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Blood, 15 February 2008, Vol. 111, No. 4, pp. 1862-1865.
Prepublished online as a Blood First Edition Paper on November 20, 2007; DOI 10.1182/blood-2007-09-112953.


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Submitted September 19, 2007
Accepted October 30, 2007

Prognostic implications of the European consensus for grading of bone marrow fibrosis in chronic idiopathic myelofibrosis (CIMF)

Claudia Vener*, Nicola Stefano Fracchiolla, Umberto Gianelli, Rossella Calori, Franca Radaelli, Alessandra Iurlo, Sabrina Caberlon, Giancarla Gerli, Leonardo Boiocchi, and Giorgio Lambertenghi Deliliers

Ematologia I, Centro Trapianti di Midollo, University of Milan, Fondazione IRCCS Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena, Milan, Italy
II Cattedra di Anatomia Patologica, DMCO, A. O. San Paolo, University of Milan, Fondazione IRCCS Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena, Milan, Italy
Divisione di Ematologia, Fondazione IRCCS Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena, Milan, Italy
Unita di Ematologia e Trombosi, Ospedale San Paolo; DMCO, University of Milan, Milano, Italy

* Corresponding author; email: claudiavener{at}tiscali.it.

Various clinical prognostic scoring systems (PSSs) have been suggested as means of selecting high-risk chronic idiopathic myelofibrosis (CIMF) patients at diagnosis. The WHO has recently proposed strict diagnostic criteria for CIMF, and the European consensus for bone marrow fibrosis (BMF) grading recommends four classes. It has been suggested that BMF grading may play a prognostic role in CIMF, but it has never been compared with the other PSSs in the same patients. We tested a prognostic model for overall survival (OS) based on the WHO criteria and BMF grading in 113 consecutive patients with chronic myeloproliferative disorders (98 with CIMF and 15 with post-polycythemic myelofibrosis), and compared the findings with those of PSSs. The results showed that our model is significantly associated with different OS and, unlike the other PSSs, clearly discriminates the OS of intermediate- and high-risk patients.


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