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Artificial Intelligence Methods to Estimate Overall Mortality and Non-Relapse Mortality Following Allogeneic Hct in the Modern Era: An Ebmt-Tcwp Study Publisher Pubmed



Mussetti A1 ; Riussansalvador B2, 3 ; Moreno V2, 3 ; Peczynski C4 ; Polge E5 ; Galimard JE6 ; Kroger N7 ; Blaise D8 ; Peffault De Latour R9, 10 ; Kulagin A11 ; Mousavi A12 ; Stelljes M13 ; Hamladji RM14 ; Middeke JM15 Show All Authors
Authors
  1. Mussetti A1
  2. Riussansalvador B2, 3
  3. Moreno V2, 3
  4. Peczynski C4
  5. Polge E5
  6. Galimard JE6
  7. Kroger N7
  8. Blaise D8
  9. Peffault De Latour R9, 10
  10. Kulagin A11
  11. Mousavi A12
  12. Stelljes M13
  13. Hamladji RM14
  14. Middeke JM15
  15. Salmenniemi U16
  16. Sengeloev H17
  17. Forcade E18
  18. Platzbecker U19
  19. Remenyi P20
  20. Angelucci E21
  21. Chevallier P22
  22. Yakoubagha I23
  23. Craddock C24
  24. Ciceri F25
  25. Schroeder T26
  26. Aljurf M27
  27. Ch K28
  28. Moiseev I29
  29. Penack O30
  30. Schoemans H31, 32
  31. Mohty M33
  32. Glass B34
  33. Sureda A1
  34. Basak G35
  35. Peric Z36
Show Affiliations
Authors Affiliations
  1. 1. Department of Haematology, Institut Catala d’Oncologia - Hospitalet, IDIBELL, University of Barcelona, Barcelona, Spain
  2. 2. Biomarkers and Susceptibility Unit (UBS), Oncology Data Analytics Program (ODAP), Catalan Institute of Oncology (ICO), L’Hospitalet del Llobregat, Barcelona, Spain
  3. 3. ONCOBELL Program, Bellvitge Biomedical Research Institute (IDIBELL), L’Hospitalet de Llobregat, Barcelona, Spain
  4. 4. EBMT Paris Study Office, Department of Haematology, Saint Antoine Hospital, INSERM Unite Mixte de Recherche (UMR)-S 938, Sorbonne University, Paris, France
  5. 5. EBMT Global Committee (Shanghai and Paris Offices) and Acute Leukaemia Working Party, Hospital Saint-Antoine APHP and Sorbonne University, Paris, France
  6. 6. EBMT, Statistics Unit, Paris, France
  7. 7. Department of Stem Cell Transplantation, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
  8. 8. Programme de Transplantation & Therapie Cellulaire, Centre de Recherche en Cancerologie de Marseille, Institut Paoli Calmettes, Marseille, France
  9. 9. Service d’Hematologie-Greffe, Hopital Saint-Louis, Assistance Publique-Hopitaux de Paris (APHP), Paris, France
  10. 10. Universite Paris Diderot, Institut Universitaire d’Hematologie, Sorbonne Paris Cite, Paris, France
  11. 11. Raisa Memorial (RM) Gorbacheva Research Institute, Pavlov University, St. Petersburg, Russian Federation
  12. 12. Shariati Hospital, Haematology-Oncology and BMT Research, Tehran, Iran
  13. 13. Department of Medicine A, University Hospital Munster, Munster, Germany
  14. 14. Centre Pierre et Marie Curie, Service Hematologie Greffe de Moelle, Alger, Algeria
  15. 15. Med. Klinik I, University Hospital, TU Dresden, Germany
  16. 16. HUCH Comprehensive Cancer Center, Stem Cell Transplantation Unit, Helsinki, Finland
  17. 17. Bone Marrow Transplant Unit Copenhagen, Department of Haematology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark
  18. 18. CHU Bordeaux, Service d’hematologie Clinique et Therapie Cellulaire, Pessac, 33000, France
  19. 19. University Hospital Leipzig, Leipzig, Germany
  20. 20. Department of Haematology and Stem Cell Transplant, Del-pesti Centrumkorhaz - Orszagos Hematologiai es Infektologiai Intezet, Budapest, Hungary
  21. 21. Haematology and Cellular Therapy Unit. IRCCS Ospedale Policlinico San Martino, Genova, Italy
  22. 22. CHU Nantes, Nantes, France
  23. 23. CHU de Lille LIRIC, INSERM U995, Universite de Lille, Lille, France
  24. 24. Department of Haematology, University Hospital Birmingham NHS Trust, Queen Elizabeth Medical Centre, Edgbaston, Birmingham, United Kingdom
  25. 25. Haematology & Bone Marrow Transplant, IRCCS San Raffaele Scientific Institute, Milan, Italy
  26. 26. Department of Bone Marrow Transplantation, University Hospital, Essen, Germany
  27. 27. Oncology Center, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
  28. 28. Hannover Medical School, Hannover, Germany
  29. 29. R.M.Gorbacheva Memorial Institute of Oncology, Haematology and Transplantation, Pavlov First Saint Petersburg State Medical University, Saint-Petersburg, Russian Federation
  30. 30. Department of Haematology, Charite Universitatsmedizin Berlin, Berlin, Germany
  31. 31. Department of Haematology, University Hospitals Leuven, Leuven, Belgium
  32. 32. Department of Public Health and Primary Care, ACCENT VV, KU Leuven - University of Leuven, Leuven, Belgium
  33. 33. Department of Haematology, Saint Antoine Hospital, INSERM UMR 938, Sorbonne University, Paris, France
  34. 34. Klinik fur Hamatologie und Stammzelltransplantation, HELIOS Klinikum Berlin-Buch, Berlin, Germany
  35. 35. Department of Haematology, Transplantation and Internal Medicine, Medical University of Warsaw, Warsaw, Poland
  36. 36. School of medicine, University of Zagreb and University Hospital Centre Zagreb, Zagreb, Croatia

Source: Bone Marrow Transplantation Published:2024


Abstract

Allogeneic haematopoietic cell transplantation (alloHCT) has curative potential counterbalanced by its toxicity. Prognostic scores fail to include current era patients and alternative donors. We examined adult patients from the EBMT registry who underwent alloHCT between 2010 and 2019 for oncohaematological disease. Our primary objective was to develop a new prognostic score for overall mortality (OM), with a secondary objective of predicting non-relapse mortality (NRM) using the OM score. AI techniques were employed. The model for OM was trained, optimized, and validated using 70%, 15%, and 15% of the data set, respectively. The top models, “gradient boosting” for OM (AUC = 0.64) and “elasticnet” for NRM (AUC = 0.62), were selected. The analysis included 33,927 patients. In the final prognostic model, patients with the lowest score had a 2-year OM and NRM of 18 and 13%, respectively, while those with the highest score had a 2-year OM and NRM of 82 and 93%, respectively. The results were consistent in the subset of the haploidentical cohort (n = 4386). Our score effectively stratifies the risk of OM and NRM in the current era but do not significantly improve mortality prediction. Future prognostic scores can benefit from identifying biological or dynamic markers post alloHCT. © The Author(s), under exclusive licence to Springer Nature Limited 2023.
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