Table 1.

Comparison of existing prognostication models in MDS

ModelVariablesC indexReference
International Prognostic Scoring System (IPSS) Karyotype
BM blasts %
Number of cytopenias 
0.65 2  
Revised International Prognostic Scoring System (IPSS-R) Karyotype
BM blasts %
Degree of cytopenias 
0.67 3  
MD Anderson Cancer Center (MDACC)55  Karyotype
BM blasts %
Degree of cytopenias
Age
Performance status
Prior transfusion 
0.65 49  
World Health Organization-based Prognostic Scoring System (WPSS)56  Karyotype
WHO category
Transfusion requirement 
0.65 50  
Genoclinical model according to Haferlach et al Gender
Age
Degree of cytopenias (PLT, Hb)
BM blasts %
Karyotype
ASXL1, CBL, ETV6, EZH2, KRAS, LAMB4, NCOR2, NF1, NPM1, NRAS, PRPF8, RUNX1, TET2, TP53 
NA 8  
Genoclinical model according to Nazha et al10  Karyotype
BM blasts %
Degree of cytopenias
Age
WHO category
Disease ontogeny (secondary vs de novo)
TP53, EZH2, and SF3B1 
0.71 10  
Genoclinical model according to Bersanelli et al15  63 clinical and molecular variables 0.75 14  
ModelVariablesC indexReference
International Prognostic Scoring System (IPSS) Karyotype
BM blasts %
Number of cytopenias 
0.65 2  
Revised International Prognostic Scoring System (IPSS-R) Karyotype
BM blasts %
Degree of cytopenias 
0.67 3  
MD Anderson Cancer Center (MDACC)55  Karyotype
BM blasts %
Degree of cytopenias
Age
Performance status
Prior transfusion 
0.65 49  
World Health Organization-based Prognostic Scoring System (WPSS)56  Karyotype
WHO category
Transfusion requirement 
0.65 50  
Genoclinical model according to Haferlach et al Gender
Age
Degree of cytopenias (PLT, Hb)
BM blasts %
Karyotype
ASXL1, CBL, ETV6, EZH2, KRAS, LAMB4, NCOR2, NF1, NPM1, NRAS, PRPF8, RUNX1, TET2, TP53 
NA 8  
Genoclinical model according to Nazha et al10  Karyotype
BM blasts %
Degree of cytopenias
Age
WHO category
Disease ontogeny (secondary vs de novo)
TP53, EZH2, and SF3B1 
0.71 10  
Genoclinical model according to Bersanelli et al15  63 clinical and molecular variables 0.75 14  

PLT, platelets; NA, not available.

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