Research Article

Survival of Mexican Children with Acute Myeloid Leukaemia Who Received Early Intensification Chemotherapy and an Autologous Transplant

Table 3

Parameters analyzed for relapse adjusted by different prognostic factors.

VariablePatients  
Group A with EIa ()Group B without EI ()Crude relative risk
No relapseRelapseNo relapseRelapse
(%) (%) (%) (%)CRR × Sb (CI 95%)RRAMHc (CI 95%)

Age (years)
 <1010 (90.9)1 (9.1)7 (58.3)5 (41.7)0.22 (0.03–1.59)
 >108 (88.9)1 (11.1)5 (62.5)3 (37.5)0.30 (0.04–2.31)0.25(0.06–1.11)
Sex
 Female8 (88.9)1 (11.1)9 (100)0 (0.0)2.00 (0.21–18.98)
 Male10 (90.9)1 (9.1)3 (27.3) 8 (72.7)0.22 (0.06–0.84)0.40(0.14–1.11)
Leukocytes
 <50 000/L15 (100)0 (0.0)10 (62.5)6 (37.5)0.15 (0.20–1.10)
 >50 000/L3 (60.0)2 (40.0)2 (50.0)2 (50.0)1.14 (0.40–3.18)0.47(0.18–1.18)
BMd Day 15
<5% blasts11 (91.7)1 (8.3)10 (71.4)4 (28.6)0.29 (0.37–2.26)
 >5% blasts7 (87.5)1 (12.5)2 (33.3)4 (66.7)0.18 (0.02–1.27)0.23(0.05–0.94)
Risk
 Low3 (100)0 (0.0)3 (100)0 (0.0)1.00 (0.08–11.9)
 High15 (88.2)2 (11.8)9 (52.9)8 (47.1)0.33 (0.10–1.04)0.40(0.14–1.10)
Time of CRe
 <8 weeks14 (93.3)1 (6.7)9 (64.3)5 (35.7)0.18 (0.02–1.40)
 >8 weeks4 (80.0)1 (20.0)3 (50.0)3 (50.0)0.40 (0.59–2.74)0.26(0.06–1.04)
CTf for CR
 One cycle11 (91.7)1 (8.3)10 (66.7)5 (33.3)0.25 (0.03–1.86)
 Two cycles7 (87.5)1 (12.5)2 (40.0)3 (60.0)0.20 (0.02–1.49)0.23(0.05–0.95)
CR upon APBTg,h
 >10 months9 (90.0)1 (10.0)4 (57.1)3 (42.9)0.37 (0.87–1.61)
 <10 months9 (100)0 (0.0)8 (61.5)5 (38.5)0.15 (0.02–1.14)0.26(0.82–0.83)
MNCh,i (108/kg)
 <514 (93.3)1 (6.7)8 (66.7)4 (33.3)0.32 (0.07–1.44)
 >54 (100)0 (0.0)4 (50.0)4 (50.0)0.33 (0.10–1.06)0.33(0.10–1.06)
CD34+ cellsh (106/kg)
 >33 (100)0 (0.0)3 (60.0)2 (40.0)0.46 (0.06–3.23)
 <315 (93.8)1 (6.3)9 (60.0)6 (40.0)0.26 (0.06–1.12)0.32(0.10–1.00)

EI: early intensification.
bCRR × S: crude relative risk by strata.
cCR (MH): relative risk, adjusted (Mantel-Haenszel).
dBM: bone marrow.
eCR: complete remission.
fCT: chemotherapy.
gAPBT: autologous peripheral blood transplant.
hOnly 19 patients in Group A received transplant (see text for details).
iMNC: mononuclear cell.