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December 8, 2025Blood

The cachexia hematologic severity score (CHeSS): Use of a laboratory-based tool to predict survival and mutation-associated wasting in Acute Myeloid Leukemia and myelodysplastic syndrome

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Authors

ARAnisha RajavelSRSushmitha Nanja ReddyDPDakshin Padmanabhan

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Overview

Prediction of cachexia severity and survival outcomes in Acute Myeloid Leukemia and myelodysplastic syndrome patients suggests a need for early intervention.

Key Points

  • To develop a laboratory-based tool for diagnosing cachexia and predicting survival in patients with Acute Myeloid Leukemia and myelodysplastic syndrome.
  • Retrospective analysis of 203 adult patients with MDS, pAML, and sAML at Karmanos Cancer Institute
  • Assessment of laboratory markers: total protein, albumin, creatine, weight, and BMI
  • Development of Cachexia Hematologic Severity Score using defined scales
  • 51% had MDS, 49% had AML with survival rates linked to cachexia severity
  • Median overall survival was significantly lower in cachectic patients (13 months) compared to non-cachectic (102 months)
  • Statistically significant mutation associations with cachexia severity noted with mutations like TP53 and ASXL1.

Cite This Study

Rajavel et al. (2025) studied this question.

synapsesocial.com/papers/69362f6e4fa91c937236e0a9https://doi.org/10.1182/blood-2025-1735
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