From: Post-transplant lymphoproliferative disorder (PTLD): single institutional experience of 141 patients
Variables | Sub-types | n | Percentage | p-value | Hazard ratios | 95% confidence limits |
---|---|---|---|---|---|---|
Gender | Males | 88 | 62.4 | Â | Â | Â |
Females | 53 | 37.6 | 0.0427 | 0.553 | 0.311–0.981 | |
Race | White | 101 | 71.6 | 0.1314 | 1.670 | 0.858–3.252 |
Black or African American | 25 | 17.7 | 0.8428 | 0.930 | 0.452–1.911 | |
Asian | 4 | 2.8 | 0.5190 | 0.521 | 0.072–3.776 | |
Native Hawaiian or other Pacific Islander | 1 | 0.7 | 0.9862 | 0.000 | 0.000–0.000 | |
Other/Unknown | 10 | 7.1 | 0.1292 | 0.216 | 0.030–1.564 | |
Transplant organ | Liver | 49 | 34.8 | 0.0023 | 0.357 | 0.184–0.693 |
Kidney | 31 | 22.0 | 0.9348 | 0.973 | 0.502–1.886 | |
Heart | 30 | 21.3 | 0.9153 | 0.967 | 0.517–1.809 | |
Lung | 17 | 12.1 | < .0001 | 4.380 | 2.327–8.245 | |
Kidney and pancreas | 3 | 2.1 | 0.8666 | 0.844 | 0.116–6.116 | |
BMT | 11 | 7.8 | 0.0746 | 2.197 | 0.925–5.219 | |
Age group at transplant | Pediatrics (< 18 years) | 58 | 41.1 | < .0001 | 0.207 | 0.105–0.407 |
Adults (18–64 years) | 74 | 52.5 | < .0001 | 3.316 | 1.836–5.990 | |
Elderly (> 65 years) | 9 | 6.4 | 0.0472 | 2.573 | 1.012–6.545 | |
Age group at PTLD diagnosis | Pediatrics (< 18 years) | 54 | 38.3 | < .0001 | 0.241 | 0.123–0.473 |
Adults (18–64 years) | 64 | 45.4 | 0.0633 | 1.657 | 0.972–2.823 | |
Elderly (> 65 years) | 23 | 16.3 | < .0001 | 3.543 | 1.894–6.628 | |
PTLD onset time | Early (less than 1 year) | 35 | 24.8 | 0.8426 | 0.939 | 0.502–1.754 |
Late (after 1 year) | 73 | 51.8 | 0.7821 | 0.928 | 0.546–1.577 | |
Very late (after 10 years) | 33 | 23.4 | 0.5787 | 1.196 | 0.636–2.246 | |
Recipient serostatus at transplant | EBV positive | 82 | 58.2 | 0.0127 | 2.666 | 1.233–5.765 |
CMV positive | 56 | 39.7 | 0.8110 | 1.072 | 0.606–1.896 | |
Acute rejection episodes before PTLD | Present | 62 | 44.0 | 0.0961 | 1.580 | 0.922–2.708 |
Multiple episodes | 23 | 16.3 | 0.0073 | 2.243 | 1.244–4.046 | |
B-symptoms | Present | 68 | 48.2 | 0.3214 | 1.326 | 0.759–2.316 |
Absent | 73 | 51.8 | Â | Â | Â | |
ECOG status | 0–2 | 128 | 90.8 | < .0001 | 0.183 | 0.0910.368 |
3–4 | 11 | 7.8 |  |  |  | |
Ann-Arbor stage | I | 43 | 30.5 | Â | Â | Â |
II | 24 | 17.0 | Â | Â | Â | |
III | 14 | 9.9 | Â | Â | Â | |
IV | 55 | 39.0 | Â | Â | Â | |
Unknown | 5 | 3.5 | Â | Â | Â | |
 | Limited stage (I–II) |  |  |  |  |  |
 | Advanced stage (III–IV) |  |  | 0.1997 | 1.447 | 0.823–2.543 |
Extra nodal disease | Yes | 98 | 69.5 | 0.3704 | 1.345 | 0.703–2.570 |
No | 36 | 25.5 | Â | Â | Â | |
Unknown | 7 | 5.0 | Â | Â | Â | |
More than 1 extra-nodal site | Yes | 32 | 22.7 | 0.1903 | 1.517 | 0.813–2.829 |
CNS | Yes | 5 | 3.5 | 0.7181 | 1.240 | 0.386–3.979 |
Bone marrow | Yes | 13 | 9.2 | 0.0423 | 2.184 | 1.027–4.643 |
Allograft | Yes | 15 | 10.6 | 0.4536 | 1.355 | 0.612–3.001 |
GI tract | Yes | 38 | 27 | 0.4692 | 0.788 | 0.414–1.501 |
Albumin at diagnosis | Normal | 67 | 47.5 | 0.4515 | 0.809 | 0.466–1.405 |
Low | 65 | 46.1 | Â | Â | Â | |
Unknown | 9 | 6.4 | Â | Â | Â | |
CD20 status | Positive | 104 | 73.8 | 0.9303 | 1.039 | 0.438–2.464 |
Negative | 18 | 12.8 | Â | Â | Â | |
Unknown | 19 | 13.5 | Â | Â | Â | |
Tumor EBER status | Positive | 78 | 55.3 | 0.8760 | 0.954 | 0.531–1.714 |
Negative | 49 | 34.8 | Â | Â | Â | |
Unknown | 14 | 9.9 | Â | Â | Â | |
IPI score | 0–2 | 84 | 59.6 |  |  |  |
3–5 | 41 | 29.1 | 0.0422 | 1.843 | 1.022–3.324 | |
Unknown | 16 | 11.3 | Â | Â | Â |