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Risk score for outcome after allogeneic hematopoietic stem cell transplantation: A Retrospective Analysis

Open access
Gratwohl, Alois, Stern, Martin, Brand, Ronald, Apperley, Jane, Baldomero, Helen, de Witte, Theo, Dini, Giorgio, Rocha, Vanderson, Passweg, Jakob, Sureda, Anna, Tichelli, André, Niederwieser, Dietger, for the European Group for Blood and Marrow Transplantation and the European Leukemia Net·2009·Cancer

Abstract

BACKGROUND: It was investigated whether the European Group for Blood and Marrow Transplantation risk score, previously established for chronic myeloid leukemia, could be used to predict outcome after allogeneic hematopoietic stem cell transplantation (HSCT) for hematological disease in general. METHODS: Age of patient, disease stage, time interval from diagnosis to transplant, donor type, and donor‐recipient sex combination were used to establish a score from 0 to 7 points. Its validity was tested in 56,505 patients, 33,113 (58%) male, 23,392 female, median age 33 years (range, 0.5‐77 years), with an allogeneic HSCT for a hematological disorder between 1980 and 2005. RESULTS: Survival probability at 5 years decreased from 71% (95% confidence interval [CI], 69%‐73%) for risk score 0 for the whole cohort (75%, 95% CI, 72%‐78% for the most recent time cohort) to 24% (95% CI, 21%‐27% for risk score 6 and 7; 25%, 95% CI, 22%‐29% most recent cohort). Transplant‐related mortality increased from 15% (95% CI, 14%‐17%) for risk score 0 (11%, 95% CI, 9%‐13%, most recent cohort) to 47% with risk score 6 and 7 (95% CI, 44%‐50%) for the whole cohort (45%, 95% CI, 42%‐48%, most recent cohort). The risk score was predictive in all disease categories, over all time periods, and was not altered by transplant techniques. CONCLUSIONS: Five well‐defined pretransplant patient and donor characteristics give a reasonable risk estimate of allogeneic HSCT. This risk score can provide a basis for the decision between transplant and nontransplant strategies. Cancer 2009. © 2009 American Cancer Society.

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Metadata

Authors
Gratwohl, A., Stern, M., Brand, R., Apperley, J., Baldomero, H., de Witte, T., Dini, G., Rocha, V., Passweg, J., Sureda, A., Tichelli, A., Niederwieser, D., & for the European Group for Blood and Marrow Transplantation and the European Leukemia Net
Venue
Cancer
Publisher
Wiley
Published
2009-10-05
Volume
115
Issue
20
Pages
4715-4726
ISSN
  • 0008-543X (ISSN-L)
  • 1097-0142
OpenAlex
W2137489389
Cited by
379
References
5
FWCI
18.23
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Risk score for outcome after allogeneic hematopoietic stem cell transplantation: A Retrospective Analysis. https://app.cochat.ai/papers/10.1002/cncr.24531
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Gratwohl, A., Stern, M., Brand, R., Apperley, J., Baldomero, H., de Witte, T., Dini, G., Rocha, V., Passweg, J., Sureda, A., Tichelli, A., Niederwieser, D., & for the European Group for Blood and Marrow Transplantation and the European Leukemia Net. (2009). Risk score for outcome after allogeneic hematopoietic stem cell transplantation: A Retrospective Analysis. Cancer. https://doi.org/10.1002/cncr.24531

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