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. Author manuscript; available in PMC: 2017 Feb 1.
Published in final edited form as: Clin Geriatr Med. 2016 Feb;32(1):155–173. doi: 10.1016/j.cger.2015.08.010

Table 5.

Factors associated with survival among older adults receiving chemotherapy for AML

Author (N) Treatment Tumor characteristics Clinical variables Patient Characteristics Outcomes
Predictive models developed from treatment trials
Kantarjian et al. (N=446) [29] Intensive Complex karyotype Creatinine >1.3mg/dl Age>80
ECOG PS>1
Early mortality (8 week)
Krug et al. (N=1406) [57] Intensive Secondary AML or prior hematologic disease
Molecular/cytogenetic risk
Body temperature
Hemoglobin
Platelets
LDH
Fibrinogen
Age Early mortality (60 day)
Complete remission
Rollig et al. (N=909) [58] Intensive Karyotype
NPM1 mutation
CD34 expression>10%
White cell count>20/μL
LDH>700U/L
Age>65 Survival
Wheatley et al. (N=2208) [59] Intensive Cytogenetic risk group
Secondary AML
White cell count Age
ECOG PS
Survival
Predictors derived from geriatric assessment studies
Deschler et al. (N=107) [12] Non-Intensive (prospective) Bone marrow blast %
Cytogenetic risk group
Impaired ADLs
KPS<80
High fatigue score
HCT-CI≥3
Survival
Klepin et al. (N=74) [63] Intensive (prospective) Cytogenetic risk group
Prior MDS
Hemoglobin Cognitive impairment (3MS<77)
Impaired physical performance (SPPB<9)
Survival
Sherman et al.(N=101) [66] Mixed (retrospective) Adverse cytogenetics
Secondary AML
HCT-CI >1
Difficulty with strenuous activity
Pain (more often versus less)
ECOG PS>1
Survival

Abbreviations: LDH=lactate dehydrogenase; ECOG=Eastern Cooperative Group; PS=performance status; CR=complete remission; 3MS=modified Mini Mental State Exam; SPPB=Short physical performance battery

Adapted from Klepin et al. J Clin Oncol 2014 2014 Aug 20;32(24):2541-52.