Demographic and clinical characteristics of 345 2-year survivors of autologous BMT in childhood
Variables . | Entire cohort . | Primary diagnosis . | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
ALL . | AML . | HL . | NHL . | Neuroblastoma . | Other malignant disease* . | |||||||||
N . | % . | N . | % . | N . | % . | N . | % . | N . | % . | N . | % . | N . | % . | |
Number of patients | 345 | 100.0 | 43 | 12.5 | 45 | 13.0 | 90 | 26.1 | 31 | 9.0 | 79 | 22.9 | 57 | 16.5 |
Sex | ||||||||||||||
Male | 212 | 61.4 | 34 | 79.1 | 24 | 53.3 | 52 | 57.8 | 22 | 71.0 | 49 | 62.0 | 31 | 54.4 |
Female | 133 | 38.6 | 9 | 20.9 | 21 | 46.7 | 38 | 42.2 | 9 | 29.0 | 30 | 38.0 | 26 | 45.6 |
Race/ethnicity | ||||||||||||||
Non-Hispanic white | 264 | 76.5 | 36 | 83.7 | 35 | 77.8 | 59 | 65.6 | 25 | 80.6 | 64 | 81.0 | 45 | 78.9 |
Hispanic | 44 | 12.8 | 3 | 7.0 | 5 | 11.1 | 18 | 20.0 | 1 | 3.2 | 9 | 11.4 | 8 | 14.0 |
Non-Hispanic black | 20 | 5.8 | 3 | 7.0 | 4 | 8.9 | 7 | 7.8 | 3 | 9.7 | 2 | 2.5 | 1 | 1.8 |
Other | 10 | 2.9 | 1 | 2.3 | 1 | 2.2 | 4 | 4.4 | 1 | 3.2 | 2 | 2.5 | 1 | 1.8 |
Unknown | 7 | 2.0 | 0 | 0.0 | 0 | 0.0 | 2 | 2.2 | 1 | 3.2 | 2 | 2.5 | 2 | 3.5 |
Age at BMT, y | ||||||||||||||
0-4 | 97 | 28.1 | 13 | 30.2 | 11 | 24.4 | 0 | 0.0 | 1 | 3.2 | 59 | 74.7 | 13 | 22.8 |
5-9 | 57 | 16.5 | 15 | 34.9 | 6 | 13.3 | 3 | 3.3 | 6 | 19.4 | 14 | 17.7 | 13 | 22.8 |
10-14 | 55 | 15.9 | 6 | 14.0 | 10 | 22.2 | 15 | 16.7 | 4 | 12.9 | 3 | 3.8 | 17 | 29.8 |
15-21 | 136 | 39.4 | 9 | 20.9 | 18 | 40.0 | 72 | 80.0 | 20 | 64.5 | 3 | 3.8 | 14 | 24.6 |
Year of BMT | ||||||||||||||
<1990 | 74 | 21.4 | 34 | 79.1 | 12 | 26.7 | 11 | 12.2 | 9 | 29.0 | 7 | 8.9 | 1 | 1.8 |
1990-1999 | 129 | 37.4 | 9 | 20.9 | 25 | 55.6 | 32 | 35.6 | 11 | 35.5 | 31 | 39.2 | 21 | 36.8 |
2000-2010 | 142 | 41.2 | 0 | 0.0 | 8 | 17.8 | 47 | 52.2 | 11 | 35.5 | 41 | 51.9 | 35 | 61.4 |
Source of stem cells | ||||||||||||||
Bone marrow | 163 | 47.2 | 41 | 95.3 | 32 | 71.1 | 30 | 33.3 | 15 | 48.4 | 32 | 40.5 | 13 | 22.8 |
PBSCs | 181 | 52.5 | 2 | 4.7 | 13 | 28.9 | 60 | 66.7 | 16 | 51.6 | 47 | 59.5 | 43 | 75.4 |
Cord blood | 1 | 0.3 | 0 | 0.0 | 0 | 0.0 | 0 | 0.0 | 0 | 0.0 | 0 | 0.0 | 1 | 1.8 |
Conditioning regimen | ||||||||||||||
TBI | 124 | 35.9 | 42 | 97.7 | 21 | 46.7 | 19 | 21.1 | 27 | 87.1 | 14 | 17.7 | 1 | 1.7 |
Etoposide | 204 | 59.1 | 2 | 4.7 | 17 | 37.8 | 88 | 97.8 | 18 | 58.1 | 71 | 89.9 | 8 | 14.0 |
Cyclophosphamide | 192 | 55.7 | 32 | 74.4 | 40 | 88.9 | 80 | 88.9 | 29 | 93.5 | 6 | 7.6 | 5 | 8.8 |
Melphalan | 133 | 38.6 | 0 | 0.0 | 0 | 0.0 | 10 | 11.1 | 2 | 6.5 | 72 | 91.1 | 49 | 86.0 |
Busulfan | 75 | 21.7 | 1 | 2.3 | 26 | 57.8 | 0 | 0.0 | 0 | 0.0 | 6 | 7.6 | 42 | 73.7 |
Carmustine | 76 | 22.0 | 0 | 0.0 | 0 | 0.0 | 69 | 76.7 | 4 | 12.9 | 2 | 2.5 | 1 | 1.8 |
Carboplatin | 71 | 20.6 | 0 | 0.0 | 0 | 0.0 | 0 | 0.0 | 0 | 0.0 | 61 | 77.2 | 10 | 17.5 |
Other chemotherapy | 143 | 41.5 | 40 | 93.0 | 25 | 55.6 | 8 | 8.9 | 6 | 19.4 | 18 | 22.8 | 46 | 80.7 |
Other radiotherapy | 3 | 0.9 | 0 | 0.0 | 0 | 0.0 | 0 | 0.0 | 1 | 3.2 | 1 | 1.3 | 1 | 1.8 |
Disease status at BMT | ||||||||||||||
Standard risk of relapse† | 133 | 38.6 | 32 | 74.4 | 44 | 97.8 | 35 | 38.9 | 22 | 71.0 | 0 | 0.0 | 0 | 0.0 |
High risk of relapse | 212 | 61.4 | 11 | 25.6 | 1 | 2.2 | 55 | 61.1 | 9 | 29.0 | 79 | 100.0 | 57 | 100.0 |
Number of deaths | 103 | 29.9 | 21 | 48.8 | 6 | 13.3 | 23 | 25.6 | 8 | 25.8 | 25 | 31.6 | 20 | 35.1 |
Variables . | Entire cohort . | Primary diagnosis . | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
ALL . | AML . | HL . | NHL . | Neuroblastoma . | Other malignant disease* . | |||||||||
N . | % . | N . | % . | N . | % . | N . | % . | N . | % . | N . | % . | N . | % . | |
Number of patients | 345 | 100.0 | 43 | 12.5 | 45 | 13.0 | 90 | 26.1 | 31 | 9.0 | 79 | 22.9 | 57 | 16.5 |
Sex | ||||||||||||||
Male | 212 | 61.4 | 34 | 79.1 | 24 | 53.3 | 52 | 57.8 | 22 | 71.0 | 49 | 62.0 | 31 | 54.4 |
Female | 133 | 38.6 | 9 | 20.9 | 21 | 46.7 | 38 | 42.2 | 9 | 29.0 | 30 | 38.0 | 26 | 45.6 |
Race/ethnicity | ||||||||||||||
Non-Hispanic white | 264 | 76.5 | 36 | 83.7 | 35 | 77.8 | 59 | 65.6 | 25 | 80.6 | 64 | 81.0 | 45 | 78.9 |
Hispanic | 44 | 12.8 | 3 | 7.0 | 5 | 11.1 | 18 | 20.0 | 1 | 3.2 | 9 | 11.4 | 8 | 14.0 |
Non-Hispanic black | 20 | 5.8 | 3 | 7.0 | 4 | 8.9 | 7 | 7.8 | 3 | 9.7 | 2 | 2.5 | 1 | 1.8 |
Other | 10 | 2.9 | 1 | 2.3 | 1 | 2.2 | 4 | 4.4 | 1 | 3.2 | 2 | 2.5 | 1 | 1.8 |
Unknown | 7 | 2.0 | 0 | 0.0 | 0 | 0.0 | 2 | 2.2 | 1 | 3.2 | 2 | 2.5 | 2 | 3.5 |
Age at BMT, y | ||||||||||||||
0-4 | 97 | 28.1 | 13 | 30.2 | 11 | 24.4 | 0 | 0.0 | 1 | 3.2 | 59 | 74.7 | 13 | 22.8 |
5-9 | 57 | 16.5 | 15 | 34.9 | 6 | 13.3 | 3 | 3.3 | 6 | 19.4 | 14 | 17.7 | 13 | 22.8 |
10-14 | 55 | 15.9 | 6 | 14.0 | 10 | 22.2 | 15 | 16.7 | 4 | 12.9 | 3 | 3.8 | 17 | 29.8 |
15-21 | 136 | 39.4 | 9 | 20.9 | 18 | 40.0 | 72 | 80.0 | 20 | 64.5 | 3 | 3.8 | 14 | 24.6 |
Year of BMT | ||||||||||||||
<1990 | 74 | 21.4 | 34 | 79.1 | 12 | 26.7 | 11 | 12.2 | 9 | 29.0 | 7 | 8.9 | 1 | 1.8 |
1990-1999 | 129 | 37.4 | 9 | 20.9 | 25 | 55.6 | 32 | 35.6 | 11 | 35.5 | 31 | 39.2 | 21 | 36.8 |
2000-2010 | 142 | 41.2 | 0 | 0.0 | 8 | 17.8 | 47 | 52.2 | 11 | 35.5 | 41 | 51.9 | 35 | 61.4 |
Source of stem cells | ||||||||||||||
Bone marrow | 163 | 47.2 | 41 | 95.3 | 32 | 71.1 | 30 | 33.3 | 15 | 48.4 | 32 | 40.5 | 13 | 22.8 |
PBSCs | 181 | 52.5 | 2 | 4.7 | 13 | 28.9 | 60 | 66.7 | 16 | 51.6 | 47 | 59.5 | 43 | 75.4 |
Cord blood | 1 | 0.3 | 0 | 0.0 | 0 | 0.0 | 0 | 0.0 | 0 | 0.0 | 0 | 0.0 | 1 | 1.8 |
Conditioning regimen | ||||||||||||||
TBI | 124 | 35.9 | 42 | 97.7 | 21 | 46.7 | 19 | 21.1 | 27 | 87.1 | 14 | 17.7 | 1 | 1.7 |
Etoposide | 204 | 59.1 | 2 | 4.7 | 17 | 37.8 | 88 | 97.8 | 18 | 58.1 | 71 | 89.9 | 8 | 14.0 |
Cyclophosphamide | 192 | 55.7 | 32 | 74.4 | 40 | 88.9 | 80 | 88.9 | 29 | 93.5 | 6 | 7.6 | 5 | 8.8 |
Melphalan | 133 | 38.6 | 0 | 0.0 | 0 | 0.0 | 10 | 11.1 | 2 | 6.5 | 72 | 91.1 | 49 | 86.0 |
Busulfan | 75 | 21.7 | 1 | 2.3 | 26 | 57.8 | 0 | 0.0 | 0 | 0.0 | 6 | 7.6 | 42 | 73.7 |
Carmustine | 76 | 22.0 | 0 | 0.0 | 0 | 0.0 | 69 | 76.7 | 4 | 12.9 | 2 | 2.5 | 1 | 1.8 |
Carboplatin | 71 | 20.6 | 0 | 0.0 | 0 | 0.0 | 0 | 0.0 | 0 | 0.0 | 61 | 77.2 | 10 | 17.5 |
Other chemotherapy | 143 | 41.5 | 40 | 93.0 | 25 | 55.6 | 8 | 8.9 | 6 | 19.4 | 18 | 22.8 | 46 | 80.7 |
Other radiotherapy | 3 | 0.9 | 0 | 0.0 | 0 | 0.0 | 0 | 0.0 | 1 | 3.2 | 1 | 1.3 | 1 | 1.8 |
Disease status at BMT | ||||||||||||||
Standard risk of relapse† | 133 | 38.6 | 32 | 74.4 | 44 | 97.8 | 35 | 38.9 | 22 | 71.0 | 0 | 0.0 | 0 | 0.0 |
High risk of relapse | 212 | 61.4 | 11 | 25.6 | 1 | 2.2 | 55 | 61.1 | 9 | 29.0 | 79 | 100.0 | 57 | 100.0 |
Number of deaths | 103 | 29.9 | 21 | 48.8 | 6 | 13.3 | 23 | 25.6 | 8 | 25.8 | 25 | 31.6 | 20 | 35.1 |
ALL, acute lymphoblastic leukemia; AML, acute myeloid leukemia; HL, Hodgkin lymphoma; NHL, non-Hodgkin lymphoma; PBSC, peripheral blood stem cells; TBI, total body irradiation.
Includes 25 Ewing sarcomas, 11 Wilms tumor, 9 central nervous system (CNS) tumors, 4 desmoplastic small round cell tumors, 6 soft tissue sarcoma, 1 ovarian tumor, and 1 hepatoblastoma.
Standard risk: first or second complete remission after acute leukemia or lymphoma; all others high risk.