Comprehensive prognostic scoring systems could improve the prognosis of adult acute myeloid leukemia patients

Comprehensive prognostic scoring systems could improve the prognosis of adult acute myeloid leukemia patients
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综合预后评分系统可以改善成人急性髓系白血病患者的预后

DOI:
10.1007/s12185-019-02721-y
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发表时间:
2019-08
影响因子:
2.1
通讯作者:
Mei Heng
Mei Heng
中科院分区:
医学4区
文献类型:
--
作者:
Zhou Fan;Zhou Fen;Du Mengyi;Liu Lin;Guo Tao;Xia Linghui;Jin Runming;Hu Yu;Mei Heng

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Acute myeloid leukemia (AML) is a heterogeneous malignancy characterized by a dismal outcome. To enable better outcomes, it is necessary to develop individual therapies based on risk stratification. In the present study, we established two new comprehensive prognostic scoring systems (CPSS) for overall survival (OS) and relapse-free survival (RFS) using the Cox proportional hazards regression, CPSS integrated and weighted age, AML type, lactic dehydrogenase (LDH), ECOG score, cytogenetics, and gene mutations. We divided patients into three risk groups—low-, intermediate-, and high-risk—with 1-year OS rates of 100.0%, 82.9%, and 38.2%, respectively (p< 0.0001), and patients undergoing complete remission (CR) were also separated into low-risk, intermediate-risk, and high-risk groups, with 1-year RFS rates of 87.7%, 58.4%, and 30.2%, respectively (p< 0.0001). We conclude that CPSS that integrate clinical characteristics, cytogenetic abnormalities, and gene mutations may improve the stratification of AML patients.
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