TABLE 3.
Association between select exposures with early and later onset cardiomyopathy risk among ≥1-year HCT survivors.
| Exposure | Before 1-year OR (95% CI)* |
After 1-year HR (95% CI)† |
|---|---|---|
| Anthracycline, mg/m2 | ||
| None | 1.0 (ref) | 1.0 (ref) |
| <250 | 1.4 (0.5–3.6) | 2.4 (1.2–4.9) |
| ≥250 | 4.0 (1.7–9.1) | 2.6 (1.3–5.2) |
|
| ||
| Chest radiotherapy | ||
| Pre-transplant | 1.3 (0.5–3.5) | 0.9 (0.3–2.3) |
| Total body irradiation (TBI) | - | 1.3 (0.7–2.6) |
|
| ||
| Autologous donor | - | 2.5 (1.1–5.8) |
|
| ||
| History of chronic GVHD | - | 1.3 (0.6–2.8) |
|
| ||
| History of post-transplant relapse | - | 1.7 (0.8–3.6) |
|
| ||
| Pre-transplant cardiovascular conditions | ||
| Hypertension | 4.2 (1.8–9.8) | 1.8 (0.7–4.6) |
| Dyslipidemia | 2.2 (0.7–7.1) | 1.1 (0.3–4.0) |
| Diabetes | 0.3 (0.05–1.3) | 1.7 (0.5–5.7) |
|
| ||
| ≥1-year post-transplant cardiovascular conditions | ||
| Hypertension | - | 2.1 (1.1–4.1) |
| Dyslipidemia | - | 1.6 (0.8–3.3) |
| Diabetes | - | 2.9 (1.3–6.5) |
HR, hazard ratio; OR, odds ratio
Logistic regression model adjusted for sex, age at and year of HCT, anthracycline dose, pre-transplant chest radiotherapy (not TBI).
Cox proportional hazards models adjusted for same covariates as logistic regression models, plus TBI, donor status, history of chronic GVHD, and history of post-transplant relapse.