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. 2008 Oct 29;113(5):1175–1183. doi: 10.1182/blood-2008-05-158782

Table 3.

Risk of invasive solid cancers according to age at transplantation, conditioning with radiation (TBI or LFI), and time since HCT

Age at HCT, y No conditioning radiation
Conditioning radiation
No. of pts O E O/E 95% CI EAR* No. of pts O E O/E 95% CI EAR*
≥ 1-y survivors
    < 10 1092 1 0.39 2.59 0.06-14.29 1.22 1 401 30 0.54 55.29 37.5-79.31 43.2
    10-19 1092 4 0.98 4.10 1.11-10.45 5.86 2 167 13 2.09 6.23 3.31-10.64 9.70
    20-29 1048 2 2.10 0.95 0.12-3.44 −0.24 2 539 30 6.23 4.81 3.25-6.87 19.05
    30-39 939 5 3.99 1.25 0.41-2.92 3.25 2 399 20 13.70 1.46 0.89-2.25 6.09
    40-49 681 4 5.22 0.77 0.21-1.96 −6.94 1 335 18 15.80 1.14 0.68-1.80 4.45
    ≥ 50 189 4 3.20 1.25 0.34-3.20 17.79 224 3 4.18 0.72 0.15-2.10 −20.36
    All ages 5041 20 15.88 1.26 0.77-1.95 2.10 10 065 114 42.53 2.68 2.21-3.22 15.39
    P trend .11 .79 < .001 < .001
≥ 5-y survivors
    < 10 524 1 0.17 5.73 0.15-32.77 4.42 676 23 0.29 80.28 50.3-119 76.40
    10-19 482 3 0.63 4.75 0.98-13.92 10.91 1 114 11 1.33 8.25 4.13-14.8 18.81
    20-29 405 1 1.13 0.88 0.02-4.93 −0.87 1 260 18 3.63 4.96 2.94-7.84 26.86
    30-39 291 2 1.57 1.27 0.15-4.60 5.29 1 079 13 6.99 1.86 0.99-3.18 15.53
    40-49 171 0 1.08 0 0-3.42 −40.14 528 8 6.51 1.23 0.53-2.42 9.63
    ≥ 50 41 1 0.56 1.8 0.05-9.95 75.38 52 1 1.19 0.84 0.02-4.68 −16.29
    All ages 1914 8 5.15 1.55 0.67-3.06 4.26 4 709 74 19.9 3.71 2.91-4.66 28.46
    P trend .06 .53 < .001 < .001

pts indicates patients.

*

EAR was calculated as [(O-E)/PYR] × 10 000. (Analyses excluded patients with unknown radiation).

P for trend of increasing risk with increasing age at transplantation. P for test of difference in age trends for radiation versus no radiation, adjusted for primary disease, registry, and time since transplantation: P < .001 for 1+ year survivors, and P = .09 for 5+ year survivors.

P < .05.