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.