Table 1 Patient characteristics of therapy-related (t-MDS) and primary (p-MDS) myelodysplastic syndromes (additional information on patient characteristics regarding participating centers and year of diagnosis and a comparison of untreated patients only is shown in Supplementary Tables 1 and 2).
Characteristics | t-MDS patients (n = 1245) | p-MDS patients (n = 4593) | p | ||
---|---|---|---|---|---|
n | % | n | % | ||
MDS treatment | |||||
Treateda | 715 | 63% | 0 | 0% | |
Untreated | 422 | 37% | 4593 | 100% | |
Total with information | 1137 | 91% | 4593 | 100% | |
Stem cell transplantation | |||||
Yes | 210 | 19% | 0 | 0% | |
No | 906 | 81% | 4593 | 100% | |
Total | 1116 | 90% | 4593 | ||
Age (years) | <0.001 | ||||
≤60 | 342 | 28% | 1053 | 23% | |
>60 to ≤70 | 395 | 32% | 1267 | 27% | |
>70 to ≤80 | 404 | 32% | 1601 | 35% | |
>80 | 104 | 8% | 672 | 15% | |
Median | 68 | 70 | |||
Total | 1245 | 100% | 4593 | 100% | |
Gender | <0.001 | ||||
Male | 680 | 55% | 2854 | 62% | |
Female | 565 | 45% | 1739 | 38% | |
Total | 1245 | 100% | 4593 | 100% | |
FAB | <0.001 | ||||
RA | 490 | 40% | 1707 | 37% | |
RARS | 110 | 9% | 839 | 18% | |
RAEB | 455 | 38% | 1217 | 27% | |
RAEB-T | 81 | 7% | 328 | 7% | |
CMML | 44 | 4% | 435 | 9% | |
Unclassified | 29 | 2% | 67 | 2% | |
Total | 1209 | 97% | 4593 | 100% | |
WHO | <0.001 | ||||
RCUD | 183 | 17% | 639 | 17% | |
RARS | 66 | 6% | 507 | 13% | |
RCMD | 335 | 31% | 1097 | 29% | |
RAEB-1 | 246 | 22% | 627 | 16% | |
RAEB-2 | 219 | 20% | 748 | 19% | |
MDS (del5q) | 13 | 1% | 143 | 4% | |
MDS-U | 29 | 3% | 90 | 2% | |
Total | 1091 | 88% | 3851 | 84% | |
IPSS-R | <0.001 | ||||
Very low | 105 | 8% | 893 | 19% | |
Low | 260 | 21% | 1644 | 36% | |
Intermediate | 225 | 18% | 882 | 19% | |
High | 275 | 22% | 628 | 14% | |
Very high | 380 | 31% | 546 | 12% | |
Total | 1245 | 100% | 4593 | 100% | |
WPSS-R | <0.001 | ||||
Very low | 83 | 8% | 822 | 22% | |
Low | 164 | 15% | 1036 | 28% | |
Intermediate | 228 | 21% | 654 | 17% | |
High | 399 | 38% | 916 | 24% | |
Very high | 188 | 18% | 325 | 9% | |
Total | 1062 | 85% | 3753 | 82% | |
Cytogenetic risk categories (IPSS-R)-cipssr | <0.001 | ||||
Very good | 24 | 2% | 150 | 3% | |
Good | 460 | 37% | 3261 | 71% | |
Intermediate | 198 | 16% | 622 | 14% | |
Poor | 184 | 15% | 197 | 4% | |
Very poor | 379 | 30% | 363 | 8% | |
Total | 1245 | 100% | 4593 | 100% | |
Number of cytogenetic aberrations | <0.001 | ||||
0 | 377 | 30% | 2753 | 73% | |
1 | 266 | 21% | 706 | 19% | |
2 | 144 | 12% | 136 | 4% | |
3 | 77 | 6% | 55 | 2% | |
4 | 50 | 4% | 28 | 1% | |
≥5 | 331 | 27% | 76 | 2% | |
Total | 1245 | 100% | 3754 | 82% | |
Primary diagnosis | |||||
Hematological | 529 | 43% | |||
Breast | 203 | 16% | |||
Prostate | 125 | 10% | |||
Other solid tumor | 342 | 28% | |||
Non-malignant disease | 43 | 3% | |||
Total | 1242 | 99,8% | |||
Years from primary diagnosis to MDS | |||||
Median (years) | 6.9 | ||||
≤2 | 130 | 11% | |||
>2 to ≤4 | 216 | 18% | |||
>4 to ≤8 | 347 | 29% | |||
>8 to ≤16 | 356 | 29% | |||
>16 | 166 | 14% | |||
Total | 1215 | 98% | |||
Therapy for primary disease | |||||
All chemotherapy | 1000 | 80% | |||
All radiation including radioiodine | 676 | 54% | |||
Radiation alone | 243 | 19% | |||
Radioactive iodine | 11 | 1% | |||
Chemotherapy alone | 568 | 45% | |||
Radiation and chemotherapy | 431 | 35% | |||
Total | 1243 | 99,8% | |||
Alkylating agents | |||||
Yes | 536 | 65% | |||
No | 292 | 35% | |||
Total | 828 | 83% | |||
Topoisomerase II inhibitors | |||||
Yes | 356 | 43% | |||
No | 472 | 57% | |||
Total | 828 | 83% | |||
Antitubulin agents | |||||
Yes | 340 | 41% | |||
No | 488 | 59% | |||
Total | 828 | 83% | |||
Antimetabolites | |||||
Yes | 313 | 43% | |||
No | 515 | 57% | |||
Total | 828 | 83% |