Table 3

Multivariate analysis predictive factors for the outcome of allogeneic HSCT in patients with MDS

Clinical variablesOverall survivalProbability of relapseNonrelapse mortality
HR*PHRPHRP
Recipient gender (male vs female) 1.19 .19 1.14 .54 1.34 .10 
Recipient age (≥50 vs <50 years) 1.46 .02 1.08 .76 1.79 .02 
IPSS-R risk 1.41 <.001 1.81 <.001 1.16 .12 
HCT-CI* (high risk vs low/intermediate) 1.52 .03 1.03 .91 1.83 .017 
Monosomal karyotype (present vs absent) 1.81 .001 2.23 .001 .98 .47 
Disease stage at transplantation (active/progressive disease vs complete remission) 1.66 .01 1.94 .001 1.08 .67 
Source of hematopoietic stem cells (bone marrow vs peripheral blood) 1.10 .49 .87 .48 .88 .50 
Type of donor (MUD vs HLA-identical sibling) 1.68 .001 .86 .62 2.21 <.001 
Conditioning regimen (reduced-intensity vs standard conditioning) .91 .55 1.82 .01 .53 .012 
Clinical variablesOverall survivalProbability of relapseNonrelapse mortality
HR*PHRPHRP
Recipient gender (male vs female) 1.19 .19 1.14 .54 1.34 .10 
Recipient age (≥50 vs <50 years) 1.46 .02 1.08 .76 1.79 .02 
IPSS-R risk 1.41 <.001 1.81 <.001 1.16 .12 
HCT-CI* (high risk vs low/intermediate) 1.52 .03 1.03 .91 1.83 .017 
Monosomal karyotype (present vs absent) 1.81 .001 2.23 .001 .98 .47 
Disease stage at transplantation (active/progressive disease vs complete remission) 1.66 .01 1.94 .001 1.08 .67 
Source of hematopoietic stem cells (bone marrow vs peripheral blood) 1.10 .49 .87 .48 .88 .50 
Type of donor (MUD vs HLA-identical sibling) 1.68 .001 .86 .62 2.21 <.001 
Conditioning regimen (reduced-intensity vs standard conditioning) .91 .55 1.82 .01 .53 .012 

Clinical and demographic variables were evaluated at the time of transplant in patients receiving allogeneic HSCT upfront and before remission-induction chemotherapy in patients receiving treatment before transplant. HR represents the relative risk of the first category with the respect to the last one (reference category).

*

HCT-CI as defined by Sorror et al.22 

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