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Table 2 Clinical, laboratory and genetic characteristics of younger (< 60 years) and older (≥ 60 years) MDS patients

From: IPSS-M has greater survival predictive accuracy compared with IPSS-R in persons ≥ 60 years with myelodysplastic syndromes

Characteristic

Total (n = 852)

Age < 60 years (n = 540)

Age ≥ 60 years (n = 312)

P-value

Age (years)*

56 (44–64)

48 (37–55)

61 (63–70)

 

Sex n (%)

   

 < 0.0001

 Male

550 (64.6)

325 (60.2)

225 (72.1)

 

 Female

302 (35.4)

215 (39.8)

87 (27.9)

 

BM blasts (%)*

2.5 (17)

2 (0.5–6)

4.5 (1–8)

 < 0.0001

(Missing)

1

1

0

 

Hemoglobin (g/L)*

79 (66–95)

78 (65–96)

79 (66–95)

0.703

(Missing)

0

0

0

 

Platelets (× 109/L)*

60 (31–119)

59 (29–121)

63 (35–117)

0.260

(Missing)

0

0

0

 

ANC (× 109/L)*

1. (0.7–2)

1.1 (0.7–2)

1.1 (1.6–2)

0.930

(Missing)

0

0

0

 

IPSS-R karyotype

   

 < 0.0001

 Very good

10 (1.2)

4 (0.7)

6 (1.9)

 

 Good

427 (50.1)

261 (48.3)

166 (53.2)

 

 Intermediate

186 (21.8)

138 (25.6)

48 (15.4)

 

 Poor

42 (4.9)

32 (5.9)

10 (3.2)

 

 Very poor

95 (11.2)

50 (9.3)

45 (14.4)

 

 (Missing)

92

55

37

 

IPSS-R category

   

0.332

 Very low

28 (3.3)

19 (3.5)

9 (2.9)

 

 Low

185 (21.7)

118 (21.9)

67 (21.5)

 

 Intermediate

241 (28.3)

165 (30.6)

76 (24.4)

 

 High

175 (20.5)

105 (19.4)

70 (22.4)

 

 Very high

131 (15.4)

78 (14.4)

53 (17.0)

 

 (Missing)

92

55

37

 

IPSS-M category

   

0.027

 Very low

21 (2.5)

16 (3.0)

5 (1.6)

 

 Low

138 (16.2)

92 (17.0)

46 (14.7)

 

 Moderate low

125 (14.7)

81 (15.0)

44 (14.1)

 

 Moderate high

113 (13.3)

82 (15.2)

31 (9.9)

 

 High

170 (20.0)

108 (20.0)

62 (19.9)

 

 Very high

192(22.5)

106(19.4)

87(27.9)

 

 (Missing)

93

55

37

 

WHO 2016 subtypes

   

 < 0.0001

 MDS-SLD/MLD

414 (48.6)

295 (54.6)

119 (38.1)

 

 MDS-RS-SLD/MLD

46 (5.4)

24 (4.4)

22 (7.0)

 

 MDS-EB1/2

359 (42.1)

195 (36.1)

164 (52.5)

 

 5q- syndrome

12 (1.4)

8 (1.5)

4 (1.3)

 

 Unclassified MDS

21 (2.5)

18 (3.3)

3 (1.0)

 

 (Missing)

0

0

0

 

Mutations

    

 U2AF1

189 (22.2)

141 (26.1)

48 (15.4)

 < 0.0001

 ASXL1

157 (18.4)

90 (16.7)

67 (21.5)

0.081

 RUNX1

101 (11.9)

51 (9.4)

50 (16.0)

0.004

 SF3B1

92 (10.8)

51 (9.4)

41 (13.1)

0.094

 TP53

85 (10.0)

41 (7.6)

44 (14.1)

0.002

 DNMT3A

70 (8.2)

36 (6.7)

34 (10.9)

0.030

 TET2

69 (8.1)

32 (5.9)

37 (11.9)

0.002

 TP53multihit

53 (6.2)

27 (5.0)

26 (8.3)

0.052

 SRSF2

51 (6.0)

16 (3.0)

35 (11.2)

 < 0.0001

 BCOR

47 (5.5)

28 (5.2)

19 (6.1)

0.577

 NRAS

42 (4.9)

26 (4.8)

16 (5.1)

0.839

 SETBP1

39 (4.6)

25 (4.6)

14 (4.5)

0.924

 EZH2

32 (3.8)

14 (2.6)

18 (5.8)

0.019

 STAG2

32 (3.8)

10 (1.9)

22 (7.1)

 < 0.0001

 NPM1

30 (3.5)

24 (4.4)

6 (1.9)

0.054

 PTPN11

24 (2.8)

13 (2.4)

11 (3.5)

0.342

 PHF6

22 (2.6)

14 (2.6)

8 (2.6)

0.980

 KMT2D

21 (2.5)

13 (2.4)

8 (2.6)

0.885

 ZRSR2

20(2.3)

11(2.0)

9 (2.9)

0.432

 DDX41

20(2.3)

5(0.9)

15 (4.8)

 < 0.0001

 IDH2

18(2.1)

10(1.9)

8 (2.6)

0.486

 KRAS

18(2.1)

12(2.2)

6 (1.9)

0.770

 GATA2

18(2.1)

13(2.4)

5 (1.6)

0.431

 WT1

17(2.0)

14(2.6)

3 (1.0)

0.101

 JAK2

16(1.9)

9(1.7)

7 (2.2)

0.550

 ETV6

15(1.8)

11(2.0)

4 (1.3)

0.420

 CEBPA

13 (1.5)

7 (1.3)

6 (1.9)

0.472

 FLT3 ITD/TKD

14 (1.6)

8 (1.5)

6 (1.9)

0.625

 CBL

12 (1.4)

7 (1.3)

5 (1.6)

0.715

 MPL

12 (1.4)

10 (1.9)

2 (0.6)

0.148

 BCORL1

10 (1.2)

6 (1.1)

4 (1.3)

0.823

 FAT1

10 (1.2)

7 (1.3)

3 (1.0)

0.660

 CUX1

10 (1.2)

9 (1.7)

1 (0.3)

0.079

  1. MDS myelodysplastic syndrome; ANC absolute neutrophil count; BM bone marrow; WHO World Health Organization (2016 classification); SLD single-lineage dysplasia; MLD multilineage dysplasia RS: ring sideroblasts; EB excess blasts; IPSS-R International Prognostic Scoring System-Revised; IPSS-M International Prognostic Scoring System-Molecular
  2. P value: < 60 years vs. ≥ 60 years MDS patients
  3. *Median (inter-quartile ranges)