Table 1.
Univariate and multivariate competing-risks regression analysis of prognostic factors for very late relapse in the whole patient series, in ABVD treated patients and in ABVD treated patients with classical Hodgkin lymphoma.
| All patients (N = 1143, 66 events) | ABVDeq-treated patients (N = 1042, 50 events) | ABVDeq-treated patients with cHL (N = 978, 46 events) | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Univariate analysis | Multivariate analysisa | Univariate analysis | Multivariate analysisb | Univariate analysis | Multivariate analysisc | |||||||
| Variable | sHR (95% CI) | p valued | sHR (95% CI) | p valued | sHR (95% CI) | p value | sHR (95% CI) | p valued | sHR (95% CI) | p value | sHR (95% CI) | p valued |
| Age (≥45 vs. <45) | 1.74 (1.04–2.90) | 0.034 | DNE | 2.14 (1.20–3.81) | 0.01 | 1.81 (0.93–3.51) | 0.082 | 2.51 (1.39–4.53) | 0.002 | 1.89 (0.95–3.74) | 0.070 | |
| Gender (male vs. female) | 1.43 (0.87–2.35) | 0.155 | DNE | 1.44 (0.81–2.54) | 0.211 | DNE | 1.81 (0.99–3.31) | 0.053 | DNE | |||
| Stage (IB/IIB/III/IV vs. IA/IIA) | 1.49 (0.92–2.43) | 0.107 | DNE | 1.30 (0.74–2.30) | 0.364 | DNE | 1.15 (0.64–2.09) | 0.634 | DNE | |||
| B-symptoms (present vs. absent) | 1.47 (0.90–2.41) | 0.127 | NE | 1.35 (0.76–2.42) | 0.306 | NE | 1.29 (0.70–2.36) | 0.411 | NE | |||
| Histology | ||||||||||||
| (cHL vs. NLPHL) | 0.67 (0.28–1.59) | 0.359 | NE | 0.74 (0.25–2.14) | 0.575 | NE | NA | NA | ||||
| (MC vs. all other) | 2.47 (1.52–4.00) | <0.001 | 2.19 (1.28–3.73) | 0.004 | 2.67 (1.54–4.65) | 0.001 | 2.20 (1.17–4.14) | 0.015 | NA | NA | ||
| (MC vs. other cHL) | 2.72 (1.64–4.52) | <0.001 | NE | 2.89 (1.63–5.15) | <0.001 | NE | 2.87 (1.61–5.12) | <0.001 | 2.21 (1.15–4.27) | 0.018 | ||
| (NLPHL vs. non-MC cHL) | 2.21 (0.89–5.47) | 0.087 | NE | 2.01 (0.67–6.05) | 0.213 | NE | NA | NA | ||||
| Chemotherapy (MOPPeq vs. ABVDeq) | 0.49 (0.27–0.91) | 0.024 | DNE | NA | NA | NA | NA | |||||
| Radiotherapy (yes vs. no) | 0.40 (0.24–0.64) | <0.001 | 0.35 (0.21–0.59) | <0.001 | 0.51 (0.29–0.89) | 0.019 | 0.53 (0.28–1.03) | 0.062 | 0.47 (0.26–0.84) | 0.011 | 0.51 (0.26–1.01) | 0.054 |
| Anemia (present vs. absent) | 1.11 (0.67–1.83) | 0.686 | NE | 1.05 (0.59–1.86) | 0.870 | NE | 0.93 (0.51–1.70) | 0.811 | NE | |||
| WBC (≥ 10 vs. <10 × 109/l) | 0.69 (0.41–1.42) | 0.147 | NE | 0.69 (0.39–1.24) | 0.214 | NE | 0.55 (0.30–1.03) | 0.061 | DNE | |||
| Lymphopenia (present vs. absent) | 0.47 (0.12–1.89) | 0.285 | NE | 0.59 (0.14–2.41) | 0.462 | NE | 0.64 (0.16–2.60) | 0.529 | NE | |||
| Albumin (<4 vs. ≥4 g/dl) | 1.30 (0.73–2.30) | 0.371 | NE | 1.19 (0.65–2.19) | 0.574 | NE | 1.11 (0.58–2.11) | 0.749 | NE | |||
| ESR (≥50 vs. <50 mm/h) | 0.55 (0.31–0.99) | 0.047 | 0.46 (0.26–0.82) | 0.008 | 0.53 (0.27–1.04) | 0.067 | 0.49 (0.25–0.96) | 0.039 | 0.54 (0.27–1.06) | 0.071 | 0.50 (0.25–0.997) | 0.049 |
| IPS (≥3 vs. <3) | 1.08 (0.57–2.04) | 0.815 | NE | 1.23 (0.63–2.42) | 0.544 | NE | 1.31 (0.66–2.59) | 0.445 | NE | |||
| VLR risk Score | ||||||||||||
| (1 vs. 0) | 4.31 (1.00–18.56) | 0.050 | NA | 2.94 (0.67–13.00) | 0.155 | NA | 2.68 (0.59–12.05) | 0.200 | NA | |||
| (2 vs. 0) | 7.84 (1.82–33.67) | 0.006 | NA | 6.56 (1.52–28.35) | 0.012 | NA | 6.75 (1.56–29.23) | 0.011 | NA | |||
| (3–4 vs. 0) | 15.35 (3.54–66.58) | <0.001 | NA | 11.47 (2.55–51.64) | 0.001 | NA | 11.53 (2.56–52.00) | 0.001 | NA | |||
sHR sub hazard ratio, 95% CI 95% confidence intervals, cHL classical Hodgkin lymphoma, DNE did not enter the model, NE not evaluated, NA not applicable, NS nodular sclerosis, MC mixed cellularity, NLPHL nodular lymphocyte-predominant Hodgkin lymphoma, MOPPeq MOPP or equivalent regimen, ABVDeq ABVD or equivalent regimen, ESR erythrocyte sedimentation rate, IPS International Prognostic Score, VLR very late relapses, VLR risk score no of risk 4 factors (MC histology, ESR < 50 mm/h, no RT, age ≥ 45 years).
Also evaluated in the model:
aAge, gender, stage, treatment with ABVD or equivalents vs. MOPP or equivalents.
bGender, stage.
cGender, stage, leukocytosis.
dFine and Gray model.