predictive factors of survival time after hematopoietic stem cell transplant in acute myeloid leukemia patients who received allogeneic bmt from matched sibling donors using generalized gamma models

نویسندگان

kourosh sayemiri department of biostatistics, school of public health, tehran university of medical sciences, iran department of social medicine, school of medicine, ilam university of medical sciences, iran

mr eshraghian department of biostatistics, school of public health, tehran university of medical sciences, iran

kazem mohammad department of biostatistics, school of public health, tehran university of medical sciences, iran

kamran alimoghaddam epartment of nutrition and biochemistry, school of public health, tehran university of medical sciences, iran

چکیده

introduction: this paper used generalized gamma (gg) distribution to find the predictive factors of overall survival (os) after haematopoietic stem cell transplant (hsct) in acute myeloid  leukemia patients. methods: discrimination among the exponential, weibull, gg, log-logistic, and lognormal distributions was done using maximum likelihood and akaike information criteria. results: the 5-year os in 301 patients was 65% (95%ci: 60.7-69.3). peak mortality hazard occurred at months 6-7 after hsct then, it was u shape. the data was fitted by gg distribution better than other distributions. univariate analysis using gg distribution showed a positive association between os with dose of infused wbc (p=0.018), cd3 (p=0.001), no relapse (p<0.001), cgvhd (p<0.001), and platelet recovery (p<0.001). multivariate analysis indicated that, os has relationship with relapse (p<0.001), platelet recovery (p=0.004), disease status at transplant (p=0.036) and agvhd (p=0.036). conclusion: we showed that gg distribution can be a useful tool for recognizing prognostic factors of os in aml patients.

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عنوان ژورنال:
international journal of hematology-oncology and stem cell research

جلد ۳، شماره ۱، صفحات ۲۱-۲۶

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