Table 7.

Multivariate analysis of overall survival


Variables

Relative risk of death (95% CI)

P
Type of transplant*   < .001§ 
Autologous unpurged, n = 597   1.00   —  
Autologous purged, n = 131   0.67 (0.48-0.95)   .03  
Allogeneic, n = 176   —  
First 6 mo after transplantation   3.59 (2.52-5.10)   < .001  
6 mo after transplantation   0.71 (0.44-1.13)   .14  
Disease stage at transplantation   —  
Early, n = 504   1.00   —  
Advanced, n = 400   1.26 (1.01-1.57)   .04  
Chemosensitivity   < .001 
Sensitive, n = 717   1.00   —  
Resistant, n = 111   2.63 (2.01-3.44)   < .001  
Untreated/unknown, n = 76   1.42 (1.00-2.02)   .06  
Serum LDH at transplantation   < .001 
Normal, n = 561   1.00   —  
Abnormal, n = 245   2.26 (1.79-2.84)   < .001  
Unknown, n = 98   2.11 (1.48-3.01)   < .001  
Karnofsky performance score at transplantation   —  
90%-100%, n = 644   1.00   —  
No more than 80%, n = 260   1.51 (1.21-1.88)   < .001  
Interval from diagnosis to transplantation   .001 
Less than 1 y, n = 168   1.00   —  
1-2 y, n = 244   1.71 (1.20-2.42)   .003  
More than 2 y, n = 492   1.38 (1.01-1.90)   .05  
Age at transplantation   —  
No older than 40 y, n = 199   1.00   —  
Older than 40 y, n = 705   1.42 (1.07-1.88)   .01  
Year of transplantation   .007 
1990-1993, n = 301   1.00   —  
1994-1996, n = 374   0.71 (0.55-0.90)   .006  
1997-1998, n = 229
 
0.67 (0.49-0.2)
 
.01
 

Variables

Relative risk of death (95% CI)

P
Type of transplant*   < .001§ 
Autologous unpurged, n = 597   1.00   —  
Autologous purged, n = 131   0.67 (0.48-0.95)   .03  
Allogeneic, n = 176   —  
First 6 mo after transplantation   3.59 (2.52-5.10)   < .001  
6 mo after transplantation   0.71 (0.44-1.13)   .14  
Disease stage at transplantation   —  
Early, n = 504   1.00   —  
Advanced, n = 400   1.26 (1.01-1.57)   .04  
Chemosensitivity   < .001 
Sensitive, n = 717   1.00   —  
Resistant, n = 111   2.63 (2.01-3.44)   < .001  
Untreated/unknown, n = 76   1.42 (1.00-2.02)   .06  
Serum LDH at transplantation   < .001 
Normal, n = 561   1.00   —  
Abnormal, n = 245   2.26 (1.79-2.84)   < .001  
Unknown, n = 98   2.11 (1.48-3.01)   < .001  
Karnofsky performance score at transplantation   —  
90%-100%, n = 644   1.00   —  
No more than 80%, n = 260   1.51 (1.21-1.88)   < .001  
Interval from diagnosis to transplantation   .001 
Less than 1 y, n = 168   1.00   —  
1-2 y, n = 244   1.71 (1.20-2.42)   .003  
More than 2 y, n = 492   1.38 (1.01-1.90)   .05  
Age at transplantation   —  
No older than 40 y, n = 199   1.00   —  
Older than 40 y, n = 705   1.42 (1.07-1.88)   .01  
Year of transplantation   .007 
1990-1993, n = 301   1.00   —  
1994-1996, n = 374   0.71 (0.55-0.90)   .006  
1997-1998, n = 229
 
0.67 (0.49-0.2)
 
.01
 

— 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, 5.33; 95% CI, 3.34-8.50; P < .001); allogeneic (> 6 months) versus autologous-purged transplantation (RR, 1.05; 95% CI, 0.60-1.83; P < .87).

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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