Causes of death for patients with and without cGVHD
. | No chronic GVHD (523 patients) . | Chronic GVHD (173 patients) . | Total (696 patients) . |
---|---|---|---|
Disease progression (%) | 88 (60) | 14 (31) | 102 (53) |
Transplant-related causes (%) | 58 (40) | 31 (69) | 89 (47) |
Bacterial pneumonia | 5 | 3 | |
HCMV interstitial pneumonia | 2 | 0 | |
Bacterial infection | 10 | 5 | |
Fungal infection | 4 | 4 | |
Viral infection | 0 | 1 | |
EBV-PTLD | 2 | 0 | |
Encephalitis | 2 | 0 | |
ARDS | 5 | 1 | |
Idiopathic interstitial pneumonia | 5 | 1 | |
Autoimmune hemolytic anemia | 2 | 0 | |
Thrombotic thrombocytopenic purpura | 2 | 0 | |
Liver failure | 2 | 0 | |
Renal failure | 0 | 1 | |
Cardiac insufficiency | 1 | 0 | |
Multiorgan failure | 6 | 2 | |
Hemorrhage | 10 | 2 | |
cGVHD | 0 | 11 | |
Total | 146 | 45 | 191 |
. | No chronic GVHD (523 patients) . | Chronic GVHD (173 patients) . | Total (696 patients) . |
---|---|---|---|
Disease progression (%) | 88 (60) | 14 (31) | 102 (53) |
Transplant-related causes (%) | 58 (40) | 31 (69) | 89 (47) |
Bacterial pneumonia | 5 | 3 | |
HCMV interstitial pneumonia | 2 | 0 | |
Bacterial infection | 10 | 5 | |
Fungal infection | 4 | 4 | |
Viral infection | 0 | 1 | |
EBV-PTLD | 2 | 0 | |
Encephalitis | 2 | 0 | |
ARDS | 5 | 1 | |
Idiopathic interstitial pneumonia | 5 | 1 | |
Autoimmune hemolytic anemia | 2 | 0 | |
Thrombotic thrombocytopenic purpura | 2 | 0 | |
Liver failure | 2 | 0 | |
Renal failure | 0 | 1 | |
Cardiac insufficiency | 1 | 0 | |
Multiorgan failure | 6 | 2 | |
Hemorrhage | 10 | 2 | |
cGVHD | 0 | 11 | |
Total | 146 | 45 | 191 |
χ2 = 11.76, P = .0006 for the comparison of causes of death (disease progression versus transplant-related cause) in subjects with and without cGVHD.
For the 11 patients with cGVHD reported as the main cause of death, the ultimate cause of death was bronchiolitis obliterans in 4 cases, HCMV interstitial pneumonia in 1 case, bacterial pneumonia in 1 case, other bacterial infections in 3 cases, hemorrhagic complications in 1 case, and multiorgan failure in 1 case. HCMV indicates human cytomegalovirus; EBV-PTLD, Epstein-Barr virus–related posttransplantation lymphoproliferative disease; ARDS, acute respiratory distress syndrome.