Impact of a prior history of cancer on prognosis after myeloablative single-unit cord blood transplantation

Jpn J Clin Oncol. 2021 Apr 1;51(4):657-660. doi: 10.1093/jjco/hyaa250.

Abstract

A prior history of cancer was associated with higher non-relapse mortality or overall mortality in patients undergoing allogeneic haematopoietic cell transplantation. Because it is unclear whether the outcomes after cord blood transplantation are influenced by a prior history of cancer, we retrospectively assessed the prevalence and prognostic impact of a prior history of cancer in adult patients undergoing myeloablative single-unit cord blood transplantation in our institute between 2004 and 2020. The univariate analysis showed that a prior history of cancer did not affect the probability of overall survival; the cumulative incidence of relapse; or non-relapse mortality. In the multivariate analysis, prior history of cancer was not associated with overall mortality, relapse or non-relapse mortality. No patients with a prior history of cancer had experienced prior cancer relapse. A prior history of cancer was not associated with non-relapse mortality or overall mortality following single-unit cord blood transplantation.

Keywords: cord blood transplantation; haematopoietic cell transplantation; non-relapse mortality; prior history of cancer; survival.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Cord Blood Stem Cell Transplantation*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Neoplasms / pathology*
  • Prognosis
  • Recurrence
  • Retrospective Studies
  • Transplantation Conditioning
  • Transplantation, Homologous
  • Treatment Outcome
  • Young Adult