Low-risk group (0 points), Intermediate-1 group (0.5~1.0 points), Intermediate-2 group (1.5~2.0 points), High-risk group (≥2.5 points).
The IPSS is based on FAB classification and can assess the natural course of the disease in patients, which is significant for prognostic evaluation and treatment guidance. For low-risk and intermediate-1 MDS, hematopoietic stimulation, differentiation induction, biological response modifiers, and supportive therapy should be used primarily to improve quality of life; for intermediate-2 and high-risk MDS, combined chemotherapy regimens for AML (Acute Myeloid Leukemia) and hematopoietic stem cell transplantation (HSCT) should be employed to achieve disease remission and improve survival rates.
1. Wang Jiyao (Ed.). Internal Medicine (Eight-Year System) (2nd Edition). People's Health Publishing House. 2010. p788.
2. Glucksberg et al. Clinical manifestations of Graft-versus-host disease in human recipients of marrow from HLA-matched sibling donors. Transplantation. 1974; 18: 295-304.