Does size matter? Center-specific characteristics and survival after allogeneic hematopoietic cell transplantation for acute myeloid leukemia: an analysis of the German Registry for Stem Cell Transplantation and Cell Therapy

Publikation: Beitrag in FachzeitschriftForschungsartikelBeigetragenBegutachtung

Beitragende

  • Wolfgang Bethge - , Universitätsklinikum Tübingen, Zentrales Knochenmarkspender-Register Deutschland (Autor:in)
  • Sarah Flossdorf - , Universitätsklinikum Essen, Zentrales Knochenmarkspender-Register Deutschland (Autor:in)
  • Franziska Hanke - , Zentrales Knochenmarkspender-Register Deutschland (Autor:in)
  • Christoph Schmid - , Universitätsklinikum Augsburg (Autor:in)
  • Mark Ringhoffer - , Städtisches Klinikum Karlsruhe gGmbH (Autor:in)
  • Stefan Klein - , Universitätsmedizin Mannheim (Autor:in)
  • Bernd Hertenstein - , Klinikum Bremen-Mitte (Autor:in)
  • Johannes Schetelig - , Medizinische Klinik und Poliklinik I (Autor:in)
  • Matthias Stelljes - , Universitätsklinikum Münster (Autor:in)
  • Thomas Schroeder - , Universitätsklinikum Essen (Autor:in)
  • Igor Wolfgang Blau - , Charité – Universitätsmedizin Berlin (Autor:in)
  • Francis Ayuk - , Zentrales Knochenmarkspender-Register Deutschland, Universitätsklinikum Hamburg-Eppendorf (UKE) (Autor:in)
  • Matthias Eder - , Medizinische Hochschule Hannover (MHH) (Autor:in)
  • Robert Zeiser - , Universitätsklinikum Freiburg (Autor:in)
  • Katharina Fleischhauer - , Zentrales Knochenmarkspender-Register Deutschland, Universitätsklinikum Essen (Autor:in)
  • Nicolaus Kröger - , Zentrales Knochenmarkspender-Register Deutschland, Universitätsklinikum Hamburg-Eppendorf (UKE) (Autor:in)
  • Peter Dreger - , Universitätsklinikum Heidelberg (Autor:in)

Abstract

We investigated the effect of center-specific variables on overall survival (OS) after allogeneic hematopoietic cell transplantation (alloHCT) in acute myeloid leukemia (AML). Eligible for the study were adult patients reported to the German Registry for Hematopoietic Stem Cell Transplantation and Cell Therapy (DRST) receiving first alloHCT for AML from a related or matched (>9/10 HLA-match) unrelated donor in the period 2015-2021. Primary endpoint was OS at 12 months from alloHCT. Univariable and multivariable analyses after best subset selection were performed. Of 5,328 patients, 83% received alloHCT in a high-volume center (≥40 alloHCT/year), 90% in a university hospital, 90% in a center performing alloHCT for ≥10 years, and 73% in a Joint Accreditation Committee ISCT-Europe & European Group for Blood and Marrow Transplantation (EBMT) (JACIE) accredited center. 52% of the patients were in first CR, and European LeukemiaNet risk was adverse in 37% and intermediate in 42%. On multivariable analysis, center-specific factors predicting adverse 12-month OS were program duration <5-10 years (Hazard Ratio [HR] 1.23, [95% Confidence Interval: [1.02; 1.49]), center volume <40 alloHCT/year (HR 1.21, [1.02; 1.45]), and treatment at a non-university hospital (HR 1.21, [0.98; 1.49]), whereas JACIE accreditation did not. Spline modeling suggested a negative effect of a center volume up to 45 alloHCT per year. Center volume, center experience, university hospital, but not JACIE accreditation, have an impact on alloHCT outcomes in adult patients with AML in Germany.

Details

OriginalspracheEnglisch
Seiten (von - bis)1292-1303
Seitenumfang12
FachzeitschriftHaematologica
Jahrgang110
Ausgabenummer6
Frühes Online-Datum5 Dez. 2024
PublikationsstatusVeröffentlicht - Juni 2025
Peer-Review-StatusJa

Externe IDs

unpaywall 10.3324/haematol.2024.286385
Scopus 105007355087
Mendeley 663434c1-85b3-3054-9818-7b943df1ae17

Schlagworte

Schlagwörter

  • Humans, Hematopoietic Stem Cell Transplantation/methods, Leukemia, Myeloid, Acute/therapy, Male, Female, Middle Aged, Registries, Germany/epidemiology, Adult, Transplantation, Homologous, Aged, Young Adult, Adolescent, Cell- and Tissue-Based Therapy, Survival Rate

Bibliotheksschlagworte