Table 1.

International MDS risk stratification systems

FeaturesIPSS23 WPSS25 IPSS-R45 CCF/ MLL62 EuroMDS65 IPSS-M68 
Patients (n) 816 426 7012 1471 2043 2701 
Hemoglobin + + + + + + 
Platelets + + + + + + 
Absolute neutrophil count + + +    
Transfusion dependence  +     
BM blast percentage/morphology + + + + + + 
Time dependent  +     
Cytogenetics + + + + + + 
Categories/abnormalities 3/9 3/9 5/17 5/17 5/17 5/17 
Gene mutations (n)    + (24) + (63) + (31) 
Survival, (y, median)       
Risk categories Low, 5.7 Very low, 8.5 Very low, 8.8 0, 5.9 0, 6.5 Very low, 10.6 
 Int 1, 3.5 Low, 6 Low, 5.3 1-2, 4.9 1-2, 6.4 Low, 6.0 
 Int 2, 1.1 Int, 3.3 Int, 3.0 3-4, 3.0 3-4, 4.0 Mod low, 4.6 
 High, 0.4 High, 1.8 High, 1.6 ≥5, 1.7 5-6, 2.1 Mod high, 2.8 
  Very high, 1.0 Very high, 0.8  ≥7, 1.6 High, 1.7 
      Very high, 1.0 
FeaturesIPSS23 WPSS25 IPSS-R45 CCF/ MLL62 EuroMDS65 IPSS-M68 
Patients (n) 816 426 7012 1471 2043 2701 
Hemoglobin + + + + + + 
Platelets + + + + + + 
Absolute neutrophil count + + +    
Transfusion dependence  +     
BM blast percentage/morphology + + + + + + 
Time dependent  +     
Cytogenetics + + + + + + 
Categories/abnormalities 3/9 3/9 5/17 5/17 5/17 5/17 
Gene mutations (n)    + (24) + (63) + (31) 
Survival, (y, median)       
Risk categories Low, 5.7 Very low, 8.5 Very low, 8.8 0, 5.9 0, 6.5 Very low, 10.6 
 Int 1, 3.5 Low, 6 Low, 5.3 1-2, 4.9 1-2, 6.4 Low, 6.0 
 Int 2, 1.1 Int, 3.3 Int, 3.0 3-4, 3.0 3-4, 4.0 Mod low, 4.6 
 High, 0.4 High, 1.8 High, 1.6 ≥5, 1.7 5-6, 2.1 Mod high, 2.8 
  Very high, 1.0 Very high, 0.8  ≥7, 1.6 High, 1.7 
      Very high, 1.0 

CCF, Cleveland Clinic Foundation; int1, intermediate 1; int2, intermediate 2; MLL, Munich Leukemia Laboratory; mod, moderate.

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