Table 4.

Multivariate analysis of parameters that affected overall survivors and acute leukemia evolution in patients with RA classified according to the FAB criteria



Overall survival

Leukemic transformation
Characteristic, by model
Japanese HR (95% CI)
German HR (95% CI)
Japanese HR (95% CI)
German HR (95% CI)
Model A     
    Age older than 60 y   5.1 (2.6-9.9)*  2.2 (1.5-3.0)*  1.6 (0.4-6.4)   1.7 (0.9-3.3)  
    Sex, male   1.2 (0.7-2.2)   1.0 (0.8-1.4)   1.6 (0.4-7.1)   1.2 (0.7-2.1)  
    ANC fewer than 1.5 × 109/L   1.2 (0.7-2.2)   1.0 (0.7-1.3)   2.0 (0.5-8.2)   1.7 (0.9-3.1)  
    Platelet count fewer than 100 × 109/L   1.3 (0.6-2.7)   1.9 (1.4-2.5)*  0.4 (0.1-1.9)   2.2 (1.2-4.1)* 
    Hemoglobin concentration less than 100 g/L   1.5 (0.8-2.8)   1.8 (1.4-2.4)*  1.0 (0.2-3.9)   1.9 (1.1-3.5)* 
    Chromosome (IPSS), intermediate   1.5 (0.6-3.6)   1.1 (0.6-1.9)   1.5 (0.2-14)   2.3 (0.9-5.6)  
    Chromosome (IPSS), poor   1.4 (0.5-4.2)   2.8 (1.6-4.9)*  11.9 (2.4-59)*  6.6 (2.8-16)* 
Model B     
    Age older than 60 y   4.6 (2.5-8.7)*  2.1 (1.5-2.9)*  1.7 (0.5-6.3)   1.6 (0.8-3.0)  
    Sex, male   1.1 (0.6-2.0)   1.2 (0.9-1.6)   1.7 (0.4-6.7)   1.2 (0.7-2.1)  
    IPSS, INT-1   1.0 (0.5-1.8)   1.4 (1.0-2.0)*  1.0 (0.2-4.7)   3.1 (1.6-5.7)* 
    IPSS, INT-2
 
1.6 (0.5-4.7)
 
4.0 (2.0-8.0)*
 
8.6 (1.7-43)*
 
9.5 (3.2-27)*
 


Overall survival

Leukemic transformation
Characteristic, by model
Japanese HR (95% CI)
German HR (95% CI)
Japanese HR (95% CI)
German HR (95% CI)
Model A     
    Age older than 60 y   5.1 (2.6-9.9)*  2.2 (1.5-3.0)*  1.6 (0.4-6.4)   1.7 (0.9-3.3)  
    Sex, male   1.2 (0.7-2.2)   1.0 (0.8-1.4)   1.6 (0.4-7.1)   1.2 (0.7-2.1)  
    ANC fewer than 1.5 × 109/L   1.2 (0.7-2.2)   1.0 (0.7-1.3)   2.0 (0.5-8.2)   1.7 (0.9-3.1)  
    Platelet count fewer than 100 × 109/L   1.3 (0.6-2.7)   1.9 (1.4-2.5)*  0.4 (0.1-1.9)   2.2 (1.2-4.1)* 
    Hemoglobin concentration less than 100 g/L   1.5 (0.8-2.8)   1.8 (1.4-2.4)*  1.0 (0.2-3.9)   1.9 (1.1-3.5)* 
    Chromosome (IPSS), intermediate   1.5 (0.6-3.6)   1.1 (0.6-1.9)   1.5 (0.2-14)   2.3 (0.9-5.6)  
    Chromosome (IPSS), poor   1.4 (0.5-4.2)   2.8 (1.6-4.9)*  11.9 (2.4-59)*  6.6 (2.8-16)* 
Model B     
    Age older than 60 y   4.6 (2.5-8.7)*  2.1 (1.5-2.9)*  1.7 (0.5-6.3)   1.6 (0.8-3.0)  
    Sex, male   1.1 (0.6-2.0)   1.2 (0.9-1.6)   1.7 (0.4-6.7)   1.2 (0.7-2.1)  
    IPSS, INT-1   1.0 (0.5-1.8)   1.4 (1.0-2.0)*  1.0 (0.2-4.7)   3.1 (1.6-5.7)* 
    IPSS, INT-2
 
1.6 (0.5-4.7)
 
4.0 (2.0-8.0)*
 
8.6 (1.7-43)*
 
9.5 (3.2-27)*
 

Model A included age category, sex, dichotomized peripheral blood counts, and chromosome category of IPSS. Model B included age category, sex, and IPSS score.

HR indicates hazard ratio; 95% CI, 95% confidence interval; ANC, absolute neutrophil count; IPSS, International Prognosis Score System; INT-1, Intermediate-1; INT-2, intermediate-2.

*

Statistically significant hazard ratio.

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