Research Article

Consistency Test between Scoring Systems for Predicting Outcomes of Chronic Myeloid Leukemia in a Saudi Population Treated with Imatinib

Table 2

The current methods used to identify risk in CML.

Scoring systems
StudyFactorsEquationMethodRisk categoriesTarget predictionData and results

Sokal score, Sokal et al. [17]Age, spleen size (cm), blast (%), and platelets (109/L)exp(0.0116 × (age [years] − 43.4)) + 0.0345 × (spleen size [cm] − 7.51) + (0.188 × ((platelets [109/L]/700)2 − 0.563)) + (0.0887 × (blasts [%] − 2.10))Multivariate analysis of survivalLow-risk score < 0.8, of patients, intermediate-risk in 0.8–1.2, and high-risk > 1.2Risk groups for chemotherapySix European and American sources (), low 39%, intermediate 38%, and high 23%

Hasford score, Hasford et al. [14]Age, spleen size (cm), blasts (%), eosinophils (%), basophils (%), and platelets (109/L)(0.6666 × age [0 when age < 50 years; 1 otherwise]) + (0.0420 × spleen size [cm]) + (0.0584 × blasts [%]) + (0.0413 × eosinophils [%]) + (0.2039 × basophils [0 when basophils < 3%; 1 otherwise]) + (1.0956 × platelet count [0 when platelets < 1500 × 109/L; 1 otherwise]) × 1000Multivariate analysis of survivalLow-risk score ≤ 780, intermediate-risk in 781–1480, and high-risk ≥ 1481Risk groups for interferon alpha alone14 studies (), low 40.6%, intermediate 44.7%, and high 14.6%

EUTOS score, Hasford et al. [15]Basophils (%) and spleen size (cm)(7 × basophil [%]) + (4 × spleen [cm])Multivariate analysis of responseLow-risk score < 87 and high-risk ≥ 87CCgR at 18 months to imatinibFive national study groups (,060), low 79% and high 21%

ELTS score, Pfirrmann et al. [18]Age, spleen size (cm), blast (%), and platelets (109/L)0.0025 × (age in completed years/10)3 + 0.0615 × spleen size below costal margin + 0.1052 × blasts in peripheral blood + 0.4104 × (platelet count/1000)−0.5Multivariate analysis of responseLow-risk score ≤ 1.5680, intermediate-risk in 1.5680–2.2185, and high-risk > 2.2185Long-term survival(,205), low 61%, intermediate 27%, and high 12%