MDCalc

Genetically Inspired Prognostic Scoring System (GIPSS) for Primary Myelofibrosis (PMF)

Assesses the prognosis of primary myelofibrosis based solely on genomic markers.

Karyotype classification

See Evidence for more details.

Driver Mutations

Type 1/like CALR mutation

High Molecular Risk (HMR) Mutations

ASXL1 mutation

SRSF2 mutation

U2AF1Q157 mutation

Result:

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Advice
  • Utilize results in conjunction with clinical judgment and patient preference to guide management care plans and inform goals of care and outcome discussions.
  • Combine results with more comprehensive prognostic tools to enhance risk stratification and treatment decisions, particularly for individuals in the intermediate-1 or intermediate-2 categories.
  • High-risk patients, especially young individuals with good functional status, may benefit from more aggressive treatments, such as allogeneic stem cell transplantation.
  • Low-risk patients may opt for conservative treatments without aggressive interventions.