Table 3.
Standardized mortality ratio (SMR) among 2-year survivors of allogeneic HCT
Variables | Entire cohort |
Standard risk of relapse |
High risk of relapse |
|||
---|---|---|---|---|---|---|
No. of deaths | SMR (95% CI) | No. of deaths | SMR (95% CI) | No. of deaths | SMR (95% CI) | |
All patients | 241 | 9.9 (8.7-11.2) | 152 | 8.4 (7.1-9.8) | 88 | 14.5 (11.7-17.7) |
Sex | ||||||
Male | 147 | 8.2 (6.9-9.6) | 97 | 7.4 (6.0-8.9) | 50 | 10.8 (8.0-14.0) |
Female | 94 | 12.8 (10.3-15.5) | 55 | 9.9 (7.4-12.6) | 38 | 21.5 (15.2-28.9) |
Age at transplantation, y | ||||||
Younger than 18 | 63 | 16.5 (12.7-20.8) | 48 | 14.6 (10.8-19.0) | 15 | 28.8 (16.1-45.3) |
18 to 45 | 150 | 9.1 (7.7-10.6) | 92 | 7.7 (6.2-9.3) | 57 | 12.9 (9.8-16.5) |
Older than 45 | 28 | 7.1 (4.7-9.9) | 12 | 4.2 (2.2-7.0) | 16 | 14.2 (8.1-22.0) |
Year of transplantation | ||||||
1974 to 1979 | 15 | 9.4 (5.2-14.7) | 13 | 9.4 (5.0-15.3) | 2 | 13.4 (1.3-38.5) |
1980 to 1984 | 49 | 7.9 (5.8-10.2) | 34 | 7.4 (5.1-10.1) | 15 | 9.2 (5.1-14.5) |
1985 to 1989 | 63 | 10.5 (8.1-13.3) | 39 | 8.9 (6.3-11.9) | 24 | 15.0 (9.6-21.6) |
1990 to 1994 | 71 | 11.2 (8.7-13.9) | 49 | 10.2 (7.5-13.2) | 21 | 13.8 (8.5-20.3) |
1995 to 1998 | 43 | 10.5 (7.6-13.8) | 17 | 5.8 (3.4-8.9) | 26 | 22.5 (14.7-31.9) |
Survival after diagnosis | ||||||
2 to 5 y | 149 | 77.5 (65.6-90.5) | 92 | 73.5 (59.2-89.3) | 57 | 85.0 (64.4-108.5) |
6 to 10 y | 50 | 8.3 (6.1-10.7) | 29 | 6.3 (4.2-8.8) | 20 | 13.9 (8.5-20.7) |
11 to 15 y | 21 | 3.7 (2.3-5.4) | 15 | 3.7 (2.0-5.7) | 6 | 3.6 (1.3-7.2) |
16 to 20 y | 20 | 2.9 (1.8-4.3) | 15 | 3.0 (1.7-4.8) | 5 | 2.5 (0.8-5.2) |
21+ y | 1 | 0.3 (0.0001-1.1) | 1 | 0.3 (0.0001-1.2) | 0 | — |
Chronic graft-versus-host disease | ||||||
Yes | 158 | 12.4 (10.5-14.4) | 95 | 10.6 (8.6-12.9) | 62 | 16.8 (12.8-21.2) |
No | 78 | 6.9 (5.4-8.5) | 53 | 5.9 (4.4-7.6) | 25 | 10.6 (6.9-15.2) |
Primary diagnosis | ||||||
AML | 82 | 10.8 (8.6-13.3) | 46 | 8.5 (6.2-11.1) | 36 | 17.3 (12.1-23.5) |
CML | 74 | 8.2 (6.4-10.2) | 41 | 6.8 (4.9-9.1) | 33 | 11.0 (7.6-15.0) |
ALL | 46 | 12.8 (9.4-16.8) | 32 | 10.9 (7.5-15.1) | 14 | 21.0 (11.5-33.5) |
NHL | 10 | 12.5 (6.0-21.5) | 4 | 8.5 (2.2-18.9) | 5 | 16.1 (5.1-33.4) |
SAA | 17 | 5.7 (3.3-8.8) | 17 | 5.7 (3.3-8.8) | 0 | — |
IEM | 12 | 36.7 (18.9-60.4) | 12 | 36.7 (18.9-60.4) | 0 | — |
SMR indicates standardized mortality ratio; 95% CI, 95% confidence interval; and —, not applicable.
One subject with unknown disease status at the time of HCT was excluded from the analysis.
One subject with unknown cGVHD status was excluded from the analysis.