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January 25, 2026Acta Haematologica

IPSS, IPSS-R and IPSS-M had no identical prognostic power depending on treatment in myelodysplastic syndromes

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Authors

GAGhada AbichouUniversité Côte d'AzurMLMichael LoschiInsermRSRinzine SammutCentre Hospitalier Universitaire de Nice

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Implication

Retrospective analysis compares prognostic scores in myelodysplastic syndromes, indicating limitations in treatment predictions.

Key Points

  • This analysis aims to compare the prognostic value of IPSS, IPSS-R, and IPSS-M in predicting outcomes for patients with myelodysplastic syndromes based on treatment.
  • Conducted a retrospective analysis of 394 MDS patients.
  • Calculated IPSS, IPSS-R, and IPSS-M scores at diagnosis.
  • Used Sankey diagrams for visual comparison of risk stratification across scoring systems.
  • IPSS-M reclassified 41.9% of patients, with 20.2% upstaged and 21.7% downstaged.
  • All scoring systems showed significant overall survival stratification (p<0.001).
  • IPSS failed to predict overall survival in azacitidine-treated patients, and none predicted for ESA-treated patients.

Cite This Study

Abichou et al. (2026) studied this question.

synapsesocial.com/papers/6975b1eafeba4585c2d6d67ahttps://doi.org/10.1159/000549858
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Real-World Validation of Molecular International Prognostic Scoring System for Myelodysplastic Syndromes2023 · 121 citations
  2. 2A Systematic Literature Review of Predictors of Erythropoiesis-Stimulating Agent Failure in Lower-Risk Myelodysplastic Syndromes2024 · 5 citations
  3. 3Kinome expression profiling improves risk stratification and therapeutic targeting in myelodysplastic syndromes2024 · 10 citations
  4. 4Prediction of Response to Erythropoiesis Stimulating Agents in Low-Risk Myelodysplastic Syndromes2021 · 3 citations