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Table 7 Risk features of myelofibrosis in MDS patients underwent HSCT by Cox regression analysis (n = 141)

From: Allogeneic stem cell transplantation may overcome the adverse impact of myelofibrosis on the prognosis of myelodysplastic syndrome

Variable

Relapse

NRM

DFS

OS

Univariate

Multivariate

Univariate

Multivariate

Univariate

Multivariate

Univariate

Multivariate

 

P

 

P

 

P

 

P

 

HR (95% CI)

 

HR (95% CI)

 

HR (95% CI)

 

HR (95% CI)

Age

0.988

–

0.169

–

0.21

–

0.21

–

 

1.00 (0.96–1.04)

 

1.02 (0.99–1.05)

 

1.02 (0.99–1.04)

 

1.02 (0.99–1.04)

 

Sex

 

–

 

–

 

–

 

–

 Male

Ref.

 

Ref.

 

Ref.

 

Ref.

 

 Female

0.566

 

0.304

 

0.245

 

0.319

 
 

0.76 (0.30–1.93)

 

0.70 (0.36–1.38)

 

0.72 (0.42–1.25)

 

0.74 (0.41–1.34)

 

Cytogenetics

        

 Non–complex karyotypes

Ref.

Ref.

Ref.

Ref.

Ref.

Ref.

Ref.

Ref.

 Complex karyotypes

0.012

0.006

0.328

0.347

0.012

0.020

0.014

0.009

 

3.51 (1.32–9.34)

4.16 (1.51–11.45)

1.51 (0.66–3.46)

1.51 (0.64–3.55)

2.24 (1.19–4.20)

2.16 (1.13–4.12)

2.28 (1.18–4.42)

2.47 (1.25–4.90)

BM blasts at HSCT

        

  ≤ 5%

Ref.

Ref.

Ref.

Ref.

Ref.

Ref.

Ref.

Ref.

  > 5%

0.349

0.253

0.343

0.245

0.782

0.773

0.763

0.73

 

1.80 (0.53–6.20)

2.08 (0.59–7.31)

0.72 (0.36–1.43)

0.66 (0.33–1.33)

0.92 (0.51–1.66)

0.92 (0.51–1.66)

0.91 (0.48–1.72)

0.89 (0.47–1.69)

Myelofibrosis

        

 MF = 0/1

Ref.

Ref.

Ref.

Ref.

Ref.

Ref.

Ref.

Ref.

 MF = 2/3

0.964

0.914

0.986

0.286

0.459

0.396

0.569

0.444

 

0.97 (0.28–3.34)

1.07 (0.31–3.76)

1.02 (0.13–8.15)

0.56 (0.20–1.62)

0.74 (0.34–1.64)

0.71 (0.32–1.58)

0.78 (0.33–1.84)

0.71 (0.30–1.70)

Time to HSCT from diagnosis

  ≤ 6 months

Ref.

Ref.

Ref.

Ref.

Ref.

Ref.

Ref.

Ref.

  > 6 months

0.77

0.888

0.56

0.709

0.952

0.678

0.741

0.526

 

0.86 (0.31–2.39)

1.08 (0.38–3.08)

0.63 (0.13–3.02)

1.15 (0.56–2.34)

1.02 (0.58–1.80)

1.13 (0.63–2.04)

1.11 (0.60–2.04)

1.23 (0.65–2.31)

Previous therapy for MDS

 No cytoreductive treatments

Ref.

Ref.

Ref.

Ref.

Ref.

Ref.

Ref.

Ref.

 Cytoreductive treatments

0.468

0.327

0.337

0.642

0.902

0.856

0.794

0.627

 

1.41 (0.56–3.60)

1.61 (0.62–4.19)

1.97 (0.49–7.89)

0.86 (0.45–1.64)

0.97 (0.57–1.63)

1.05 (0.62–1.79)

1.08 (0.61–1.91)

1.16 (0.64–2.07)

Donor source

 HID

Ref

–

Ref

–

Ref

–

Ref

–

 MUD

0.806

 

0.277

 

0.709

 

0.903

 
 

0.77 (0.09–6.50)

 

2.49 (0.48–12.81)

 

0.82 (0.28–2.37)

 

1.07 (0.37–3.13)

 

 MSD

0.393

 

0.374

 

0.646

 

0.717

 
 

1.54 (0.57–4.11)

 

0.48 (0.09–2.45)

 

0.88 (0.51–1.51)

 

0.90 (0.50–1.62)

 

Stem cell source

 PB

Ref

–

Ref

–

Ref

–

Ref

–

 PB + BM

0.325

 

0.628

 

0.899

 

0.666

 
 

1.60 (0.63–4.07)

 

0.85 (0.45–1.62)

 

1.03 (0.61–1.74)

 

1.13 (0.64–2.00)

 
  1. NRM non-replase mortality, RI relapse incidence, DFS disease-free survival, OS overall survival (after allo-HSCT), MF myelofibrosis