Baseline patient characteristics
. | n = 456 . | Patients, % . | Erythroid response (IWG 2006 criteria) . | Univariate analysis P . | Multivariate analysis P . |
---|---|---|---|---|---|
Hb, g/dL | |||||
<8 | 52 | 11 | 33 | ||
8-10 | 292 | 64 | 66 | ||
=10 | 112 | 25 | 78 | <.0001 | |
ANC | |||||
<0.8 | 42 | 9 | 55 | ||
≥0.8 | 414 | 91 | 66 | .16 | |
Platelet count* | |||||
<50 | 17 | 3 | 37 | ||
50-100 | 58 | 13 | 57 | ||
>100 | 381 | 84 | 67 | .01 | |
Marrow blasts, % | |||||
≤2 | 238 | 52 | 72 | ||
<2-<5 | 118 | 26 | 61 | ||
5-10 | 100 | 22 | 53 | .0052 | |
IPSS-R karyotype | |||||
Very good | 21 | 5 | 71 | ||
Good | 379 | 83 | 65 | ||
Intermediate | 45 | 10 | 75 | ||
Poor-very poor | 11 | 2 | 20 | .008 | |
IPSS | |||||
Low | 256 | 55 | 72 | ||
Int-1 | 210 | 45 | 52 | .001 | |
IPSS-R | |||||
Very low | 69 | 15 | 85 | ||
Low | 281 | 61 | 68 | ||
Intermediate | 87 | 19 | 48 | ||
High | 19 | 4 | 31 | <.0001 | <.0001 |
Sex | |||||
Male | 250 | 55 | 62 | ||
Female | 206 | 45 | 68 | .14 | |
Age, years | |||||
≤60 | 29 | 6 | 55 | ||
>60 | 427 | 94 | 66 | .23 | |
EPO, mU/mL | |||||
≤100 | 306 | 67 | 75 | ||
>100 | 150 | 33 | 45 | <.0002 | |
≤200 | 393 | 86 | 75 | ||
>200 | 63 | 13 | 31 | <.0001 | <.0001 |
Serum ferritin, ng/mL | |||||
≤350 | 224 | 49 | 72 | ||
>350 | 232 | 51 | 58 | .001 | .002 |
Previous RBC transfusions | |||||
No | 323 | 71 | 73 | ||
Yes | 133 | 29 | 55 | .0005 | |
WHO classification | |||||
RA | 110 | 24 | 73 | ||
RAEB-1 | 69 | 15 | 50 | ||
RARS | 114 | 25 | 70 | ||
RARS-T | 2 | 0.3 | 100 | ||
RCMD | 124 | 27 | 62 | ||
MDS WITH DEL 5q | 21 | 5 | 62 | ||
MDS-U | 16 | 4 | 55 | .03 | .71 |
. | n = 456 . | Patients, % . | Erythroid response (IWG 2006 criteria) . | Univariate analysis P . | Multivariate analysis P . |
---|---|---|---|---|---|
Hb, g/dL | |||||
<8 | 52 | 11 | 33 | ||
8-10 | 292 | 64 | 66 | ||
=10 | 112 | 25 | 78 | <.0001 | |
ANC | |||||
<0.8 | 42 | 9 | 55 | ||
≥0.8 | 414 | 91 | 66 | .16 | |
Platelet count* | |||||
<50 | 17 | 3 | 37 | ||
50-100 | 58 | 13 | 57 | ||
>100 | 381 | 84 | 67 | .01 | |
Marrow blasts, % | |||||
≤2 | 238 | 52 | 72 | ||
<2-<5 | 118 | 26 | 61 | ||
5-10 | 100 | 22 | 53 | .0052 | |
IPSS-R karyotype | |||||
Very good | 21 | 5 | 71 | ||
Good | 379 | 83 | 65 | ||
Intermediate | 45 | 10 | 75 | ||
Poor-very poor | 11 | 2 | 20 | .008 | |
IPSS | |||||
Low | 256 | 55 | 72 | ||
Int-1 | 210 | 45 | 52 | .001 | |
IPSS-R | |||||
Very low | 69 | 15 | 85 | ||
Low | 281 | 61 | 68 | ||
Intermediate | 87 | 19 | 48 | ||
High | 19 | 4 | 31 | <.0001 | <.0001 |
Sex | |||||
Male | 250 | 55 | 62 | ||
Female | 206 | 45 | 68 | .14 | |
Age, years | |||||
≤60 | 29 | 6 | 55 | ||
>60 | 427 | 94 | 66 | .23 | |
EPO, mU/mL | |||||
≤100 | 306 | 67 | 75 | ||
>100 | 150 | 33 | 45 | <.0002 | |
≤200 | 393 | 86 | 75 | ||
>200 | 63 | 13 | 31 | <.0001 | <.0001 |
Serum ferritin, ng/mL | |||||
≤350 | 224 | 49 | 72 | ||
>350 | 232 | 51 | 58 | .001 | .002 |
Previous RBC transfusions | |||||
No | 323 | 71 | 73 | ||
Yes | 133 | 29 | 55 | .0005 | |
WHO classification | |||||
RA | 110 | 24 | 73 | ||
RAEB-1 | 69 | 15 | 50 | ||
RARS | 114 | 25 | 70 | ||
RARS-T | 2 | 0.3 | 100 | ||
RCMD | 124 | 27 | 62 | ||
MDS WITH DEL 5q | 21 | 5 | 62 | ||
MDS-U | 16 | 4 | 55 | .03 | .71 |
ANC, absolute neutrophil count; IWG, International Working Group; MDS-U, MDS-unclassified; MDS WITH DEL, MDS associated with isolated del (5q); RA, refractory anemia; RAEB-1, refractory anemia with excess blasts-1; RARS, refractory anemia with ring sideroblasts; RARS-T, refractory anemia with ring sideroblasts associated with marked thrombocytosis; RCMD, refractory cytopenia with multilineage dysplasia; WHO, World Health Organization.
Univariate and multivariate analyses for response (IWG 2006 criteria). The variables with significant prognostic value in univariate analysis were integrated in the multivariate analysis, excepting Hb, platelet count, IPSS-R karyotype, and % of blasts, because IPSS-R integrates already those variables. For EPO level, the 200 mUI/mL threshold was chosen because it was the most significant in univariate analysis. Previous transfusions were not integrated in the model because they “duplicate” the Hb variable.
109/L.