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. Author manuscript; available in PMC: 2015 Jun 1.
Published in final edited form as: Biol Blood Marrow Transplant. 2014 Feb 22;20(6):794–800. doi: 10.1016/j.bbmt.2014.02.012

TABLE 3.

Relative hazards of cardiovascular outcomes associated with pre-transplant and transplant-related therapeutic exposures.*

Exposure Hazard ratio (95% CI)
Cardiovascular
death
Ischemic
heart disease
Cardiomyopathy
/heart failure
Stroke
Anthracycline, mg/m2
  None 1.0 (ref) 1.0 (ref) 1.0 (ref) 1.0 (ref)
  <200 2.2 (0.7–7.6) 1.0 (0.4–2.5) 2.3 (0.8–6.8) 1.6 (0.5–4.6)
  200–299 3.6 (0.9–14.1) 1.2 (0.3–4.1) 3.3 (0.8–13.2) 0.9 (0.2–4.4)
  ≤300 2.8 (0.9–8.8) 0.8 (0.3–.2) 4.5 (1.5–13.3) 2.2 (0.7–7.2)

Brain radiotherapy vs. none 1.1 (0.1–9.8) - 0.7 (0.1–6.2) 0.7 (0.1–4.2)

Abdomen radiotherapy vs. none 2.7 (0.9–8.3) 1.8 (0.7–4.5) 0.8 (0.3–2.4) 0.9 (0.2–3.3)

Cardiac radiotherapy dose, Gy§
  <1 1.0 (ref) 1.0 (ref) 1.0 (ref) 1.0 (ref)
  1–19 0.3 (0.1–1.3) 0.6 (0.2–1.7) 0.9 (0.4–2.1) 0.6 (0.2–2.1)
  ≥20 1.4 (0.4–5.3) 1.3 (0.3–5.0) 1.3 (0.4–4.7) 0.5 (0.1–5.1)

Total body irradiation ≥10 Gy vs. less 1.4 (0.3–6.9) 1.7 (0.5–5.3) 1.2 (0.5–2.8) 1.0 (0.2–3.6)

Allogeneic vs. autologous donor 1.9 (0.5–7.7) 0.6 (0.2–2.2) 1.2 (0.4–3.4) 1.3 (0.3–5.5)

Chronic graft vs. host disease
  None 1.0 (ref) 1.0 (ref) 1.0 (ref) 1.0 (ref)
  Active 4.0 (1.1–14.7) 2.6 (0.7–8.9) 1.1 (0.4–3.1) 1.7 (0.4–7.0)
  Resolved 1.2 (0.3–4.8) 2.2 (0.8–6.1) 1.4 (0.5–3.9) 1.4 (0.4–5.2)

Original disease relapse vs. none 4.3 (1.9–9.6) 1.5 (0.7–.2) 3.2 (1.7–6.0) 5.9 (2.4–14.7)
*

Estimates reflect adjustment for exposures shown plus sex, age at and year of transplant, and race/ethnicity.

In terms of doxorubicin equivalent dose.

Brain and abdomen (including pelvis) fields exclusive of total body irradiation.

§

Inclusive of any total body irradiation.

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