Table 6.

Multivariate analysis of disease-free-survival


Variables

Relative risk of treatment failure (95% CI)

P
Type of transplant*   < .001§ 
Autologous unpurged, n = 596   1.00   —  
Autologous purged, n = 130   0.82 (0.63-1.07)   .14  
Allogeneic, n = 175   —  
First 6 mo after transplantation   1.77 (1.34-2.34)   < .001  
6 mo after transplantation   0.35 (0.22-0.57)   < .001  
Disease stage at transplantation   —  
Early (n = 501)   1.00   —  
Advanced (n = 400)   1.27 (1.07-1.52)   .007  
Chemosensitivity   < .001 
Sensitive, n = 714   1.00   —  
Resistant, n = 111   1.92 (1.52-2.44)   < .001  
Untreated/unknown, n = 76   1.12 (0.83-1.53)   .45  
Serum LDH at transplantation   < .001 
Normal, n = 561   1.00   —  
Abnormal, n = 243   1.58 (1.30-1.93)   < .0001  
Unknown, n = 97   0.95 (0.70-1.30)   .76  
Karnofsky performance score at transplantation   —  
90%-100%, n = 641   1.00   —  
No more than 80%, n = 260   1.31 (1.09-1.57)   .004  
Interval from diagnosis to transplantation   .05 
Less than 1 y, n = 168   1.00   —  
1-2 y, n = 244   1.37 (1.04-1.80)   .03  
More than 2 y, n = 489   1.35 (1.06-1.72)   .02  
Age at transplantation   —  
No older than 40 y, n = 198   1.00   —  
Older than 40 y, n = 703
 
1.31 (1.04-1.64)
 
.02
 

Variables

Relative risk of treatment failure (95% CI)

P
Type of transplant*   < .001§ 
Autologous unpurged, n = 596   1.00   —  
Autologous purged, n = 130   0.82 (0.63-1.07)   .14  
Allogeneic, n = 175   —  
First 6 mo after transplantation   1.77 (1.34-2.34)   < .001  
6 mo after transplantation   0.35 (0.22-0.57)   < .001  
Disease stage at transplantation   —  
Early (n = 501)   1.00   —  
Advanced (n = 400)   1.27 (1.07-1.52)   .007  
Chemosensitivity   < .001 
Sensitive, n = 714   1.00   —  
Resistant, n = 111   1.92 (1.52-2.44)   < .001  
Untreated/unknown, n = 76   1.12 (0.83-1.53)   .45  
Serum LDH at transplantation   < .001 
Normal, n = 561   1.00   —  
Abnormal, n = 243   1.58 (1.30-1.93)   < .0001  
Unknown, n = 97   0.95 (0.70-1.30)   .76  
Karnofsky performance score at transplantation   —  
90%-100%, n = 641   1.00   —  
No more than 80%, n = 260   1.31 (1.09-1.57)   .004  
Interval from diagnosis to transplantation   .05 
Less than 1 y, n = 168   1.00   —  
1-2 y, n = 244   1.37 (1.04-1.80)   .03  
More than 2 y, n = 489   1.35 (1.06-1.72)   .02  
Age at transplantation   —  
No older than 40 y, n = 198   1.00   —  
Older than 40 y, n = 703
 
1.31 (1.04-1.64)
 
.02
 

— indicates reference group; LDH, lactate dehydrogenase.

*

Time-dependent covariate; such that risk of death before and after 6 months after transplantation varies.

Allogeneic (≤ 6 months) versus autologous-purged transplantation (RR, 2.15; 95% CI, 1.50-3.08; P < .001); allogeneic (> 6 months) versus autologous-purged transplantation (RR, 0.43; 95% CI, 0.26-0.73; P < .001).

Early disease indicates complete remission (1st or 2nd) or relapse (1st); advanced disease, complete remission (3rd) or relapse (> 2nd) or primary induction failure.

§

Determined by 3-degree of freedom test.

Determined by 2-degree of freedom test.

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