Table 3

Multivariate analysis of adverse prognostic factors in allogeneic HSCT for pediatric Hodgkin lymphoma associated with increased NRM, relapse rate, PFS, and OS

RRCIP
Nonrelapse mortality    
    Female vs male sex 2.9 1.1-7.7 .02 
    Mismatched vs matched donor 3.1 1.0-9.9 .05 
Relapse rate    
    Poor vs good performance status 3.2 1.2-8.4 .02 
    Refractory vs sensitive disease 2.1 1.0-4.4 .04 
    Reduced vs myeloablative conditioning*    
        First 9 mos after HSCT No differences   
        More than 9 mos after HSCT 4.4 1.0-19.0 .05 
Progression-free survival    
    Refractory vs sensitive disease 2.8 1.6-4.9 < .001 
    CMV positivity in donor and/or recipient 2.9 1.3-6.5 .01 
    Mismatched vs matched donor 2.6 1.1-5.8 .02 
    Reduced vs myeloablative conditioning*    
        First 9 months after HSCT No differences   
        More than 9 months after HSCT 3.8 1.1-11.5 .02 
    Year of HSCT, before 2002 vs 2002-2005 2.0 1.0-4.2 .05 
Overall survival    
    Refractory vs sensitive disease 2.9 1.6-5.6 .001 
    CMV positivity in donor and/or recipient 4.6 1.7-12.5 .003 
    Mismatched vs matched donor 2.9 1.1-7.4 .03 
RRCIP
Nonrelapse mortality    
    Female vs male sex 2.9 1.1-7.7 .02 
    Mismatched vs matched donor 3.1 1.0-9.9 .05 
Relapse rate    
    Poor vs good performance status 3.2 1.2-8.4 .02 
    Refractory vs sensitive disease 2.1 1.0-4.4 .04 
    Reduced vs myeloablative conditioning*    
        First 9 mos after HSCT No differences   
        More than 9 mos after HSCT 4.4 1.0-19.0 .05 
Progression-free survival    
    Refractory vs sensitive disease 2.8 1.6-4.9 < .001 
    CMV positivity in donor and/or recipient 2.9 1.3-6.5 .01 
    Mismatched vs matched donor 2.6 1.1-5.8 .02 
    Reduced vs myeloablative conditioning*    
        First 9 months after HSCT No differences   
        More than 9 months after HSCT 3.8 1.1-11.5 .02 
    Year of HSCT, before 2002 vs 2002-2005 2.0 1.0-4.2 .05 
Overall survival    
    Refractory vs sensitive disease 2.9 1.6-5.6 .001 
    CMV positivity in donor and/or recipient 4.6 1.7-12.5 .003 
    Mismatched vs matched donor 2.9 1.1-7.4 .03 

Those factors differing with P ≤ .05 are shown.

CI indicates confidence interval; CMV, cytomegalovirus; HSCT, hematopoietic stem cell transplantation; and RR, relative risk.

*

The covariate “type of conditioning” significantly influenced relapse rate and PFS starting at 9 months after allogeneic HSCT.

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