Table 2.
Covariates | Severe chronic GVHDa | OS | NRMa | Relapsea | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
N | ScGVHD | HR (95% CI) | P | N | death | HR (95% CI) | P | HR (95% CI) | P | HR (95% CI) | P | |
Genetic risk | ||||||||||||
Low-risk group | 190 | 26 | Ref. | 190 | 97 | Ref. | Ref. | Ref. | ||||
High-risk group | 52 | 17 | 2.48 (1.33–4.64) | 0.004 | 52 | 27 | 1.09 (0.70–1.69) | 0.697 | 1.34 (0.68–2.65) | 0.402 | 0.90 (0.52–1.57) | 0.710 |
Age | 242 | 43 | 1.01 (0.98–1.03) | 0.622 | 242 | 124 | 1.02 (1.00–1.03) | 0.041 | 1.04 (1.01–1.07) | 0.006 | 1.00 (0.98–1.02) | 0.754 |
Recipient sex | ||||||||||||
Female | 93 | 19 | Ref. | 93 | 48 | Ref. | Ref. | Ref. | ||||
Male | 149 | 24 | 0.88 (0.47–1.64) | 0.694 | 149 | 76 | 1.00 (0.69–1.45) | 0.979 | 1.52 (0.80–2.90) | 0.199 | 0.77 (0.49–1.21) | 0.252 |
Donor sex | ||||||||||||
Female | 74 | 21 | Ref. | 74 | 38 | Ref. | Ref. | Ref. | ||||
Male | 168 | 22 | 0.5 (0.29–0.98) | 0.042 | 168 | 86 | 1.07 (0.72–1.58) | 0.741 | 0.95 (0.50–1.78) | 0.863 | 0.93 (0.57–1.49) | 0.755 |
Donor | ||||||||||||
Matched donor | 179 | 34 | Ref. | 179 | 91 | Ref. | Ref. | Ref. | ||||
Mismatched donor | 63 | 9 | 1.82 (0.76–4.08) | 0.180 | 63 | 33 | 1.45 (0.91–2.32) | 0.115 | 2.33 (1.08–5.03) | 0.032 | 0.92 (0.51–1.66) | 0.772 |
Disease type | ||||||||||||
Myeloidb | 102 | 20 | Ref. | 102 | 47 | Ref. | Ref. | Ref. | ||||
Lymphoidc | 140 | 23 | 1.05 (0.57–1.95) | 0.869 | 140 | 77 | 1.25 (0.86–1.82) | 0.238 | 0.78 (0.43–1.43) | 0.419 | 2.26 (1.38–3.71) | 0.001 |
ATG | ||||||||||||
No | 117 | 32 | Ref. | 117 | 68 | Ref. | Ref. | Ref. | ||||
Yes | 125 | 11 | 0.26 (0.11–0.59) | 0.001 | 125 | 56 | 0.68 (0.45–1.03) | 0.067 | 0.49 (0.24–1.02) | 0.057 | 0.86 (0.52–1.42) | 0.559 |
ATG antithymocyte globulin, CI confidence interval, HR hazard ratio, ScGVHD severe chronic graft-versus-host disease.
aHR and P value from cause-specific Cox models for competing risk. Death without scGVHD was taken as the competing event for scGVHD. NRM and relapse were treated as competing events.
bMyeloid: acute myeloid leukemia and myelodysplastic and myeloproliferative syndromes.
cLymphoid: acute lymphoblastic leukemia, chronic lymphocytic leukemia, T/B cell lymphoma, and multiple myeloma.