Table 2:
Reasons for transplant ineligibility and non-transplant
| Reasons for BMT Ineligibility at MDS diagnosis | N (%) |
|---|---|
| Total | 68 (18.8) |
| Metastatic Cancer within 5 years of MDS diagnosis | 37 (54.4) |
| ECOG >2 | 9 (13.2) |
| DLCO adjusted for Hemoglobin <50% or FEV1<1.5L | 7 (10.3) |
| Left ventricular ejection fraction <40% | 6 (8.8) |
| Creatinine >/=2mg/dL | 5 (7.4) |
| Documented liver cirrhosis | 4 (5.9) |
| Uncontrolled infection | 0 |
| Reason for non transplant among 135 patients who were eligible and who had a transplant indication. | |
| Total | 135 |
| Died* | 60 (44.4) |
| Lost to follow-up | 32 (23.7) |
| Progressive MDS at last review | 20 (14.8) |
| New co-morbidity, still alive** | 10 (7.4) |
| Refused | 6 (4.4) |
| No suitable donor | 4 (3.0) |
| Not referred for HCT | 2 (1.5) |
| Lack social support | 1 (0.7) |
DLCO: Oxygen diffusion capacity, FEV1: forced expiratory volume in 1 second.
Cause of death was attributed to MDS in 56/60 (93%) patients who died and was unknown in 4/60 (7%).
Development of a new co-morbidity in those alive at last follow-up was the primary reason for non-transplant in 10 (7.4%) patients. These new co-morbidities included organ failure (n=3), other active neoplasm (n=3), uncontrolled infection (n=2), patient reaching age >75yr (n=1) and development of other co-morbidity (n=1).