MDS classification is improving in an era of the WHO 2016 criteria of MDS: A population-based analysis among 9159 MDS patients diagnosed in the Netherlands

Avinash G. Dinmohamed, Otto Visser, Eduardus F.M. Posthuma, Peter C. Huijgens, Pieter Sonneveld, Arjan A. van de Loosdrecht, Mojca Jongen-Lavrencic

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Background Morphologic and cytogenetic assessments are required to characterize diagnostic and prognostic features of myelodysplastic syndromes (MDS). We assessed whether these assessments were performed among newly diagnosed MDS patients in the Netherlands. Methods MDS cases were retrieved from the nationwide Netherlands Cancer Registry (N = 9159; period 2001–2014) and the regional PHAROS MDS registry (N = 676; period 2008–2011). Results The proportion of unclassified MDS decreased from 58% in 2001 to 13% in 2014. Data from the more detailed PHAROS registry revealed that the degree of bone marrow dysplasia was only reported in ∼30% of all evaluable bone marrow aspirates. Further, the International Prognostic Scoring System was undetermined in 55% of patients, primarily owing to unperformed cytogenetics in 46% of patients. Conclusion The classification of MDS is improving in the Netherlands. Nevertheless, particular diagnostic and prognostic procedures that are essential for the diagnosis and subsequent treatment decision-making of MDS were not fully utilized in particular patient subsets.

Original languageEnglish
Pages (from-to)137-140
Number of pages4
JournalCancer Epidemiology
Volume50
DOIs
Publication statusPublished - 1 Oct 2017

Cite this

@article{77dcd92394a141458e571e011a82e5d0,
title = "MDS classification is improving in an era of the WHO 2016 criteria of MDS: A population-based analysis among 9159 MDS patients diagnosed in the Netherlands",
abstract = "Background Morphologic and cytogenetic assessments are required to characterize diagnostic and prognostic features of myelodysplastic syndromes (MDS). We assessed whether these assessments were performed among newly diagnosed MDS patients in the Netherlands. Methods MDS cases were retrieved from the nationwide Netherlands Cancer Registry (N = 9159; period 2001–2014) and the regional PHAROS MDS registry (N = 676; period 2008–2011). Results The proportion of unclassified MDS decreased from 58{\%} in 2001 to 13{\%} in 2014. Data from the more detailed PHAROS registry revealed that the degree of bone marrow dysplasia was only reported in ∼30{\%} of all evaluable bone marrow aspirates. Further, the International Prognostic Scoring System was undetermined in 55{\%} of patients, primarily owing to unperformed cytogenetics in 46{\%} of patients. Conclusion The classification of MDS is improving in the Netherlands. Nevertheless, particular diagnostic and prognostic procedures that are essential for the diagnosis and subsequent treatment decision-making of MDS were not fully utilized in particular patient subsets.",
keywords = "Cancer epidemiology, Classification, Diagnosis, Myelodysplastic syndromes, Population, Prognosis, Registry, Treatment",
author = "Dinmohamed, {Avinash G.} and Otto Visser and Posthuma, {Eduardus F.M.} and Huijgens, {Peter C.} and Pieter Sonneveld and {van de Loosdrecht}, {Arjan A.} and Mojca Jongen-Lavrencic",
year = "2017",
month = "10",
day = "1",
doi = "10.1016/j.canep.2017.08.016",
language = "English",
volume = "50",
pages = "137--140",
journal = "Cancer Epidemiology",
issn = "1877-7821",
publisher = "Elsevier BV",

}

MDS classification is improving in an era of the WHO 2016 criteria of MDS : A population-based analysis among 9159 MDS patients diagnosed in the Netherlands. / Dinmohamed, Avinash G.; Visser, Otto; Posthuma, Eduardus F.M.; Huijgens, Peter C.; Sonneveld, Pieter; van de Loosdrecht, Arjan A.; Jongen-Lavrencic, Mojca.

In: Cancer Epidemiology, Vol. 50, 01.10.2017, p. 137-140.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - MDS classification is improving in an era of the WHO 2016 criteria of MDS

T2 - A population-based analysis among 9159 MDS patients diagnosed in the Netherlands

AU - Dinmohamed, Avinash G.

AU - Visser, Otto

AU - Posthuma, Eduardus F.M.

AU - Huijgens, Peter C.

AU - Sonneveld, Pieter

AU - van de Loosdrecht, Arjan A.

AU - Jongen-Lavrencic, Mojca

PY - 2017/10/1

Y1 - 2017/10/1

N2 - Background Morphologic and cytogenetic assessments are required to characterize diagnostic and prognostic features of myelodysplastic syndromes (MDS). We assessed whether these assessments were performed among newly diagnosed MDS patients in the Netherlands. Methods MDS cases were retrieved from the nationwide Netherlands Cancer Registry (N = 9159; period 2001–2014) and the regional PHAROS MDS registry (N = 676; period 2008–2011). Results The proportion of unclassified MDS decreased from 58% in 2001 to 13% in 2014. Data from the more detailed PHAROS registry revealed that the degree of bone marrow dysplasia was only reported in ∼30% of all evaluable bone marrow aspirates. Further, the International Prognostic Scoring System was undetermined in 55% of patients, primarily owing to unperformed cytogenetics in 46% of patients. Conclusion The classification of MDS is improving in the Netherlands. Nevertheless, particular diagnostic and prognostic procedures that are essential for the diagnosis and subsequent treatment decision-making of MDS were not fully utilized in particular patient subsets.

AB - Background Morphologic and cytogenetic assessments are required to characterize diagnostic and prognostic features of myelodysplastic syndromes (MDS). We assessed whether these assessments were performed among newly diagnosed MDS patients in the Netherlands. Methods MDS cases were retrieved from the nationwide Netherlands Cancer Registry (N = 9159; period 2001–2014) and the regional PHAROS MDS registry (N = 676; period 2008–2011). Results The proportion of unclassified MDS decreased from 58% in 2001 to 13% in 2014. Data from the more detailed PHAROS registry revealed that the degree of bone marrow dysplasia was only reported in ∼30% of all evaluable bone marrow aspirates. Further, the International Prognostic Scoring System was undetermined in 55% of patients, primarily owing to unperformed cytogenetics in 46% of patients. Conclusion The classification of MDS is improving in the Netherlands. Nevertheless, particular diagnostic and prognostic procedures that are essential for the diagnosis and subsequent treatment decision-making of MDS were not fully utilized in particular patient subsets.

KW - Cancer epidemiology

KW - Classification

KW - Diagnosis

KW - Myelodysplastic syndromes

KW - Population

KW - Prognosis

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