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).

From: Therapy-related myelodysplastic syndromes deserve specific diagnostic sub-classification and risk-stratification—an approach to classification of patients with t-MDS

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%

   
  1. aHMAs, chemotherapy, and/or allogeneic HSC transplant.