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.
All factors with P<0.1 in univariate analyses and sex were included in the Cox multivariate analysis.
Do not converge.
Immunosuppressant was analysed as a time-dependent covariate in the Cox regression model.