Table 2

Univariate and multivariable overall and leukemia-free survival analysis for 200 patients with myelodysplastic syndrome and having < 5% blasts and ≥ 1% ring sideroblasts

VariableOverall survival
Leukemia-free survival
Univariate analysis PMultivariable analysis PUnivariate analysis PMultivariable analysis P
Age .41  .47  
Sex .32  .59  
WHO histologic category < .0001 .02 (RARS) .02 .02 (RARS) 
Hemoglobin level .0004 NS .43  
White blood cell count .69  .20  
Absolute neutrophil count .52  .52  
Platelet count .0007 NS .0035 NS 
Peripheral blood blast, % .01 NS .0019 NS 
Bone marrow blast, % .06 NS .56  
Bone marrow cellularity, % .94  .70  
Bone marrow rings, %* .30  .12  
IDH2 mutational status .34  .36  
IPSS risk category < .0001 NS < .0001 NS 
IPSS-R risk category < .0001 < .0001 < .0001 .02 (Good & Very Good categories) 
IPSS-R karyotype category < .0001 NS < .0001 .01 
Red cell transfusion need at diagnosis .0053 NS .93  
VariableOverall survival
Leukemia-free survival
Univariate analysis PMultivariable analysis PUnivariate analysis PMultivariable analysis P
Age .41  .47  
Sex .32  .59  
WHO histologic category < .0001 .02 (RARS) .02 .02 (RARS) 
Hemoglobin level .0004 NS .43  
White blood cell count .69  .20  
Absolute neutrophil count .52  .52  
Platelet count .0007 NS .0035 NS 
Peripheral blood blast, % .01 NS .0019 NS 
Bone marrow blast, % .06 NS .56  
Bone marrow cellularity, % .94  .70  
Bone marrow rings, %* .30  .12  
IDH2 mutational status .34  .36  
IPSS risk category < .0001 NS < .0001 NS 
IPSS-R risk category < .0001 < .0001 < .0001 .02 (Good & Very Good categories) 
IPSS-R karyotype category < .0001 NS < .0001 .01 
Red cell transfusion need at diagnosis .0053 NS .93  

WHO indicates World Health Organization; RARS, refractory anemia with ring sideroblasts; IPSS, International Prognostic Scoring System; IPSS-R, IPSS-revised; IDH2, isocitrate dehydrogenase 2; and NS, not statistically significant.

*

For the purposes of this analysis the bone marrow ring sideroblast percentage was used as both a continuous and a categorical variable (ie, < 5%, 5%-14%, 15%-50%, > 50%).

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