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Hematology-Oncology

PASS: A Simplified Clinical Tool to Differentiate Acquired Aplastic Anemia from Inherited Bone Marrow Failure Syndromes in Adults

MedXY Editorial TeamJul 4, 2026
acquired aplastic anemiadiagnostic toolinherited bone marrow failure syndromesPASS

Highlight

  • The Predictive Aplastic Score System (PASS) is a validated clinical tool that distinguishes acquired aplastic anemia (AA) from inherited bone marrow failure syndromes (IBMFS) in adults without immediate genetic testing.
  • PASS uses seven readily available clinical and laboratory variables, achieving excellent diagnostic accuracy, with an AUC of 0.990 in the training cohort and 0.977 in external validations.
  • The model provides 100% positive predictive value for AA at scores ≥30, enabling rapid clinical decision-making and potentially reducing reliance on time-consuming or inaccessible genetic tests.
  • PASS facilitates differentiation in approximately 80% of adult cases, improving early diagnosis and appropriate treatment selection.

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This article was created using several editorial tools, including AI, as part of the process. Human editors reviewed this content before publication.

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