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PMC full text: | Published online 2022 Mar 25. doi: 10.1007/s00277-022-04817-8
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Factors | TRM | OS | DFS | |||
---|---|---|---|---|---|---|
Univariate | Multivariate (P (HR, 95% CI)) | Univariate | Multivariate (P (HR, 95% CI)) | Univariate | Multivariate (P (HR, 95% CI)) | |
Gender | ||||||
Female | 0.652 | - | 0.659 | - | 0.463 | - |
Male | ||||||
Patient age, years | ||||||
<32 | 0.831 | - | 0.545 | - | 0.831 | - |
≥32 | ||||||
Donor gender | ||||||
Female | 0.002 | 0.100 (2.09, 0.87–5.05) | 0.015 | 0.061 (1.87, 0.97–3.58) | 0.226 | - |
Male | ||||||
Genetics | ||||||
Poor-risk | 0.071 | 0.242 (1.30, 0.84–2.00) | 0.003 | 0.007 (1.62, 1.14–2.31) | 0.005 | 0.002 (1.57, 1.18–2.10) |
Others | ||||||
Disease status | ||||||
Non-CR | 0.138 | 0.439 (1.40, 0.59–3.32) | 0.001 | 0.048 (1.84, 1.00–3.38) | <.001 | 0.003 (2.23, 1.31–3.81) |
CR | ||||||
HLA mismatched | ||||||
4–5 | 0.216 | - | 0.019 | 0.315 (1.17, 0.86–1.61) | 0.080 | 0.495 (1.10, 0.84–1.44) |
2–3 | ||||||
0–1 | ||||||
Graft source | ||||||
PBSC | 0.383 | - | 0.303 | - | 0.555 | - |
BM+PBSC | ||||||
Conditioning | ||||||
Standard | 0.002 | 0.236 (1.64, 0.72–3.69) | 0.008 | 0.841 (1.06, 0.58–1.94) | 0.069 | 0.679 (1.13, 0.65–1.96) |
Intensified | ||||||
Blood stream infection | 0.015 | 0.315 (1.59, 0.64–3.94) | 0.282 | - | 0.309 | - |
β-lactam | 0.009 | 0.484 (1.86, 0.33–10.59) | 0.098 | 0.468 (1.53, 0.48–4.87) | 0.054 | 0.774 (1.18, 0.39–3.56) |
Carbapenems | 0.106 | 0.533 (1.53, 0.40–5.81) | 0.191 | 0.561 (1.36, 0.48–3.85) | 0.097 | 0.429 (1.49, 0.55–4.04) |
Piperacillin/tazobactam | 0.113 | 0.830 (1.10, 0.45–2.73) | 0.136 | 0.615 (1.20, 0.60–2.40) | 0.302 | - |
Cephalosporin | 0.097 | 0.613 (1.42, 0.37–5.49) | 0.490 | - | 0.153 | 0.818 (1.10, 0.48–2.55) |
Vancomycin (i.v.) | 0.480 | - | 0.936 | - | 0.883 | - |
Amikacin | 0.232 | - | 0.851 | - | 0.643 | - |
III-IV aGVHD | <.001 | <.001 (7.60, 3.43–16.83) | <.001 | <.001 (4.95, 2.60–9.42) | <.001 | <.001 (3.12, 1.74–5.60) |
AIM score* | ||||||
High (4–5) | <.001 | .003 (3.92, 1.57–9.79) | <.001 | <.001 (5.68, 2.75–11.71) | <.001 | <.001 (3.04, 1.74–5.31) |
Low (0–3) |
aGVHD, acute graft-versus-host disease; AIM score, accumulated intestinal microbiota score; BM, bone marrow; CI, confidence interval; CR, complete remission; DFS, disease-free survival; HR, hazard ratio; i.v., intravenous; OS, overall survival; PBSC, peripheral blood stem cell; TRM, transplant-related mortality