Table 1.
Variable; median value (range or %) | MDS-RS (n = 76) | SLD (n = 57) | MLD (n = 19) | P-value |
---|---|---|---|---|
Age (years) | 73 (44–88) | 73 (47–88) | 72 (44–81) | 0.22 |
No. of males | 50 (66) | 36 (63) | 14 (74) | 0.4 |
Hb; gm/dl | 9.3 (5.8–14.4) | 9.3 (5.8–13.4) | 10 (7.8–14.4) | 0.17 |
WBC count x 109 per liter | 5.1 (1.2–17.6) | 5.7 (2.2–17.6) | 4.4 (1.2–9.4) | 0.02 * |
ANC x 109 per liter | 3.06 (0.3–12.5) | 3.2 (0.6–12.5) | 2.13 (0.3–6.3) | 0.02 * |
Platelet count x 109 per liter | 237 (7–819) | 255 (7–819) | 202 (27–438) | 0.05 * |
BM ringed sideroblasts | 35 (10–80) | 50 (10–80) | 20 (15–70) | 0.004 * |
BM blasts | 1(0–4) | 1(0–4) | 1(0–3) | 0.6 |
Cytogenetics | ||||
Abnormal karyotype (R-IPSS intermediate, poor and very poor cytogenetic risk groups) | 6 (8) | 4 (8) | 2 (11) | 0.5 |
IPSS cytogenetic risk groups | ||||
Good | 69 (91) | 52 (91) | 17 (11) | 0.5 |
Intermediate | 2 (3) | 2 (4) | 0(0) | |
Poor | 5 (6) | 3 (5) | 2 (11) | |
R-IPSS cytogenetic risk groups | ||||
Very good | 2 (3) | 1 (2) | 1 (5) | 0.6 |
Good | 67 (88) | 51 (89) | 16 (84) | |
Intermediate | 2 (3) | 2 (4) | 0(0) | |
Poor | 4 (5) | 2 (4) | 2 (11) | |
Very poor | 1 (1) | 1 (2) | 0(0) | |
Genomic abnormalities | ||||
SF3B1 | 49 (77) | 41 (82) | 8 (57) | 0.06 |
ASXL1 | 10 (16) | 6 (12) | 4 (29) | 0.15 |
DNMT3A | 8 (13) | 8 (16) | 0(0) | 0.04 * |
TET2 | 4 (6) | 4 (8) | 0(0) | 0.2 |
TP53 | 3 (5) | 3 (6) | 0(0) | 0.2 |
IDH1 | 2 (3) | 2 (4) | 0(0) | 0.3 |
SRSF2 | 1 (2) | 1 (2) | 0(0) | – |
Others (PTPN11, ZRSR2, CSF3R, U2AF1) | 4 (6) | 4 (8) | 0(0) | – |
Treatment | ||||
HMA treatment | 5 (7) | 2 (4) | 3 (16) | 0.2 |
Immunomodulatory treatment (Lenalidomide) | 1 (1) | 1 (2) | 0(0) | 0.83 |
Allogeneic HSCT | 2 (3) | 1 (2) | 1 (5) | 0.16 |
Outcomes | ||||
Leukemic transformation | 2 (3) | 1 (2) | 1 (5) | 0.34 |
Overall survival; median months (range) | 46 (0–190) | 47 (0–190) | 44 (6–123) | 0.2 |
* Signify statistically significant values