TABLE 4.
RISK OF FIVE-YEAR NON-RELAPSE MORTALITY AS A FUNCTION OF PULMONARY FUNCTION PARAMETERS
| PFT parameter |
N | Unadjusted HR (95% CI) |
P-value | Adjusted HR‡ (95% CI) |
P-value |
|---|---|---|---|---|---|
| LFS category | 1855 | ||||
| 0 | 816 | Referent | Referent | ||
| 1 | 839 | 1.47 (1.17 – 1.85) | 0.001 | 1.37 (1.08 – 1.75) | 0.011 |
| 2 | 182 | 3.38 (2.53 – 4.53) | < 0.0005 | 3.02 (2.11 – 4.33) | < 0.0005 |
| 3 | 18 | 7.80 (4.15 – 14.68) | < 0.0005 | 8.56 (4.54 – 16.14) | < 0.0005 |
| Trend <0.0005 | Trend <0.0005 | ||||
| FEV1 | 1999 | ||||
| ≥ 80% | 1451 | Referent | Referent | ||
| 70–79% | 327 | 1.76 (1.38 – 2.24) | < 0.0005 | 1.56 (1.19 – 2.06) | 0.002 |
| 60–69% | 139 | 2.33 (1.68 – 3.25) | < 0.0005 | 2.57 (1.75 – 3.76) | < 0.0005 |
| < 60% | 82 | 5.79 (4.28 – 7.85) | < 0.0005 | 4.88 (3.19 – 7.47) | < 0.0005 |
| Trend <0.0005 | Trend <0.0005 | ||||
| FVC | 1999 | ||||
| ≥ 80% | 1612 | Referent | Referent | ||
| 70–79% | 339 | 2.37 (1.84 – 3.04) | < 0.0005 | 2.26 (1.72 – 2.97) | < 0.0005 |
| 60–69% | 100 | 2.74 (1.96 – 3.85) | < 0.0005 | 2.76 (1.84 – 4.15) | < 0.0005 |
| < 60% | 48 | 6.65 (4.54 – 9.76) | < 0.0005 | 7.79 (5.00 – 12.14) | < 0.0005 |
| Trend <0.0005 | Trend <0.0005 | ||||
| TLC | 1870 | ||||
| ≥ 80% | 1650 | Referent | Referent | ||
| 70–79% | 159 | 2.42 (1.80 – 3.24) | < 0.0005 | 2.18 (1.56 – 3.04) | < 0.0005 |
| 60–69% | 46 | 4.28 (2.79 – 6.56) | < 0.0005 | 4.03 (2.65 – 6.12) | < 0.0005 |
| < 60% | 15 | 2.47 (1.02 – 6.02) | 0.046 | 3.42 (1.42 – 8.23) | 0.006 |
| Trend <0.0005 | Trend <0.0005 | ||||
| DLCO | 1856 | ||||
| ≥ 80% | 945 | Referent | Referent | ||
| 70–79% | 397 | 0.99 (0.74 – 1.33) | 0.966 | 1.05 (0.78 – 1.42) | 0.745 |
| 60–69% | 305 | 2.04 (1.57 – 2.66) | < 0.0005 | 1.88 (1.38 – 2.57) | < 0.0005 |
| < 60% | 209 | 2.59 (1.96 – 3.43) | < 0.0005 | 2.58 (1.86 – 3.57) | < 0.0005 |
| Trend <0.0005 | Trend <0.0005 |
Adjusted for age, sex, disease risk, conditioning regimen, HLA status, acute GVHD grade, CMV status of donor and patient and pre-HCT lung function. Results do not include patients who had recurrent malignancy before pulmonary function was evaluated.