BLAST demonstrates higher prognostic accuracy for survival than CPSS in Chinese patients with chronic myelomonocytic leukemia - Summary - MDSpire
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BLAST Shows Superior Prognostic Accuracy for Survival Compared to CPSS in Chinese Patients with Chronic Myelomonocytic Leukemia

  • By

  • Xin Yan

  • Gege Feng

  • Zhimei Cai

  • Jiale Ma

  • Shuqian Xu

  • Zheng Ge

  • June 17, 2026

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Objective:

To compare the prognostic predictive performance of the BLAST, BLAST-mol, CPSS, and CPSS-mol in Chinese patients with Chronic Myelomonocytic Leukemia (CMML).

Approach:
    Key Findings:
    • Severe anemia and TP53 mutation were identified as independent poor prognostic factors for overall survival (OS).
    • The BLAST scoring system demonstrated superior risk stratification compared to CPSS, with significant differences in median OS across risk groups.
    • The BLAST-mol model also showed significant differences in median OS across risk categories, outperforming CPSS-mol.
    Interpretation:

    Limitations:
    • The study was conducted in a single ethnic group, which may limit generalizability.
    • The sample size may not be sufficient to fully validate the prognostic models. -
    Conclusion:

    Further studies with larger and more diverse populations are needed to validate these models and enhance their applicability. ---

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