 y or older | 452 | 387 (86) |
Male sex | 452 | 260 (58) |
FAB subtype | 452 | — |
RA | — | 124 (27) |
RARS | — | 16 (4) |
RAEB | — | 136 (30) |
RAEB-t | — | 136 (30) |
CMML | — | 40 (9) |
Hemoglobin at diagnosis < 10 g/dL | 393 | 243 (62) |
WBC at diagnosis ≤ 3 × 109/L | 406 | 169 (42) |
Platelets at diagnosis ≤ 100 × 109/L | 400 | 262 (65) |
Blasts in bone marrow at diagnosis | 362 | — |
< 5% | — | 141 (39) |
5%-10% | — | 80 (22) |
11%-20% | — | 96 (27) |
21%-30% | — | 45 (12) |
Cytogenetics | 364 | — |
Good | — | 213 (59) |
Intermediate | — | 111 (30) |
Poor | — | 40 (11) |
IPSS score at diagnosis | 281 | — |
Low | — | 32 (11) |
Intermediate-1 | — | 128 (46) |
Intermediate-2 | — | 72 (26) |
High | — | 49 (17) |
Hemoglobin before transplantation < 10 g/dL | 409 | 220 (54) |
WBC before transplantation ≤ 3 × 109/L | 449 | 212 (47) |
Platelets before transplantation ≤ 100 × 109/L | 416 | 285 (69) |
Blasts in bone marrow before transplantation | 361 | — |
< 5% | — | 195 (54) |
5%-10% | — | 75 (21) |
11%-20% | — | 56 (15) |
21%-30% | — | 35 (10) |
IPSS score before transplantation | 340 | — |
Low | — | 19 (6) |
Intermediate-1 | — | 145 (43) |
Intermediate-2 | — | 96 (28) |
High | — | 80 (23) |
Treatment for MDS before transplantation | 133 | 73 (55) |
Conditioning regimen | 452 | — |
BuCy | — | 154 (34) |
BuCy + TLI | — | 6 (1) |
BuCy + others | — | 77 (17) |
CyTBI | — | 74 (16) |
CyTBI + others | — | 113 (25) |
TBI + others (not Cy) | — | 12 (3) |
Others | — | 16 (3) |
Donor-recipient CMV status | 434 | — |
Negative-negative | — | 109 (25) |
Positive-negative | — | 38 (9) |
Negative-positive | — | 81 (19) |
Positive-positive | — | 206 (47) |
Time from diagnosis to transplantation, median (range), mos | 451 | 5.7 (1-293) |
Time from diagnosis to transplantation | 451 | — |
< 6 mos | — | 234 (52) |
6-11 mos | — | 107 (23) |
12-23 mos | — | 60 (14) |
≥ 24 mos | — | 50 (11) |
Year of transplantation | 452 | — |
1989-1990 | — | 107 (24) |
1991-1992 | — | 121 (27) |
1993-1994 | — | 126 (28) |
1995-1997 | — | 98 (21) |
GVHD prophylaxis | 452 | — |
CsA ± others (not MTX) | — | 93 (21) |
CsA + MTX ± others | — | 286 (63) |
MTX ± others (not CsA) | — | 8 (2) |
T-depletion ± others | — | 58 (13) |
Others/none | — | 7 (1) |
Variable . | N evaluable . | N (%) Median (range) . |
---|---|---|
No. patients | 452 | |
Age, median (range), y | 452 | 38 (2-64) |
Age at transplantation 18 y or older | 452 | 387 (86) |
Male sex | 452 | 260 (58) |
FAB subtype | 452 | — |
RA | — | 124 (27) |
RARS | — | 16 (4) |
RAEB | — | 136 (30) |
RAEB-t | — | 136 (30) |
CMML | — | 40 (9) |
Hemoglobin at diagnosis < 10 g/dL | 393 | 243 (62) |
WBC at diagnosis ≤ 3 × 109/L | 406 | 169 (42) |
Platelets at diagnosis ≤ 100 × 109/L | 400 | 262 (65) |
Blasts in bone marrow at diagnosis | 362 | — |
< 5% | — | 141 (39) |
5%-10% | — | 80 (22) |
11%-20% | — | 96 (27) |
21%-30% | — | 45 (12) |
Cytogenetics | 364 | — |
Good | — | 213 (59) |
Intermediate | — | 111 (30) |
Poor | — | 40 (11) |
IPSS score at diagnosis | 281 | — |
Low | — | 32 (11) |
Intermediate-1 | — | 128 (46) |
Intermediate-2 | — | 72 (26) |
High | — | 49 (17) |
Hemoglobin before transplantation < 10 g/dL | 409 | 220 (54) |
WBC before transplantation ≤ 3 × 109/L | 449 | 212 (47) |
Platelets before transplantation ≤ 100 × 109/L | 416 | 285 (69) |
Blasts in bone marrow before transplantation | 361 | — |
< 5% | — | 195 (54) |
5%-10% | — | 75 (21) |
11%-20% | — | 56 (15) |
21%-30% | — | 35 (10) |
IPSS score before transplantation | 340 | — |
Low | — | 19 (6) |
Intermediate-1 | — | 145 (43) |
Intermediate-2 | — | 96 (28) |
High | — | 80 (23) |
Treatment for MDS before transplantation | 133 | 73 (55) |
Conditioning regimen | 452 | — |
BuCy | — | 154 (34) |
BuCy + TLI | — | 6 (1) |
BuCy + others | — | 77 (17) |
CyTBI | — | 74 (16) |
CyTBI + others | — | 113 (25) |
TBI + others (not Cy) | — | 12 (3) |
Others | — | 16 (3) |
Donor-recipient CMV status | 434 | — |
Negative-negative | — | 109 (25) |
Positive-negative | — | 38 (9) |
Negative-positive | — | 81 (19) |
Positive-positive | — | 206 (47) |
Time from diagnosis to transplantation, median (range), mos | 451 | 5.7 (1-293) |
Time from diagnosis to transplantation | 451 | — |
< 6 mos | — | 234 (52) |
6-11 mos | — | 107 (23) |
12-23 mos | — | 60 (14) |
≥ 24 mos | — | 50 (11) |
Year of transplantation | 452 | — |
1989-1990 | — | 107 (24) |
1991-1992 | — | 121 (27) |
1993-1994 | — | 126 (28) |
1995-1997 | — | 98 (21) |
GVHD prophylaxis | 452 | — |
CsA ± others (not MTX) | — | 93 (21) |
CsA + MTX ± others | — | 286 (63) |
MTX ± others (not CsA) | — | 8 (2) |
T-depletion ± others | — | 58 (13) |
Others/none | — | 7 (1) |
Bu indicates busulfan; Cy, cyclophosphamide; TLI, total lymphoid.