Evaluation of IPSS-M and exploratory prognostic model for MDS at the time of HMA failure.

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http://dx.doi.org/10.1002/ajh.27043DOI Listing

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Objective: To investigate the clinical characteristics and survival analysis of myelodysplastic syndromes (MDS) with gene mutation.

Methods: Clinical data of 177 newly diagnosed MDS patients admitted to the Department of Hematology, the Second Affiliated Hospital of Air Force Military Medical University from October 1, 2015 to October 31, 2022 were retrospectively analyzed. Gene mutation detection was performed by second-generation sequencing technology, and clinical characteristics and prognosis of patients with gene mutation were analyzed.

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Background: The Molecular International Prognostic Scoring System (IPSS-M) is the new gold standard for diagnostic outcome prediction in patients with myelodysplastic syndromes (MDS). This study was designed to assess the additive prognostic impact of dynamic transfusion parameters during early follow-up.

Methods: We retrieved complete transfusion data from 677 adult Swedish MDS patients included in the IPSS-M cohort.

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Article Synopsis
  • Allogeneic hematopoietic cell transplantation (HCT) significantly enhances overall survival in patients with myelodysplastic syndrome (MDS), especially in those with specific genetic mutations.
  • *In a study of 309 patients aged 50-75 with high-risk MDS, those with gene mutations showed poorer survival without HCT but improved outcomes when they did undergo transplantation.
  • *Patients classified as very high risk according to the molecular IPSS who lacked mutations also benefited strongly from having a donor available during treatment.
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Trisomy 8 (+8) is the most frequent trisomy in myelodysplastic syndromes (MDS) and is associated with clinical heterogeneity and intermediate cytogenetic risk when found in isolation. The presence of gene mutations in this group of patients and the prognostic significance has not been extensively analyzed. Targeted deep sequencing was performed in a cohort of 79 MDS patients showing isolated +8.

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Evaluation of IPSS-M and exploratory prognostic model for MDS at the time of HMA failure.

View Article and Find Full Text PDF

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