Multivariate analysis
Outcome . | No. . | Relative risk (95% CI) . | P . |
---|---|---|---|
Treatment-related mortality | |||
Age at HCT | |||
35 y or younger | 339 | 1.00 | |
Older than 35 y | 518 | 1.38 (1.11-1.70) | .003 |
Karnofsky Lansky score prior to HCT | |||
90% or higher | 523 | 1.00 | Poverall = .002 |
Lower than 90% | 290 | 1.44 (1.17-1.78) | .001 |
Unknown | 44 | 0.88 (0.54-1.43) | .61 |
Disease status prior to HCT | |||
t-AML, CR1 | 277 | 1.00 | Poverall = .007 |
t-AML, CR2 or beyond | 38 | 0.97 (0.58-1.63) | .92 |
t-AML, not in CR | 226 | 1.27 (0.96-1.68) | .09 |
t-MDS, early | 110 | 1.69 (1.23-2.34) | .001 |
t-MDS, advanced | 206 | 1.47 (1.13-1.93) | .005 |
Type of donor | |||
HLA-identical sibling | 277 | 1.00 | Poverall < .001 |
Other relative | 46 | 2.77 (1.84-4.17) | < .001 |
URD, well matched | 204 | 0.81 (0.60-1.10) | .17 |
URD, partially matched | 224 | 1.19 (0.92-1.56) | .19 |
URD, mismatched | 106 | 1.78 (1.31-2.43) | < .001 |
Relapse | |||
Age at HCT | |||
35 y or younger | 339 | 1.00 | |
Older than 35 y | 518 | 1.56 (1.17-2.09) | .003 |
Prior disease | |||
Lymphoma; plasma cell disorders; CLL | 395 | 1.00 | Poverall = .006 |
Acute lymphoblastic leukemia | 100 | 1.82 (1.23-2.71) | .003 |
Other malignancies | 317 | 1.01 (0.76-1.33) | .95 |
Nonmalignancies or others | 45 | 0.66 (0.35-1.24) | .19 |
Cytogenetics | |||
No abnormalities/ intermediate prognosis | 436 | 1.00 | Poverall = .001 |
Good/favorable prognosis | 66 | 0.55 (0.22-1.35) | .19 |
Poor/unfavorable prognosis | 248 | 1.72 (1.28-2.29) | < .001 |
Unknown | 140 | 1.32 (0.93-1.88) | .12 |
Disease status prior to HCT | |||
t-AML, CR1 | 277 | 1.00 | Poverall < .001 |
t-AML, CR2 or beyond | 38 | 1.19 (0.59-2.42) | .63 |
t-AML, not in CR | 226 | 3.36 (2.44-4.64) | < .001 |
t-MDS, early | 110 | 1.07 (0.66-1.75) | .77 |
t-MDS, advanced | 206 | 1.55 (1.07-2.25) | .02 |
Overall survival | |||
Age at HCT | |||
35 y or younger | 340 | 1.00 | |
Older than 35 y | 528 | 1.34 (1.14-1.59) | .001 |
Cytogenetics | |||
No abnormalities/intermediate prognosis | 443 | 1.00 | Poverall = .002 |
Good/favorable prognosis | 33 | 0.82 (0.52-1.30) | .40 |
Poor/unfavorable prognosis | 251 | 1.41 (1.17-1.70) | < .001 |
Unknown | 141 | 1.22 (0.98-1.52) | .07 |
Disease status prior to HCT | |||
t-AML, CR1 | 279 | 1.00 | Poverall < .001 |
t-AML, CR2 or beyond | 38 | 1.07 (0.70-1.63) | .77 |
t-AML, not in CR | 228 | 1.95 (1.59-2.39) | < .001 |
t-MDS, early | 111 | 1.34 (1.02-1.77) | .035 |
t-MDS, advanced | 212 | 1.44 (1.15-1.79) | .001 |
Type of donor | |||
HLA-identical sibling | 282 | 1.00 | Poverall < .001 |
Other relative | 47 | 2.06 (1.48-2.86) | < .001 |
URD, well matched | 204 | 0.92 (0.73-1.14) | .44 |
URD, partially matched | 227 | 1.10 (0.89-1.35) | .38 |
URD, mismatched | 108 | 1.51 (1.18-1.93) | .001 |
Outcome . | No. . | Relative risk (95% CI) . | P . |
---|---|---|---|
Treatment-related mortality | |||
Age at HCT | |||
35 y or younger | 339 | 1.00 | |
Older than 35 y | 518 | 1.38 (1.11-1.70) | .003 |
Karnofsky Lansky score prior to HCT | |||
90% or higher | 523 | 1.00 | Poverall = .002 |
Lower than 90% | 290 | 1.44 (1.17-1.78) | .001 |
Unknown | 44 | 0.88 (0.54-1.43) | .61 |
Disease status prior to HCT | |||
t-AML, CR1 | 277 | 1.00 | Poverall = .007 |
t-AML, CR2 or beyond | 38 | 0.97 (0.58-1.63) | .92 |
t-AML, not in CR | 226 | 1.27 (0.96-1.68) | .09 |
t-MDS, early | 110 | 1.69 (1.23-2.34) | .001 |
t-MDS, advanced | 206 | 1.47 (1.13-1.93) | .005 |
Type of donor | |||
HLA-identical sibling | 277 | 1.00 | Poverall < .001 |
Other relative | 46 | 2.77 (1.84-4.17) | < .001 |
URD, well matched | 204 | 0.81 (0.60-1.10) | .17 |
URD, partially matched | 224 | 1.19 (0.92-1.56) | .19 |
URD, mismatched | 106 | 1.78 (1.31-2.43) | < .001 |
Relapse | |||
Age at HCT | |||
35 y or younger | 339 | 1.00 | |
Older than 35 y | 518 | 1.56 (1.17-2.09) | .003 |
Prior disease | |||
Lymphoma; plasma cell disorders; CLL | 395 | 1.00 | Poverall = .006 |
Acute lymphoblastic leukemia | 100 | 1.82 (1.23-2.71) | .003 |
Other malignancies | 317 | 1.01 (0.76-1.33) | .95 |
Nonmalignancies or others | 45 | 0.66 (0.35-1.24) | .19 |
Cytogenetics | |||
No abnormalities/ intermediate prognosis | 436 | 1.00 | Poverall = .001 |
Good/favorable prognosis | 66 | 0.55 (0.22-1.35) | .19 |
Poor/unfavorable prognosis | 248 | 1.72 (1.28-2.29) | < .001 |
Unknown | 140 | 1.32 (0.93-1.88) | .12 |
Disease status prior to HCT | |||
t-AML, CR1 | 277 | 1.00 | Poverall < .001 |
t-AML, CR2 or beyond | 38 | 1.19 (0.59-2.42) | .63 |
t-AML, not in CR | 226 | 3.36 (2.44-4.64) | < .001 |
t-MDS, early | 110 | 1.07 (0.66-1.75) | .77 |
t-MDS, advanced | 206 | 1.55 (1.07-2.25) | .02 |
Overall survival | |||
Age at HCT | |||
35 y or younger | 340 | 1.00 | |
Older than 35 y | 528 | 1.34 (1.14-1.59) | .001 |
Cytogenetics | |||
No abnormalities/intermediate prognosis | 443 | 1.00 | Poverall = .002 |
Good/favorable prognosis | 33 | 0.82 (0.52-1.30) | .40 |
Poor/unfavorable prognosis | 251 | 1.41 (1.17-1.70) | < .001 |
Unknown | 141 | 1.22 (0.98-1.52) | .07 |
Disease status prior to HCT | |||
t-AML, CR1 | 279 | 1.00 | Poverall < .001 |
t-AML, CR2 or beyond | 38 | 1.07 (0.70-1.63) | .77 |
t-AML, not in CR | 228 | 1.95 (1.59-2.39) | < .001 |
t-MDS, early | 111 | 1.34 (1.02-1.77) | .035 |
t-MDS, advanced | 212 | 1.44 (1.15-1.79) | .001 |
Type of donor | |||
HLA-identical sibling | 282 | 1.00 | Poverall < .001 |
Other relative | 47 | 2.06 (1.48-2.86) | < .001 |
URD, well matched | 204 | 0.92 (0.73-1.14) | .44 |
URD, partially matched | 227 | 1.10 (0.89-1.35) | .38 |
URD, mismatched | 108 | 1.51 (1.18-1.93) | .001 |
CI indicates confidence interval; HCT indicates hematopoietic cell transplantation; t-AML, therapy-related acute myeloid leukemia; CR1, first complete remission; CR2, second complete remission; CR, complete remission; t-MDS, therapy-related myelodysplastic syndrome; HLA, human leukocyte antigen; URD, unrelated donor; and CLL, chronic lymphocytic leukemia.