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

We investigated the effect of center-specific variables on overall survival (OS) after allogeneic hematopoietic cell transplantation (alloHCT) in acute myeloid leukemia (AML). Eligible were adult patients reported to DRST registry receiving first alloHCT for AML from a related or matched (>= 9/1...

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Main Authors: Wolfgang Bethge, Sarah Flossdorf, Franziska Hanke, Christoph Schmid, Mark Ringhoffer, Stefan Klein, Bernd Hertenstein, Johannes Schetelig, Matthias Stelljes, Thomas Schroeder, Igor Wolfgang Blau, Francis Ayuk, Matthias Eder, Robert Zeiser, Katharina Fleischhauer, Nicolaus Kröger, Peter Dreger
Format: Article
Language:English
Published: Ferrata Storti Foundation 2024-12-01
Series:Haematologica
Online Access:https://haematologica.org/article/view/11863
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author Wolfgang Bethge
Sarah Flossdorf
Franziska Hanke
Christoph Schmid
Mark Ringhoffer
Stefan Klein
Bernd Hertenstein
Johannes Schetelig
Matthias Stelljes
Thomas Schroeder
Igor Wolfgang Blau
Francis Ayuk
Matthias Eder
Robert Zeiser
Katharina Fleischhauer
Nicolaus Kröger
Peter Dreger
author_facet Wolfgang Bethge
Sarah Flossdorf
Franziska Hanke
Christoph Schmid
Mark Ringhoffer
Stefan Klein
Bernd Hertenstein
Johannes Schetelig
Matthias Stelljes
Thomas Schroeder
Igor Wolfgang Blau
Francis Ayuk
Matthias Eder
Robert Zeiser
Katharina Fleischhauer
Nicolaus Kröger
Peter Dreger
author_sort Wolfgang Bethge
collection DOAJ
description We investigated the effect of center-specific variables on overall survival (OS) after allogeneic hematopoietic cell transplantation (alloHCT) in acute myeloid leukemia (AML). Eligible were adult patients reported to DRST registry receiving first alloHCT for AML from a related or matched (>= 9/10 HLA-match) unrelated donor 2015-2021. Primary endpoint was OS at 12 months from alloHCT. Univariable and multivariable analyses after best subset selection was performed. Of 5328 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 IHCT-Europe and EBMT (JACIE) accredited center. 52% of the patients were in CR1, and ELN risk was adverse in 37% and intermediate in 42%. On multivariable analysis, center-specific factors predicting adverse 12-month OS were program duration
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issn 0390-6078
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publishDate 2024-12-01
publisher Ferrata Storti Foundation
record_format Article
series Haematologica
spelling doaj-art-0ea4f949fd484868b276ead1bf5321662025-08-20T02:19:37ZengFerrata Storti FoundationHaematologica0390-60781592-87212024-12-01999110.3324/haematol.2024.286385Does 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 TherapyWolfgang Bethge0Sarah Flossdorf1Franziska Hanke2Christoph Schmid3Mark Ringhoffer4Stefan Klein5Bernd Hertenstein6Johannes Schetelig7Matthias Stelljes8Thomas Schroeder9Igor Wolfgang Blau10Francis Ayuk11Matthias Eder12Robert Zeiser13Katharina Fleischhauer14Nicolaus Kröger15Peter Dreger16University Hospital Tuebingen, Tuebingen, Germany; German Working Group for Hematopoietic Stem Cell Transplantation and Cellular TherapyInstitute for Medical Informatics, Biometry, and Epidemiology, University Hospital Essen, University of Duisburg-Essen, Essen, Germany; German Registry for Hematopoietic Stem Cell Transplantation and Cell Therapy, UlmGerman Registry for Hematopoietic Stem Cell Transplantation and Cell Therapy, UlmUniversity Hospital Augsburg, AugsburgHospital Karlsruhe, KarlsruheUniversity Hospital Mannheim, MannheimCentral Hospital Bremen, BremenGerman Working Group for Hematopoietic Stem Cell Transplantation and Cellular Therapy; University Hospital Dresden, DresdenGerman Working Group for Hematopoietic Stem Cell Transplantation and Cellular Therapy; University Hospital Muenster, MuensterUniversity Hospital Essen, EssenUniversity Hospital Charité Berlin, BerlinGerman Working Group for Hematopoietic Stem Cell Transplantation and Cellular Therapy; University Medical Center Hamburg, HamburgUniversity Hospital Hannover, HannoverUniversity Hospital Freiburg, FreiburgGerman Registry for Hematopoietic Stem Cell Transplantation and Cell Therapy, Ulm, Germany; University Hospital Essen, EssenGerman Registry for Hematopoietic Stem Cell Transplantation and Cell Therapy, Ulm, Germany; University Medical Center Hamburg, HamburgGerman Working Group for Hematopoietic Stem Cell Transplantation and Cellular Therapy; University Hospital Heidelberg, Heidelberg We investigated the effect of center-specific variables on overall survival (OS) after allogeneic hematopoietic cell transplantation (alloHCT) in acute myeloid leukemia (AML). Eligible were adult patients reported to DRST registry receiving first alloHCT for AML from a related or matched (>= 9/10 HLA-match) unrelated donor 2015-2021. Primary endpoint was OS at 12 months from alloHCT. Univariable and multivariable analyses after best subset selection was performed. Of 5328 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 IHCT-Europe and EBMT (JACIE) accredited center. 52% of the patients were in CR1, and ELN risk was adverse in 37% and intermediate in 42%. On multivariable analysis, center-specific factors predicting adverse 12-month OS were program duration https://haematologica.org/article/view/11863
spellingShingle Wolfgang Bethge
Sarah Flossdorf
Franziska Hanke
Christoph Schmid
Mark Ringhoffer
Stefan Klein
Bernd Hertenstein
Johannes Schetelig
Matthias Stelljes
Thomas Schroeder
Igor Wolfgang Blau
Francis Ayuk
Matthias Eder
Robert Zeiser
Katharina Fleischhauer
Nicolaus Kröger
Peter Dreger
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
Haematologica
title 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_short 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
title_sort 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
url https://haematologica.org/article/view/11863
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