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. 2014 Oct 14;112(1):177–184. doi: 10.1038/bjc.2014.523

Table 4. Risk factors for secondary cancer development in patients with allogeneic HSCT.

  Univariate analysis
Multivariate analysisa
Variables HR (95% CI) P-value HR (95% CI) P-value
Age ⩾40 2.79 (1.24–6.27) 0.013 2.06 (0.85–4.97) 0.109
Sex (male) 1.04 (0.48–2.24) 0.931 0.91 (0.42–1.99) 0.819
HSCT
Malignancies vs. benign 3.10 (0.93–10.32) 0.066 2.32 (0.68–7.88) 0.178
PBSCT vs BMSCT 1.83 (0.53–6.29) 0.339    
Comorbidities
Diabetes mellitus 0.93 (0.13–6.86) 0.940    
COPD 3.23 (1.10–9.48) 0.033 2.41 (0.78–7.40) 0.126
Chronic kidney disease 0.73 (0.10–5.41) 0.756    
Liver cirrhosis b 0.989    
Autoimmune diseases 0.98 (0.13–7.28) 0.987    
Dyslipidaemia 2.73 (0.81–9.27) 0.107    
cGVHD 2.31 (0.97–5.51) 0.058 2.19 (0.91–5.27) 0.082
Treatment
TBI 0.95 (0.41–2.18) 0.897    
Pre-HSCT radiotherapy 0.85 (0.38–1.90) 0.683    
Immunosuppressantc
Cyclosporin b 0.991    
Tacrolimus 2.35 (0.70–7.89) 0.166    
Methylprednisolone 1.48 (0.62–3.53) 0.373    
Mycophenolate 0.71 (0.17–3.01) 0.642    
Sirolimus 5.57 (0.74–41.80) 0.095 6.34 (0.81–49.29) 0.078
Anti-thymocyte globulin 0.40 (0.05–2.96) 0.367    
Azathioprine 3.14 (1.44–6.88) 0.004 2.55 (1.13–5.77) 0.025
Cyclophosphamide 1.13 (0.34–3.79) 0.841    
Methotrexate 1.05 (0.36–3.07) 0.926    

Abbreviations: BMSCT=bone marrow stem cell transplantation; cGVHD=chronic graft vs host disease; CI=confidence interval; COPD=chronic obstructive pulmonary disease; HSCT=haematopoietic stem cell transplantation; HR=hazard ratio; PBSCT=peripheral blood stem cell transplantation; TBI: total body irradiation.

a

All factors with P<0.1 in univariate analyses and sex were included in the Cox multivariate analysis.

b

Do not converge.

c

Immunosuppressant was analysed as a time-dependent covariate in the Cox regression model.