Table 3.
Provisional Framework for Allogeneic Hematopoietic Cell Transplant Eligibility Criteria for AML Patients 60 Years and Older with Adequate Disease Control
| Factor | Fit (All of the Below) | Vulnerable (Any of the Below) | Usually Exclude or Trial (Any of the Below) |
|---|---|---|---|
| Age, yr | <66 | 66–75 | >75 |
| Comorbidity | HCT-CI 0–2 | HCT-CI 3–5 | HCT-CI 6+ or severe organ dysfunction |
| KPS, % | 90–100 | 70–80 | <70 |
| Function | |||
| IADL* | Normal | Any limitation | Limitations and HCT-CI 4+ |
| Performance† | No impairment | Impaired | Severely limited |
| Cognitive | No impairment | Mild cognitive impairment, prior confusion | Moderate cognitive impairment |
| Other factors | Normal | Weight loss, single or limited caregiver, falls, albumin < 3.5 g/dL, limited motivation | Weight loss, single or limited caregiver, falls, albumin < 3.5 g/dL, limited motivation + others |
KPS indicates Karnofsky performance score.
IADL used here omits the category of ability to do laundry.
Performance was measured by timed up and go, 4-m walk, and grip strength; 6-minute walk used for prehabilitation baseline.