Table 3.

Relative Risk of Death After HLA-Identical Sibling Bone Marrow Transplantations for Severe Aplastic Anemia Between 1976 and 1992

VariableNo AdjustmentAdjusted for Patient and Disease-Related VariablesAdjusted for Patient-,
Relative Risk95% CIRelative Risk95% CIDisease-, and Transplant-
Related Variables
Relative Risk95% CI
Year of transplant 
1976-1980 1.003-150  —  1.003-150  —  1.003-150  —  
1981-1987 (≤3 mo) 0.533-151 0.40-0.71 0.553-151 0.41-0.73 0.703-152 0.52-0.95 
1988-1992 (≤3 mo) 0.253-151 0.18-0.36 0.253-151 0.18-0.36 0.423-151 0.27-0.65 
1981-1987 (>3 mo) 0.91 0.60-1.36 0.93 0.62-1.40 1.16 0.76-1.76 
1988-1992 (>3 mo) 1.08 0.71-1.66 1.04 0.68-1.59 1.683-152 1.03-2.74 
Increasing age (per yr of age)   1.023-151 1.02-1.03 1.023-151 1.01-1.03 
>20 Transfusions (v ≤20 transfusion)   1.583-151 1.29-1.92 1.653-151 1.35-2.02 
Prior treatment (v no prior treatment)    —  NS  —  NS 
Time to transplant >2 mo (v ≤2 mo)   1.363-151 1.04-1.76 1.353-152 1.04-1.75 
Neutrophils <0.2 × 109/L (v ≥0.2 × 109/L)    —  NS  —  NS 
Donor-recipient sex-mismatch (v sex-match)     1.29ρ 1.08-1.54 
Cell dose ≥3 × 108/kg (v <3 × 108/kg)      —  NS 
Buffy coat cells (v no buffy coat cells)     1.253-152 1.02-1.54 
Conditioning regimen3-154      —  NS 
GVHD prophylaxis 
MTX + CSA     1.00  —  
CSA     1.19 0.91-1.56 
MTX     1.713-155 1.25-2.34 
T-cell depletion     0.86 0.45-1.66 
Other3-167     4.163-151 2.38-7.28 
VariableNo AdjustmentAdjusted for Patient and Disease-Related VariablesAdjusted for Patient-,
Relative Risk95% CIRelative Risk95% CIDisease-, and Transplant-
Related Variables
Relative Risk95% CI
Year of transplant 
1976-1980 1.003-150  —  1.003-150  —  1.003-150  —  
1981-1987 (≤3 mo) 0.533-151 0.40-0.71 0.553-151 0.41-0.73 0.703-152 0.52-0.95 
1988-1992 (≤3 mo) 0.253-151 0.18-0.36 0.253-151 0.18-0.36 0.423-151 0.27-0.65 
1981-1987 (>3 mo) 0.91 0.60-1.36 0.93 0.62-1.40 1.16 0.76-1.76 
1988-1992 (>3 mo) 1.08 0.71-1.66 1.04 0.68-1.59 1.683-152 1.03-2.74 
Increasing age (per yr of age)   1.023-151 1.02-1.03 1.023-151 1.01-1.03 
>20 Transfusions (v ≤20 transfusion)   1.583-151 1.29-1.92 1.653-151 1.35-2.02 
Prior treatment (v no prior treatment)    —  NS  —  NS 
Time to transplant >2 mo (v ≤2 mo)   1.363-151 1.04-1.76 1.353-152 1.04-1.75 
Neutrophils <0.2 × 109/L (v ≥0.2 × 109/L)    —  NS  —  NS 
Donor-recipient sex-mismatch (v sex-match)     1.29ρ 1.08-1.54 
Cell dose ≥3 × 108/kg (v <3 × 108/kg)      —  NS 
Buffy coat cells (v no buffy coat cells)     1.253-152 1.02-1.54 
Conditioning regimen3-154      —  NS 
GVHD prophylaxis 
MTX + CSA     1.00  —  
CSA     1.19 0.91-1.56 
MTX     1.713-155 1.25-2.34 
T-cell depletion     0.86 0.45-1.66 
Other3-167     4.163-151 2.38-7.28 

Abbreviations: CI, confidence interval; NS, not significant.

F3-150

Baseline.

F3-151

P < .0001.

F3-152

P < .05.

ρ P < .01.

F3-155

P < .001.

F3-154

Categories considered: cyclophosphamide alone, Cy + ATG, Cy + TBI, Cy + LFR, and other.

F3-167

Other means corticosteroids, no GVHD prophylaxis.

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