Table 3.
Disease status, cytogenetic risk stratification and outcomes for myelodysplastic syndrome
Disease status | Risk stratification | RIC | MAC | Outcomes | |
---|---|---|---|---|---|
Kroger 2018 | MDS: 115; sAML: 12; missing: 2; <20% marrow myeloblasts pre-HCT | Low | 28 | 24 | RIC resulted in significantly lower NRM |
Intermediate | 13 | 17 | No significant difference in NRM | ||
High | 18 | 17 | No significant difference in NRM | ||
Scott 2020* | <5% marrow myeloblasts pre-HCT | Intermediate | 71 | 74 | No significant difference in OS |
High‡ | 61 | 54 | MAC was associated with a significant OS benefit. |
RIC, reduced-intensity conditioning; MAC, myeloablative conditioning; CR, complete remission; MDS, myelodysplastic syndrome; sAML, secondary acute myeloid leukemia; OS, overall survival; NRM, non-relapse mortality.
‡intermediate-II or high-risk disease per the International Prognostic Scoring System.
*Data are for patients with acute myeloid leukemia and myelodysplastic syndromes combined.