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December 8, 2025BloodOpen Access

Performance of the ELN 2022 risk stratification in a real-world Canadian AML patient population

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Authors

EZEric J. ZhaoFKFlorian KuchenbauerYMYasser Abou Mourad

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Overview

Observational analysis reveals blurred survival outcomes among FLT3-ITD mutations and stem cell transplant in AML patients, suggesting the need for refined prognostication.

Key Points

  • Overall survival was not significantly different in patients with intermediate and adverse risk categories, indicating potential limitations in risk assessment.
  • Median overall survival at 75 months in favorable risk category notably contrasts with 30 months and 27 months in intermediate and adverse risk, respectively.
  • Study applied randomized controlled trial methods to a real-world population, including 499 AML patients diagnosed from 2016 to 2023 with varied genetic backgrounds.
  • Findings highlight challenges in using existing risk stratification for patients undergoing stem cell transplant, calling for further investigation in adverse risk groups.

Cite This Study

Zhao et al. (2025) studied this question.

synapsesocial.com/papers/69362f514fa91c937236d9eahttps://doi.org/10.1182/blood-2025-5178
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Risk stratification of newly diagnosed AML receiving nonintensive treatment2025
  2. 2TP53, EZH2, or RUNX1 mutations predict poor outcomes in ELN 2022 adverse risk group of adult AML patients undergoing allo-HSCT2025
  3. 3Treatment-specific prognostic performance of ELN 2022, ELN 2024, and beat AML 2024: A real-world AML validation study2025
  4. 4Prognostic evaluation of ELN-2022 and ELN-2024 risk stratification in newly diagnosed AML patients and development of a novel genetic risk model2025
  5. 5Genetic risk classification in acute myeloid leukemia patients treated with hematopoietic cell transplantation and post-transplant cyclophosphamide2025