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Table 4 Comparison of clinical features and cytogenetic abnormalities in primary MDS in the West, S.E. Asia & Tunisia

From: Higher prevalence of poor prognostic markers at a younger age in adult patients with myelodysplastic syndrome – evaluation of a large cohort in India

Authors

This study

Schanz [15]

Haase [14]

Pozdnyakova [17]

Solé [16]

Berggren [18]

Miyazaki [19]

Wang [20]

Yan [21]

Li [33]

Qu [22]

Jung [23]

Gmidène [25]

Country

India

Germany & Austria

USA

Spain

Sweden

EU & USA

Japan

China

China

China

China

Korea

Tunisia

Year

2023

2012

2007-08

2009

2005

2018

2018

2018

2021

2021

2009

2012

2008

2008

Patients, n

988

2902

2124

1029

968

1329

5838

300

655

634

351

532

231

224

Age, median (range)

53

(18–86)

70

(16–96)

65.7

(0.1–96)

67

(19–92)

70

(1–94)

75

(17–96)

71

(40–106)

65.5

(40–90)

51

(6–86)

57

(18–86)

45

(16–79)

48

(16–81)

51

(18–84)

60

(1–90)

M: F ratio

1.8:1

1.4:1

1.8:1

1.9:1

1.3:1

1.8:1

1.6:1

1.5:1

1.1:1

1.4:1

2.1:1

2:1

2:1

1.4:1

No. of KTs

936

2801a

2072b,^

1029

968c

995d

4844e.*

261e,*

665

634

351

532

231

224

Normal KT(%)

45

55.1

47.7

55.5

53

49

62.7

65.5

55.2

61.4

32.5

35

49.8

47.2

Clonal abn (%)

55

44.9

52.3^

44.5

47

51

37.3

34.5

44.8

38.6

67.5

65

50.2

52.8

Frequencies of individual abnormalities, %

Der(1;7)

0.9

0.3

0.6

0.3

1.9

1.9

Inv/t/del 3q

0.96

0.4

2

0.3

0.1

0.4

0.8

0.8

0.8

1.9

0.9

0.4

5q−

14.5

6.4

15.1

5.9

5.7

4

8.6

1.9

3.2

10.6**

5.1**

5.8

78

13

−7/ 7q−

13.1/3

1.6/0.5

11.1

0.8/0.9

3/1.4

2

2.7/1.5

1.1/2.7

4.1

7.7

8.8

9

6.9

8

+ 8

11.5

4.7

 

3.7

5.8

5

5.8

3.8

11.3

12

19.1

20

17.3

3

11q−

2

0.7

1.1

0.5

0.4

1.2

1.1

1.2

2.7^^

2.6

1.9

0.9

12p−

1.6

0.6

1.2

0.3

0.3

1.3

1.1

2.1

1.4

1.9

2.6

4

−13 / 13q−

1.8/1.2

0.3

1.9

0.8

0.8

2.8

2.6

2

i(17)q

0.9

0.4

2.6 with iso 17q

0.2

1

0.2

0.3

0.8

3.8

3.2

1

−17/ 17p−

3/0.5

0.2

0.5

0.6

1.1

2.6

2.6

−18

3

3.8^^^

2.5

2.8

3.2

+ 19

1.6

0.4

0.4

0.2

0.5

0

0.5

2.8

0.4

20q−

5.1

1.7

3.6

2.7

1.3

2

2.8

6.9

5.7

6.3

9.4 #

7.8

6.5

3

+ 21

3.3

2.2

0.9

1.2

2.6

2.6

3.5

0.4

−Y

2.6

2.2

2.8

2

1.8

5

3.4

1.1

2.3

2.2

2.3

2.6

2.6

0.4

No. of abnormalities in each karyotype, %

Single abn

29.8

28.7

29

26.9

35.9

36.5

54.8

38

Two abn

7.5

6.2

9

  

 

22.8

11

IncC***

2.7

0.9

All CK****

15

9.1

14

17.6

11

8.3

22.4

16

15

8

CK,3 abn

3.8

2.1

3

4

CK, > 3 abn

11.2

7

11

12

Cytogenetic score (prognosis) categories, %

      

n = 973

n = 5838

n = 300

   

n = 532

  

Very good

2

2.9

6

3.6

1

1.8

2

Good

55.6**^

65.7

56

72.2

71.3

61.2

43

Intermediate

16.2

19.2

15

13.3

17

25

36

Poor

15

5.4

8

4.1

4.3

7.6

7

Very poor

11.2

6.8

15

6.9

6.3

4.4

12

 

n = 842*^^

    

n = 973

n = 5838

n = 300

      

Very low

3.9

13

19.5

10

Low

30.9

34

37.7

31.7

Intermediate

24.2

20

19.2

32

High

21

16

13.1

13.3

Very high

20

17

10.5

13

  1. a, includes 687(23%) chronic myelomonocytic leukemia (CMML) and oligoblastic AML; b, includes 143 secondary MDS, & 709 (33%) CMML, RAEB-t and MDS-AL; c, includes 275(28%) CMML and RAEB-t; d, includes 183 t-MDS; e, only those ≥ 40 years; KTs, karyotypes; abn, abnormalities; der, derivative; inv, inversion; −, minus or loss or monosomy; del, deletion; t, translocation; +, plus or trisomy; i, isochromosome; ^, 1931 primary MDS only, with clonal abnormalities in 986 (51.1%); *, numbers used to determine frequency of abnormalities; **, includes monosomy 5; ^^, includes monosomy 11; ^^^, includes del 18q; #, includes monosomy 20; ***, IncC, independent non-complex clones; ****, CK, complex karyotypes; **^, comprises 10.6% abnormal and 45% normal karyotypes; *^^, ≥ 40 years, n = 696, used for comparison with Miyazaki et al [19]