Table 1 Scores discussed in this review.

From: Prognostic scoring systems in chronic myeloid leukaemia

Score

Formula

Risk definition

Distributiona

Reference

Sokal [16]

exp(0.0116 x (age –43.4) + 0.0345 x (spleen – 7.51) + 0.1880 x [(platelet count/700)²−0.563] + 0.0887 x (blasts – 2.10))

Low risk <0.8

Intermediate risk: 0.8−1.2

High risk: >1.2

Low risk: n = 114, 32% Intermediate risk: n = 145, 40%

High risk: n = 102, 28%

PMID: 6584184

Euro [17]

(0.6666 [if age ≥50] + 0.0420 x spleen + 0.0584 x blasts + 0.0413 x eosinophils + 0.2039 [if basophils ≥ 3] + 1.0956 [if platelet count ≥1500 ×109/L]) x 1000

Low risk ≤780

Intermediate risk: >780–1480

High risk: >1480

Low risk: n = 369, 41% Intermediate risk: n = 406, 45%

High risk: n = 133, 15%

PMID: 9625174

EUTOS [19]

basophils x 7 + spleen x 4

Low risk: ≤87

High risk: >87

Low risk: n = 836, 90%

High risk: n = 90, 10%

PMID: 21536864

ELTS [24]

0.0025 x (age/10)³ + 0.0615 x spleen + 0.1052 x blasts + 0.4104 x (platelet count/1000)−0.5

Low risk ≤1.5680

Intermediate risk: >1.5680–2.2185

High risk: >2.2185

Low risk: n = 1349, 61% Intermediate risk: n = 596, 27%

High risk: n = 260, 12%

PMID: 26416462

IMTF [33]

1 [if ELTS = intermediate risk] + 2 [if ELTS = high risk] + 1 [if WBC ≥ 120 ×109/L] + 1 [if Haemoglobin < 115 g/L] + 1 [if basophils ≥ 12%]

Very low risk: 0

Low risk: 1

Intermediate risk: 2

High risk: 3

Very high risk: ≥4

Very low risk n = 315, 35%

Low risk: n = 180, 20%

Intermediate risk: n = 192, 21%

High risk: n = 147, 16%

Very high risk: n = 74, 8%

PMID: 35194158

MMRscore [36]

−0.3814 [if sex = female] – 0.1683 x (WBC/100) + 0.7201 x (haemoglobin/100) – 0.0861 x (blasts + 1) – 0.3775 x [(spleen + 0.1) /10]

Low risk ≥0.3007

Intermediate risk: ≥ −0.8505–<0.3007

High risk: ≤ −0.8505

Low risk: n = 344, 40% Intermediate risk: n = 390, 46%

High risk: n = 119, 14%

PMID: 35650426

MR4score [36]

−0.2834 [if sex = female] – 0.3181 x (WBC/100) + 0.6322 x (haemoglobin/100) – 0.0647 x (blasts + 1) – 0.4171 x [(spleen + 0.1) /10]

Low risk ≥0.4911

Intermediate risk: −0.8413–<0.4911

High risk: <−0.8413

Low risk: n = 148, 17% Intermediate risk: n = 506, 59%

High risk: n = 198, 24%

PMID: 35650426

Treatment failure TKI (Zhang) [38]

0.1919 [if sex = male] + 1.6160 × (age/100) + 0.3105 × (haemoglobin concentration/100)−2 + 0.1087 ×

blasts + 0.0671 × spleen +

0.5461 [if high-risk ACA in Ph+ cells]

Low risk ≤1.3115

Intermediate risk: >1.3115–2.4266

High risk: >2.4266

Low risk:

n = 716, 41%

Intermediate risk: n = 812, 46%

High risk (n = 234, 13%)

PMID: 39046786

  1. EUTOS European Treatment and Outcome Study, ELTS EUTOS Long-Term Survival, IMTF Imatinib Treatment Failure, TKI Tyrosine Kinase Inhibitor, WBC White Blood Cell Count, ACA Additional Chromosomal Abnormalities, Ph+ Philadelphia-positive.
  2. aThe distribution refers to the training set of the original publication.