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-   -   How is IPSS score determined ?? (http://forums.marrowforums.org/showthread.php?t=2757)

annmonster Sat Mar 10, 2012 07:23 PM

How is IPSS score determined ??
 
I don't know my IPSS score yet, although I have been told that I am "low risk" MDS.

What are the factors that determine this scoring system ?? I know that one of them is the blast percentage ....

Thanks for any help .....

Ann

Greg H Sat Mar 10, 2012 08:50 PM

Hey Ann!

There's a good description on this page:

http://www.marrowforums.org/mds.html

And a handy tool to help you calculate your own here:

http://www.marrowforums.org/tools/mds_classification.html


The IPSS has four categories: Low Risk, Intermediate -1, Intermediate-2, and High Risk. The first two are considered "lower risk;" the others "higher risk."

Take Care!

Greg

annmonster Sat Mar 10, 2012 11:16 PM

Thanks, Greg !!!

As always, you are super-helpful .... and a great resource for information !!!!

Ann

Chirley Sun Mar 11, 2012 12:44 AM

I used the calculation tool and came up with an IPPS of 1.5 as Intermediate 2 but then I don't have MDS!! I have Cu deficiency.

BMB shows dysplasia in reds and whites, blood has 2 sometimes 3 cytopenias and ringed sideroblasts of 78%, blasts of 7% with one other chromosomal abnormality (del 15 q). add them together you get the 1.5


It makes you realize why it's so hard for doctors to diagnose hematological disorders.

Regards

Greg H Sun Mar 11, 2012 04:00 PM

Hey Ann!

If you have any trouble figuring out your number, guide a shout and I'll try to help.

There are a couple of newly-published revisions to the standard IPSS, plus a couple of other scoring systems, including a very promising one from MD Anderson that has been validated in a separate population at the Cleveland Clinic.

If you are interested in those, let me know and I'll point you towards them.

Take Care!

Greg


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