Table 4

Univariate and multivariate analyses of prognostic factors for refractory/relapsed ML-DS patients

VariablesUnivariate analysis
Multivariate analyses
HR (95% CI)PModel 1 (baseline)
Model 2 (relapsed phase)
HR (95% CI)PHR (95% CI)P
Sex: male vs female 0.78 (0.33-1.83) .56 0.71 (0.30-1.71) .45 0.85 (0.36-2.05) .72 
Age at initial diagnosis: ≤ 2 y vs > 2 y 1.98 (0.83-4.72) .12 2.73 (0.89-8.37) .08 *  
WBC at initial diagnosis: ≥ 10 000/μL vs < 10 000/μL 0.57 (0.22-1.47) .24 0.43 (0.15-1.19) .10 0.60 (0.22-1.60) .30 
FAB classification: M7 vs others 1.63 (0.60-4.44) .34 0.92 (0.27-3.09) .89 1.88 (0.66-5.37) .24 
Disease status: IF or RL ≤ 6 mo vs RL > 6 mo 2.92 (1.24-6.88) .01 –  3.14 (1.28-7.67) .012 
Response to r-induction therapy: non-CR vs CR 16.54 (4.44-61.59) < .0001 –  *  
VariablesUnivariate analysis
Multivariate analyses
HR (95% CI)PModel 1 (baseline)
Model 2 (relapsed phase)
HR (95% CI)PHR (95% CI)P
Sex: male vs female 0.78 (0.33-1.83) .56 0.71 (0.30-1.71) .45 0.85 (0.36-2.05) .72 
Age at initial diagnosis: ≤ 2 y vs > 2 y 1.98 (0.83-4.72) .12 2.73 (0.89-8.37) .08 *  
WBC at initial diagnosis: ≥ 10 000/μL vs < 10 000/μL 0.57 (0.22-1.47) .24 0.43 (0.15-1.19) .10 0.60 (0.22-1.60) .30 
FAB classification: M7 vs others 1.63 (0.60-4.44) .34 0.92 (0.27-3.09) .89 1.88 (0.66-5.37) .24 
Disease status: IF or RL ≤ 6 mo vs RL > 6 mo 2.92 (1.24-6.88) .01 –  3.14 (1.28-7.67) .012 
Response to r-induction therapy: non-CR vs CR 16.54 (4.44-61.59) < .0001 –  *  

Reference groups: female > 2 years, < 10 000/μL, others (FAB), RL > 6 months, and CR.

CI indicates confidence interval; CR, complete response, HR, hazard ratio; IF, induction failure; mo, month(s); and RL, relapse.

*

A variable of “patient age at initial diagnosis” was excluded from model 2 because it was a predictive factor for the variable of “type of relapse/induction failure.” Patients who relapsed in the later phase (after 6 months) were more likely to achieve in CR, and therefore, a variable of “response to reinduction therapy” was also excluded from the model 2 in the multivariate analysis.

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