Table 2.

Univariable analysis of factors associated with syngeneic GVHD


Factor

No.

GVHD incidence, No. (%)

HR

95% Cl

Level-specific P value, > 2 levels

Overall P value, log-rank test
Age, y       
    16 to 39   50   3 (6)   1.0   Reference   NA   
    40 to 68   69   18 (26)   5.0   1.5-16.8   NA   < .01  
Sex       
    Male   70   9 (13)   1.0   Reference   NA   
    Female   49   12 (24)   2.0   0.8-4.8   NA   .11  
Donor parity, N = 115       
    Nulliparous   11   1 (9)   1.0   Reference   Reference   
    Parous   34   11 (32)   4.6   0.6-35.9   .07   
    Male   70   9 (13)   1.7   0.2-13.1   .61   .03  
Recipient parity       
    Nulliparous   14   1 (7)   1.0   Reference   Reference   
    Parous   35   11 (31)   6.0   0.8-46.2   .03   
    Male   70   9 (13)   2.1   0.3-16.5   .44   .02  
CMV serostatus       
    Donor serostatus, N = 76        
        Negative   37   8 (22)   1.0   Reference   NA   
        Positive   41   11 (27)   1.4   0.5-3.4   NA   .51  
    Recipient serostatus, N = 105        
        Negative   46   6 (13)   1.0   Reference   NA   
        Positive   57   15 (26)   2.3   0.9-6.1   NA   .07  
Acute lymphocytic leukemia       
    No   112   18 (16)   1.0   Reference   NA   
    Yes   7   3 (43)   2.7   0.8-9.2   NA   .10  
HLA-A26, N = 117       
    No   111   18 (16)   1.0   Reference   NA   
    Yes   6   3 (50)   3.6   1.0-12.2   NA   .03  
HLA-DR2, N = 90       
    No   60   10 (17)   1.0   Reference   NA   
    Yes   30   9 (30)   1.8   0.7-4.4   NA   .19  
Cell source       
    PBSC   31   8 (26)   1.0   Reference   NA   
    Bone marrow   88   13 (15)   0.5   0.2-1.3   NA   .15  
Donor buffy coat infusion       
    No   87   18 (21)   1.0   Reference   NA   
    Yes   32   3 (9)   0.5   0.1-1.5   NA   .19  
Immunotherapy       
    No   108   17 (16)   1.0   Reference   NA   
    Yes   11   4 (36)   2.5   0.9-7.6   NA   .08  
IL-2 therapy       
    No   112   18 (16)   1.0   Reference   NA   
    Yes   9   4 (44)   3.5   1.2-10.3   NA   .02  
Conditioning regimen       
    Non-BUMELT   107   16 (15)   1.0   Reference   NA   
    BUMELT   12   5 (42)   3.6   1.3-9.8   NA   < .01  
Transplantation year       
    1980 to 1987   58   3 (5)   1.0   Reference   Reference   
    1988 to 1995   43   12 (28)   5.2   1.5-18.6   < .01   
    1996 to 2002
 
18
 
6 (33)
 
7.5
 
1.9-30.1
 
< .01
 
< .01
 

Factor

No.

GVHD incidence, No. (%)

HR

95% Cl

Level-specific P value, > 2 levels

Overall P value, log-rank test
Age, y       
    16 to 39   50   3 (6)   1.0   Reference   NA   
    40 to 68   69   18 (26)   5.0   1.5-16.8   NA   < .01  
Sex       
    Male   70   9 (13)   1.0   Reference   NA   
    Female   49   12 (24)   2.0   0.8-4.8   NA   .11  
Donor parity, N = 115       
    Nulliparous   11   1 (9)   1.0   Reference   Reference   
    Parous   34   11 (32)   4.6   0.6-35.9   .07   
    Male   70   9 (13)   1.7   0.2-13.1   .61   .03  
Recipient parity       
    Nulliparous   14   1 (7)   1.0   Reference   Reference   
    Parous   35   11 (31)   6.0   0.8-46.2   .03   
    Male   70   9 (13)   2.1   0.3-16.5   .44   .02  
CMV serostatus       
    Donor serostatus, N = 76        
        Negative   37   8 (22)   1.0   Reference   NA   
        Positive   41   11 (27)   1.4   0.5-3.4   NA   .51  
    Recipient serostatus, N = 105        
        Negative   46   6 (13)   1.0   Reference   NA   
        Positive   57   15 (26)   2.3   0.9-6.1   NA   .07  
Acute lymphocytic leukemia       
    No   112   18 (16)   1.0   Reference   NA   
    Yes   7   3 (43)   2.7   0.8-9.2   NA   .10  
HLA-A26, N = 117       
    No   111   18 (16)   1.0   Reference   NA   
    Yes   6   3 (50)   3.6   1.0-12.2   NA   .03  
HLA-DR2, N = 90       
    No   60   10 (17)   1.0   Reference   NA   
    Yes   30   9 (30)   1.8   0.7-4.4   NA   .19  
Cell source       
    PBSC   31   8 (26)   1.0   Reference   NA   
    Bone marrow   88   13 (15)   0.5   0.2-1.3   NA   .15  
Donor buffy coat infusion       
    No   87   18 (21)   1.0   Reference   NA   
    Yes   32   3 (9)   0.5   0.1-1.5   NA   .19  
Immunotherapy       
    No   108   17 (16)   1.0   Reference   NA   
    Yes   11   4 (36)   2.5   0.9-7.6   NA   .08  
IL-2 therapy       
    No   112   18 (16)   1.0   Reference   NA   
    Yes   9   4 (44)   3.5   1.2-10.3   NA   .02  
Conditioning regimen       
    Non-BUMELT   107   16 (15)   1.0   Reference   NA   
    BUMELT   12   5 (42)   3.6   1.3-9.8   NA   < .01  
Transplantation year       
    1980 to 1987   58   3 (5)   1.0   Reference   Reference   
    1988 to 1995   43   12 (28)   5.2   1.5-18.6   < .01   
    1996 to 2002
 
18
 
6 (33)
 
7.5
 
1.9-30.1
 
< .01
 
< .01
 

All P values are 2-sided. Variables listed include those with a P value ≤ .2 on univariable log-rank test. Level-specific P values were based on likelihood ratio tests from regression models. PBSC indicates peripheral blood stem cell; IL-2, interleukin-2; BUMELT, busulfan/melphalan/thiotepa; and NA, not applicable.

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