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International Journal of Hematology

, Volume 73, Issue 2, pp 194–198 | Cite as

Primary Chronic Myelofibrosis: Clinical and Prognostic Evaluation in 336 Japanese Patients

  • Takashi Okamura
  • Naoko Kinukawa
  • Yoshiyuki Niho
  • Hideaki Mizoguchi
Review Article

Abstract

We retrospectively analyzed 336 patients with primary chronic myelofibrosis from 203 medical institutes in Japan. Notwithstanding their heterogeneous treatments, the median survival in 298 patients that could be evaluated was 10.0 years. Average age at onset was 60.7 years. Men were affected 1.4 times more frequently than women. The factors associated with shorter survival included anemia, leukocytosis/leukocytopenia, thrombocytopenia, and increased blasts in the peripheral blood, and sex (male), age (>60), and the presence of symptoms. A new scoring system based on the peripheral blood findings (hemoglobin [Hb] level, platelet count, and rate of blast formation) at initial diagnosis clearly correlated with survival rate. Accordingly, patients could be categorized into 3 groups by severity grading. Through stepwise multivariate survival analysis, the significant prognostic factors were identified as the severity grading based on the new scoring system (P = .0002), age (P = .0024), sex (P = .0153), and Hb (P = .0198). Chromosomal abnormalities were found in 58 of 154 patients (38%), although these did not influence survival.

Key words

Myeloproliferative disorder Prognostic factor Multivariate analysis Kaplan-Meier curve 

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Copyright information

© The Japanese Society of Hematology 2001

Authors and Affiliations

  • Takashi Okamura
    • 1
  • Naoko Kinukawa
    • 2
  • Yoshiyuki Niho
    • 1
    • 3
  • Hideaki Mizoguchi
    • 4
  1. 1.First Department of Internal MedicineFaculty of Medicine, Kyushu UniversityJapan
  2. 2.Department of Medical Information ScienceFaculty of Medicine, Kyushu UniversityJapan
  3. 3.Chihaya HospitalTokyo Women’s Medical CollegeTokyoJapan
  4. 4.Department of HematologyTokyo Women’s Medical CollegeTokyoJapan

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