Table 3 Multivariable Cox Proportional Hazard Regression Analysis for SMNs and SNMNs.

From: Increased risk of subsequent neoplasm after hematopoietic stem cell transplantation in 5-year survivors of childhood acute lymphoblastic leukemia

Variable

Number of survivors

SMNa

SNMNb

Number of SMN

HR

95% CI

Number of SNMN

HR

95% CI

Sex

 Male

1672

45

1 (ref)

 

93

1 (ref)

 

 Female

1357

41

1.1

0.7-1.8

122

1.7

1.3-2.3

Age at diagnosis (years)

 0–4

1249

31

1 (ref)

 

83

1 (ref)

 

 5–9

1210

31

0.7

0.4-1.2

90

0.8

0.7-1.2

 10–14

442

18

0.9

0.5-1.7

36

0.4

0.5-1.0

 14+

128

6

1.4

0.6-3.8

6

0.2

0.2-1.1

Cranial radiotherapy

 No

2356

38

1 (ref)

 

105

1 (ref)

 

 Yes

446

48

2.3

1.4-4.0

110

1.9

1.3-2.6

Other RT

 No

3013

85

1 (ref)

 

14

1 (ref)

 

 Yes

16

1

4.7

0.6-38.4

2

5.9

1.4-25.1

HSCT, TBI, etoposidec (mutually exclusive groups)

 No HSCT

2728

70

1 (ref)

 

171

1 (ref)

0.6–4.8

 HSCT, no TBI with and without etoposide

83

3

3.8

1.1-13.8

4

1.7

0.6-4.8

 HSCT, TBI, without etoposide

25

2

1.5

0.5-6.5

9

4.9

2.3-10.5

 HSCT, TBI, with etoposide

159

11

5.7

2.5-12.8

29

6.3

3.8-10.3

Anthracyclines mg/m2

 None

923

29

1 (ref)

 

83

1 (ref)

 

 <200

1288

39

1.4

0.8-2.5

91

1.1

0.8-1.6

 200+

752

17

1.5

0.7-3.2

35

1.0

0.6-1.6

Alkylating agents mg/m2

 None

1021

40

1 (ref)

 

99

1 (ref)

 

 <2000

1125

13

1.0

0.5-2.1

29

0.9

0.6-1.5

 2000+

809

32

1.0

0.5-1.9

81

1.2

0.8-1.7

  1. These analyses were done within a subset of the cohort for whom we had additional treatment details available (n = 3029)2.
  2. SMN Subsequent malignant neoplasm, SNMN Subsequent non-malignant neoplasm, CI Confidence interval, HR Hazard ratio, HSCT Hematopoietic stem cell transplantation, TBI Total body irradiation.
  3. a109 observations deleted due to missing information.
  4. b150 survivors were not included in the analysis due to missing data.
  5. cEtoposide as part of pre-treatment and conditioning regimen.