Table 8

Multivariable regression model for overall mortality

VariableGroupHR95% CIPGlobal P
5-group cytogenetic risk Good   < .0001 
 Very good 1.15 0.54-2.47 .72  
 Intermediate 1.04 0.82-1.32 .75  
 Poor 1.18 0.91-1.52 .21  
 Very poor 2.68 2.05-3.50 < .0001  
 Data incomplete 1.74 1.34-2.28 < .0001  
FAB/WHO classification RA/RARS/RCMD   .008 
 tAML 1.44 1.04-2.00 .03  
 RAEB 1.42 1.15-1.74 .001  
 RAEB-T 1.45 1.08-1.94 .01  
Disease category MDS    
 tAML 1.41 1.13-1.76 .003  
Platelet count*  0.92 0.88-0.96 .0002  
Patient age*  1.18 1.10-1.26 < .0001  
Year of HCT*  0.96 0.94-0.98 .0002  
Donor type Matched sibling   .003 
 Nonsibling relative 1.35 0.99-1.85 .06  
 URD matched 1.19 0.95-1.48 .14  
 URD mismatched 1.58 1.24-2.01 .0002  
 URD unknown 0.98 0.60-1.61 .93  
Conditioning regimen BU + CY   .003 
 FLU + LD TBI 1.56 1.14-2.15 .006  
 BU + TBI 1.81 1.31-2.51 .0003  
 BU + CY + TBI 1.53 1.01-2.34 .05  
 131I + FLU + TBI 1.77 1.07-2.93 .03  
 FLU + TREO 0.55 0.22-1.36 .20  
 CY + TBI (≥ 12 Gy) (± ATG) 1.29 0.97-1.73 .08  
 Other 1.90 1.09-3.30 .02  
Etiology§ de novo   < .0001 
 Aplastic anemia 1.45 0.97-2.17 .07  
 MPN 2.19 1.04-4.60 .04  
 Multiple myeloma 9.00 3.24-25.0 < .0001  
 Solid tumor 1.67 1.16-2.40 .006  
 Autoimmune disorders 1.60 0.97-2.62 .06  
 Organ transplantation 23.1 6.53-81.8 < .0001  
 Accidental radiation exposure 9.66 1.29-72.2 .03  
VariableGroupHR95% CIPGlobal P
5-group cytogenetic risk Good   < .0001 
 Very good 1.15 0.54-2.47 .72  
 Intermediate 1.04 0.82-1.32 .75  
 Poor 1.18 0.91-1.52 .21  
 Very poor 2.68 2.05-3.50 < .0001  
 Data incomplete 1.74 1.34-2.28 < .0001  
FAB/WHO classification RA/RARS/RCMD   .008 
 tAML 1.44 1.04-2.00 .03  
 RAEB 1.42 1.15-1.74 .001  
 RAEB-T 1.45 1.08-1.94 .01  
Disease category MDS    
 tAML 1.41 1.13-1.76 .003  
Platelet count*  0.92 0.88-0.96 .0002  
Patient age*  1.18 1.10-1.26 < .0001  
Year of HCT*  0.96 0.94-0.98 .0002  
Donor type Matched sibling   .003 
 Nonsibling relative 1.35 0.99-1.85 .06  
 URD matched 1.19 0.95-1.48 .14  
 URD mismatched 1.58 1.24-2.01 .0002  
 URD unknown 0.98 0.60-1.61 .93  
Conditioning regimen BU + CY   .003 
 FLU + LD TBI 1.56 1.14-2.15 .006  
 BU + TBI 1.81 1.31-2.51 .0003  
 BU + CY + TBI 1.53 1.01-2.34 .05  
 131I + FLU + TBI 1.77 1.07-2.93 .03  
 FLU + TREO 0.55 0.22-1.36 .20  
 CY + TBI (≥ 12 Gy) (± ATG) 1.29 0.97-1.73 .08  
 Other 1.90 1.09-3.30 .02  
Etiology§ de novo   < .0001 
 Aplastic anemia 1.45 0.97-2.17 .07  
 MPN 2.19 1.04-4.60 .04  
 Multiple myeloma 9.00 3.24-25.0 < .0001  
 Solid tumor 1.67 1.16-2.40 .006  
 Autoimmune disorders 1.60 0.97-2.62 .06  
 Organ transplantation 23.1 6.53-81.8 < .0001  
 Accidental radiation exposure 9.66 1.29-72.2 .03  

URD indicates unrelated donor; LD, low dose; TREO, treosufan; ATG, antithymocyte globulin; MPN, myeloproliferative neoplasm; and TMI, total marrow irradiation (with lung and liver shielding).

*

Modeled as a continuous linear variables (as specified in Table 5).

HLA allele level typing was not carried out.

Other regimens (CY + TMI; CY + BU; FLU + TBI + CY; FLU + BU) had no significant impact.

§

Other antecedent conditions had no significant impact.

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