Table II.
Univariate analysis of prognostic factors for patients with MDS.
Variable | No. of patients | Cases of mortality | P-value |
---|---|---|---|
Age (years) | 0.004 | ||
<60 | 83 | 31 | |
≥60 | 69 | 38 | |
Sex | 0.996 | ||
Male | 92 | 41 | |
Female | 60 | 28 | |
WBCs (×109/l) | 0.804 | ||
<4 | 129 | 59 | |
≥4 | 23 | 10 | |
Neutrophils (×109/l) | 0.310 | ||
<1.5 | 114 | 56 | |
≥1.5 | 38 | 13 | |
Hemoglobin (g/dl) | 0.005 | ||
<9 | 115 | 59 | |
≥9 | 37 | 10 | |
PLTs (×109/l) | 0.070 | ||
<100 | 112 | 56 | |
≥100 | 40 | 13 | |
WHO classification | <0.001 | ||
RA, RARS, RCMD, RCMD-RS, 5q-syndrome, MDS-U | 106 | 33 | |
RAEB-1, RAEB-2 | 46 | 36 | |
BM blasts (%) | <0.001 | ||
<5 | 106 | 32 | |
5-9 | 21 | 17 | |
10-19 | 25 | 20 | |
IPSS karyotypea | 0.007 | ||
Good | 104 | 41 | |
Intermediate | 29 | 15 | |
Poor | 17 | 12 | |
IPSS cytopeniasb | 0.045 | ||
0/1 | 19 | 4 | |
2/3 | 133 | 65 | |
IPSS risk groupsc | <0.001 | ||
Low | 13 | 2 | |
INT-1 | 96 | 33 | |
INT-2 | 26 | 21 | |
High | 15 | 12 | |
ABAT mRNA expression | 0.015 | ||
Low (<0.46) | 131 | 55 | |
Normal (0.46-1.25) | 14 | 8 | |
High (>1.25) | 7 | 6 | |
ABAT methylation degree (%) | 0.005 | ||
Low (<7.98) | 16 | 2 | |
Normal (7.98-12.39) | 19 | 7 | |
High (>12.39) | 117 | 60 |
For evaluation of prognostic factors, χ2 tests or Fisher’s exact tests were used. ABAT, 4-aminobutyrate aminotransferase; BM, bone marrow; CI, confidence interval; INT, intermediate; IPSS; International Prognostic Scoring System; MDS, myelodysplastic syndrome; MDS-U, unclassified MDS; PLTs, platelets; RA, refractory anemia; RAEB-1; refractory anemia with excess of blasts type 1; RAEB-2, refractory anemia with excess of blasts type 2; RARS, refractory anemia with ring sideroblasts; RCMD, refractory cytopenia with multilineage dysplasia; RCMD-RS, RCMD with ring sideroblasts; WBCs, white blood cells; WHO, World Health Organization.
IPSS karyotype: Good, normal, 5q-, 20q-, -Y; intermediate, not good or poor; poor, complex aberration or chromosome 7 abnormalities.
IPSS cytopenias: Hemoglobin concentration <9 g/dl, absolute neutrophil count <1.8×109/l, PLT count <100×109/l.
IPSS risk groups: Low, 0; INT-1, 0.5-1.0; INT-2, 1.5-2.0; high, ≥2.5, according to IPSS score.