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Table 3 Multivariate analysis (Cox regression) for the overall survival and time to leukemia transformation in MDS patients

From: Dynamics of DNMT3A mutation and prognostic relevance in patients with primary myelodysplastic syndrome

 

Overall survival

Time to leukemia transformation

Variable

HR (95% CI)

P value*

HR (95% CI)

P value*

FAB-defined MDS patients

 Age > 65

1.512 (1.134–2.016)

0.005

0.656 (0.417–1.031)

0.067

 Male vs female

1.104 (0.818–1.491)

0.517

0.967 (0.615–1.521)

0.886

 IPSS-R higher risk#

3.239 (2.199–4.772)

< 0.001

5.258 (2.639–10.477)

< 0.001

 DNMT3A mutation

1.733 (1.118–2.688)

0.014

3.088 (1.574–6.056)

0.001

 ASXL1 mutation

2.010 (1.434–2.818)

< 0.001

3.396 (2.075–5.556)

< 0.001

 EZH2 mutation

1.019 (0.597–1.741)

0.945

0.885 (0.416–1.880)

0.750

 TET2 mutation

1.416 (0.974–2.059)

0.068

1.398 (0.739–2.644)

0.303

 RUNX1 mutation

1.134 (0.773–1.663)

0.519

1.751 (1.026–2.987)

0.040

 SF3B1 mutation

1.071 (0.679–1.691)

0.767

1.392 (0.699–2.771)

0.347

 TP53 mutation

8.254 (5.338–12.762)

< 0.001

6.653 (3.183–13.909)

< 0.001

2016 WHO-defined MDS patients

 Age > 65

1.649 (1.173–2.319)

0.004

0.731 (0.444–1.203)

0.217

 Male vs female

1.184 (0.822–1.705)

0.364

0.988 (0.596–1.637)

0.963

 IPSS-R higher risk#

3.840 (2.432–6.063)

< 0.001

5.078 (2.390–10.787)

< 0.001

 DNMT3A mutation

1.800 (1.080–3.000)

0.024

2.360 (1.129–4.933)

0.022

 ASXL1 mutation

1.830 (1.208–2.774)

0.004

3.596 (2.092–6.182)

< 0.001

 EZH2 mutation

1.196 (0.536–2.668)

0.662

0.927 (0.299–2.875)

0.896

 TET2 mutation

1.367 (0.841–2.223)

0.208

1.420 (0.643–3.139)

0.386

 RUNX1 mutation

1.165 (0.723–1.876)

0.531

1.426 (0.753–2.702)

0.276

 SF3B1 mutation

1.251 (0.743–2.153)

0.387

1.423 (0.613–3.305)

0.412

 TP53 mutation

8.517 (5.005–14.492)

< 0.001

8.885 (4.077–19.365)

< 0.001

  1. Abbreviation: HR, hazard ratio; CI, confidence interval; IPSS-R, Revised international prognostic scoring system
  2. *P value < 0.05 was considered significant
  3. #IPSS-R higher risk: patients with intermediate, high, and very high risk versus others