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. 2018 Jul 26;4(12):e182453. doi: 10.1001/jamaoncol.2018.2453

Table 3. Adjusted HRs of Late All-Cause, Relapse-Related, and Non–Relapse-Related Mortality Among 1388 Individuals Who Lived 2 Years or More After Allogeneic BMT in Childhood.

Variable All-Cause Mortality Relapse-Related Mortality Non–Relapse-Related Mortality
Adjusted HR (95% CI) P Value Adjusted HR (95% CI) P Value Adjusted HR (95% CI) P Value
Sex
Male 0.93 (0.74-1.18) .60 1.26 (0.74-2.25) .40 0.94 (0.70-1.27) .70
Female 1 [Reference] 1 [Reference] 1 [Reference]
Race/ethnicity
Non-Hispanic white 1 [Reference] 1 [Reference] 1 [Reference]
Non-Hispanic black 1.53 (0.91-2.57) .10 0.75 (0.11-2.66) .70 1.62 (0.81-3.01) .10
Hispanic 0.86 (0.59-1.25) .40 0.64 (0.23-1.48) .30 1.00 (0.63-1.56) .99
Other 1.24 (0.78-1.95) .40 1.03 (0.31-2.62) >.99 1.30 (0.71-2.21) .40
Unknown 0.30 (0.04-2.17) .20 NA NA 0.51 (0.03-2.37) .50
Age at BMT, ya 1.03 (1.01-1.05) .004 1.03 (0.98-1.07) .20 1.03 (1.00-1.06) .03
Year of BMT
<1990 1 [Reference] 1 [Reference] 1 [Reference]
1990-1999 0.64 (0.47-0.89) .008 0.74 (0.38-1.43) .40 0.67 (0.44-1.01) .06
2000-2010 0.49 (0.31-0.76) .002 0.67 (0.28-1.51) .30 0.46 (0.25-0.80) .01
Type of donor
Related 1 [Reference]
Unrelated 1.06 (0.76-1.70) .74 0.71 (0.34-1.43) .40 1.30 (0.86-1.95) .20
Source of stem cells
Bone marrow 1 [Reference] 1 [Reference] 1 [Reference]
Cord blood 0.83 (0.52-1.34) .50 0.67 (0.22-1.82) .40 0.96 (0.53-1.68) .90
PBSC 1.77 (1.01-3.11) .05 0.96 (0.24-3.14) .90 2.39 (1.21-4.65) .01
Primary diagnosis
ALL 1 [Reference] 1 [Reference] 1 [Reference]
AML or MDS 0.72 (0.53-0.99) .04 0.39 (0.18-0.80) .01 0.79 (0.53-1.16) .20
Inborn errors of metabolism 0.98 (0.61-1.57) .90 1.27 (0.49-3.28) .60 0.84 (0.45-1.52) .50
Severe aplastic anemia 0.33 (0.19-0.57) <.001 0.09 (0.01-0.48) .03 0.36 (0.17-0.71) .004
Fanconi anemiab 0.49 (0.26-0.94) .03 NA NA 0.70 (0.32-1.43) .40
Chronic myelogenous leukemia 0.53 (0.32-0.88) .02 0.24 (0.04-0.85) .06 0.60 (0.31-1.08) .10
Other malignant diseasec 0.70 (0.39-1.25) .20 0.87 (0.25-2.35) .80 0.82 (0.39-1.58) .60
Immune disorders 0.32 (0.14-0.74) .006 0.24 (0.01-1.38) .20 0.14 (0.02-0.48) .009
Sickle cell disease or thalassemia 0.46 (0.13-1.56) .20 0.74 (0.04-4.97) .80 0.47 (0.07-1.72) .30
Other nonmalignant diseased 1.03 (0.43-2.44) >.99 0.71 (0.04-3.90) .70 0.79 (0.19-2.26) .70
Disease status at BMT
Standard risk of relapsee 1 [Reference] 1 [Reference] 1 [Reference]
High risk of relapse 1.95 (1.45-2.63) <.001 1.57 (0.80-2.99) .20 2.05 (1.41-2.94) <.001
Conditioning regimen
Total body irradiation plus cyclophosphamide 1 [Reference] 1 [Reference] 1 [Reference]
Busulfan plus cyclophosphamide 0.62 (0.41-0.95) .03 0.63 (0.27-1.47) .30 0.71 (0.41-1.19) .20
Others 0.88 (0.64-1.21) .40 0.73 (0.36-1.44) .30 0.93 (0.62-1.38) .70

Abbreviation: ALL, acute lymphoblastic leukemia; AML, acute myeloid leukemia; BMT, blood or marrow transplantation; MDS, myelodysplastic syndrome; HR, hazard ratio; NA, not applicable; PBSC, peripheral blood stem cells.

a

Age included in the model as a continuous variable.

b

Includes Fanconi anemia, Diamond Blackfan anemia, and Shwachman-Diamond syndrome.

c

Includes 27 with non-Hodgkin lymphoma, 7 with Hodgkin lymphoma, 8 with neuroblastoma, 2 with unspecified leukemia, and 20 with histiocytosis.

d

Includes 1 with megakaryocytosis, 3 with dyskeratotis congenita, 8 with epidermolysis bullosa, 1 with Kostmann agranulocytosis, 11 with osteopetrosis, and 1 with paroxysmal nocturnal hemoglobinuria.

e

First or second complete remission after acute leukemia or lymphoma or first chronic phase of chronic myelogenous leukemia or severe aplastic anemia, all others high risk.