Prognostic Factors and Survival Rate of Childhood Acute Lymphoblastic Leukemia in Eastern Indonesia: Kaplan–Meier and Cox Regression Approach


  • Arsin A. Arsunan Department of Epidemiology, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia
  • Rezki Elisafitri Department of Epidemiology, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia
  • Atjo Wahyu Department of Occupational Health and Safety, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia
  • Aisyah Aisyah Department of Agribusiness, Pangkajene Kepulauan Polytechnic Agricultural, Pangkajene, Indonesia



Acute lymphoblastic leukemia, Survival, Childhood, Prognostic factors


BACKGROUND: Acute lymphoblastic leukemia (ALL) is one of the most common childhood hematological malignancies with an incident each year that tends to increase.

AIM: This study aims to determine the survival rate of childhood ALL in Dr. Wahidin Sudirohusodo General Hospital and the prognostic factors that influence it.

METHODS: A retrospective cohort design was conducted among childhood ALL. The samples were patients ALL diagnosed since January 1, 2014, until 31, 2017, in Dr. Wahidin Sudirohusodo General Hospital. A total of 109 patients were selected by simple random sampling. Data collected through medical records observations. Data were analyzed using Kaplan–Meier and Cox regression analysis.

RESULTS: The cumulative survival rate of childhood ALL was 26%. The prognostic factors associated with survival of childhood ALL were nutritional status (p = 0.028), leukocyte counts (p = 0.000), platelet counts (p = 0.000), and comorbidity (p = 0.000). Based on multivariate analysis with Cox regression, the most influencing prognostic factor on survival of ALL patients was comorbidity (p = 0.000, hazard ratio = 3.699 confidence interval 95% 1.945–7.033). Childhood ALL with comorbidities had a risk of death 3699 times higher than childhood ALL without comorbidities.

CONCLUSION: Nutritional status, leukocyte counts, platelet counts, and comorbidity were prognostic factors that influence survival of childhood ALL. Comorbidity was the most influencing prognostic factor on survival of childhood ALL.


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How to Cite

Arsunan AA, Elisafitri R, Wahyu A, Aisyah A. Prognostic Factors and Survival Rate of Childhood Acute Lymphoblastic Leukemia in Eastern Indonesia: Kaplan–Meier and Cox Regression Approach. Open Access Maced J Med Sci [Internet]. 2020 Sep. 15 [cited 2022 Oct. 1];8(T2):204-9. Available from:

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