TABLE 5.
RISK OF DEVELOPING CHRONIC GVHD WITHIN 1 YEAR AS A FUNCTION OF PULMONARY FUNCTION PARAMETERS
| PFT parameter |
N | Unadjusted HR (95% CI) |
P-value | Adjusted HR* (95% CI) |
P-value |
|---|---|---|---|---|---|
| LFS category | 1373 | ||||
| 0 | 619 | Referent | Referent | ||
| 1 | 621 | 1.04 (0.88 – 1.24) | 0.623 | 1.01 (0.84 – 1.22) | 0.902 |
| 2 | 123 | 1.38 (1.02 – 1.86) | 0.035 | 1.40 (1.00 – 1.95) | 0.048 |
| 3 | 10 | 2.93 (1.00 – 8.55) | 0.049 | 3.11 (1.09 – 8.89) | 0.035 |
| Trend = 0.037 | Trend = 0.072 | ||||
| FEV1 | 1477 | ||||
| ≥ 80% | 1090 | Referent | Referent | ||
| 70–79% | 227 | 1.26 (1.01 – 1.57) | 0.038 | 1.23 (0.97 – 1.56) | 0.086 |
| 60–69% | 106 | 1.48 (1.10 – 2.01) | 0.010 | 1.50 (1.06 – 2.13) | 0.023 |
| < 60% | 54 | 2.02 (1.34 – 3.05) | 0.001 | 2.23 (1.43 – 3.47) | <0.0005 |
| Trend <0.0005 | Trend <0.0005 | ||||
| FVC | 1477 | ||||
| ≥ 80% | 1205 | Referent | Referent | ||
| 70–79% | 168 | 1.21 (0.94 – 1.56) | 0.135 | 1.19 (0.91 – 1.56) | 0.212 |
| 60–69% | 71 | 1.27 (0.86 – 1.88) | 0.230 | 1.29 (0.83 – 2.00) | 0.253 |
| < 60% | 33 | 2.39 (1.48 – 3.86) | < 0.0005 | 2.49 (1.46 – 4.24) | 0.001 |
| Trend = 0.001 | Trend = 0.002 | ||||
| TLC | 1381 | ||||
| ≥ 80% | 1220 | Referent | Referent | ||
| 70–79% | 117 | 0.92 (0.66 – 1.29) | 0.631 | 0.97 (0.69 – 1.37) | 0.880 |
| 60–69% | 34 | 1.31 (0.74 – 2.32) | 0.357 | 1.58 (0.88 – 2.82) | 0.124 |
| < 60% | 9 | 0.87 (0.26 – 2.88) | 0.824 | 1.22 (0.31 – 4.76) | 0.772 |
| Trend = 0.851 | Trend = 0.343 | ||||
| DLCO | 1375 | ||||
| ≥ 80% | 704 | Referent | Referent | ||
| 70–79% | 307 | 0.96 (0.78 – 1.17) | 0.661 | 0.97 (0.78 – 1.19) | 0.751 |
| 60–69% | 228 | 0.96 (0.75 – 1.23) | 0.767 | 0.96 (0.73 – 1.25) | 0.746 |
| < 60% | 135 | 1.23 (0.93 – 1.62) | 0.156 | 1.22 (0.90 – 1.66) | 0.206 |
| Trend = 0.431 | Trend = 0.499 |
Adjusted for age, sex, disease risk, condition regimen, diagnosis of acute GVHD and pre-HCT lung function. Results do not include patients who had recurrent malignancy before pulmonary function was evaluated or patients diagnosed with chronic GVHD before or within one week of pulmonary function testing.