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However, few reports have investigated the outcomes of patients receiving haploidentical HSCT. To this end, we included 117 patients with haploidentical donors (HID) and 75 patients with matched related donors (MRD) from 28 centers across China to explore the prognostic impact of different transplantation modalities. We found no significant difference between these two groups in terms of event\u2010free survival (EFS, <jats:italic>p<\/jats:italic>\u2009=\u2009.211), overall survival (OS, <jats:italic>p<\/jats:italic>\u2009=\u2009.503), cumulative incidence of relapse (CIR, <jats:italic>p<\/jats:italic>\u2009=\u2009.076) or non\u2010relapse mortality (NRM, <jats:italic>p<\/jats:italic>\u2009=\u2009.794). The predominance of peripheral blood (PB) graft source over bone marrow and PB since 2020 may have contributed to the worse outcomes in the MRD group. Moreover, CMML\u2010specific prognostic scoring system (CPSS) lower\u2010risk patients benefited more from the HID modality with superior EFS (<jats:italic>p<\/jats:italic>\u2009=\u2009.006). Multivariate analysis indicated that advanced age (<jats:italic>p<\/jats:italic>\u2009=\u2009.013), anemia at diagnosis (<jats:italic>p<\/jats:italic>\u2009=\u2009.010), and donor relationship (parent\u2010to\u2010child, <jats:italic>p<\/jats:italic>\u2009=\u2009.013) were independently associated with worse EFS in the HID group. Our data suggested that HID was comparable to MRD in CMML. However, under certain conditions, such as CPSS lower\u2010risk ones, HID was preferred.<\/jats:p>","DOI":"10.1002\/ijc.35485","type":"journal-article","created":{"date-parts":[[2025,5,26]],"date-time":"2025-05-26T15:53:47Z","timestamp":1748274827000},"page":"1420-1432","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Comparison of outcomes between haploidentical and matched related donors for <scp>chronic myelomonocytic leukemia<\/scp>: A multicenter real\u2010world study"],"prefix":"10.1002","volume":"157","author":[{"given":"Yu\u2010Qian","family":"Sun","sequence":"first","affiliation":[{"name":"National Clinical Research Center for Hematologic Disease, Beijing Key Laboratory of Hematopoietic Stem Cell Transplantation Peking University People's Hospital, Peking University Institute of Hematology  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-8931-0578","authenticated-orcid":false,"given":"Li\u2010Xin","family":"Wu","sequence":"additional","affiliation":[{"name":"National Clinical Research Center for Hematologic Disease, Beijing Key Laboratory of Hematopoietic Stem Cell Transplantation Peking University People's Hospital, Peking University Institute of Hematology  Beijing China"},{"name":"Department of Hematology Peking University Shenzhen Hospital, Shenzhen Peking University\u2010The Hong Kong University of Science and Technology Medical Center  Shenzhen, Guangdong Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi\u2010Cheng","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Hematology Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology  Wuhan 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Department The 960th Hospital of the People's Liberation Army (PLA) Joint Logistics Support Force  Jinan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yue","family":"Liu","sequence":"additional","affiliation":[{"name":"Hematology Department The 960th Hospital of the People's Liberation Army (PLA) Joint Logistics Support Force  Jinan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xian\u2010Min","family":"Song","sequence":"additional","affiliation":[{"name":"Department of Hematology Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu","family":"Cai","sequence":"additional","affiliation":[{"name":"Department of Hematology Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine  Shanghai 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