Publications by authors named "Devos T"

Objectives: Identifying cardiac surgical patients at risk of requiring red blood cell (RBC) transfusion is crucial for optimizing their outcome. We critically appraised prognostic models preoperatively predicting perioperative exposure to RBC transfusion in adult cardiac surgery and summarized model performance.

Methods: Design: Systematic review and meta-analysis.

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  • * It found that stronger beliefs in equal childcare (both in what is considered normal and what should be the case) are associated with the availability of parental leave policies.
  • * While the data suggests that changes in parental leave policies can shift perceptions of social norms over time, the study acknowledges that it cannot definitively determine cause-and-effect relationships due to its cross-sectional design.
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  • * An analysis of data from the SIMPLIFY-1 trial showed that momelotinib led to better outcomes, such as higher rates of transfusion independence and more stable transfusion needs, especially in patients with moderate to severe anemia (hemoglobin <12 g/dL).
  • * Safety profiles for momelotinib remained consistent with previous findings, indicating that it offers benefits for spleen size, symptoms, and anemia for previously untreated patients, regardless of their baseline hemoglobin levels. *
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  • BCR::ABL1 negative myeloproliferative neoplasms (MPN) encompass a group of aggressive blood cancers, with primary myelofibrosis (PMF) showing the worst prognosis among them, leading to median survival rates of 16-35 months.
  • A notable complication of MPN is the progression to secondary acute myeloid leukemia (AML), which carries an even worse prognosis than de novo AML, highlighting the need for better understanding and treatment options.
  • The study focuses on the role of the cytokine CXCL8 and its receptor (CXCR1/2) in PMF pathogenesis, indicating that higher levels of CXCL8 correspond to lower survival rates, and suggests new therapeutic
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  • Bone marrow fibrosis (BMF) is linked to myelofibrosis and can affect prognosis, but this study explores its relationship with treatment outcomes in patients receiving JAK inhibitors momelotinib and ruxolitinib.
  • In a study of patients with BMF, only momelotinib showed increased transfusion independence and hemoglobin levels, while ruxolitinib showed a decrease in hemoglobin.
  • The findings suggest that changes in BMF do not correlate with clinical improvements or survival benefits, indicating that BMF may not be an effective surrogate marker for assessing the efficacy of JAK inhibitors.
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Erythrocytosis or polycythemia refers to a true or apparent increase in hemoglobin or hematocrit. When no etiology of erythrocytosis is identified, people are diagnosed with "idiopathic erythrocytosis" (IE). The identification of new contributing genes has recently improved the diagnostic workup of IE.

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  • Hydroxyurea (HU) is a widely used first-line treatment for polycythemia vera (PV), but 15%-24% of patients experience resistance or intolerance to it.
  • A phase IV observational study in Europe evaluated ruxolitinib's effectiveness and safety in PV patients resistant or intolerant to HU, following 350 patients for 24 months.
  • Results showed that 68.2% of patients achieved hematocrit control, 85.1% had no need for phlebotomy during the study, and ruxolitinib was well tolerated despite some treatment-related adverse events.
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Objectives: Anelloviruses have been linked with host-immunocompetence and inflammation. Here, we studied the anellovirus load in hospitalized COVID-19 patients.

Methods: We collected samples of patients recruited in the DAWN-Plasma trial that received convalescent plasma (CP) therapy (four plasma units) combined with standard of care (SOC) or SOC of alone.

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Paroxysmal nocturnal hemoglobinuria (PNH) is characterized by uncontrolled terminal complement activation leading to intravascular hemolysis (IVH), thrombosis, and impairments in quality of life (QoL). The aim of this study was to identify the clinical drivers of improvement in patient-reported outcomes (PROs) in patients with PNH receiving the complement component 5 (C5) inhibitors eculizumab and ravulizumab.This post hoc analysis assessed clinical outcomes and PROs from 246 complement inhibitor-naive patients with PNH enrolled in a phase 3 randomized non-inferiority study that compared the C5 inhibitors ravulizumab and eculizumab (study 301; NCT02946463).

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The objective of this analysis was to identify risk factors for thromboembolic events (TE) in patients with paroxysmal nocturnal hemoglobinuria (PNH) who were not treated with C5 inhibitors. Patients with PNH and a history of ≥ 1 TE at enrollment in the International PNH Registry (NCT01374360; registration date, January 2011) were each matched with up to 5 patients without TE. Multivariable analysis was performed with the following variables: percentage glycosylphosphatidylinositol (GPI)-negative cells, high disease activity (HDA), non-TE major adverse vascular event history, and recent anticoagulation.

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  • Myelofibrosis (MF) is a type of blood cancer often causing anemia, which can lead to a progression to a severe form known as blast phase (BP) in 10%-20% of patients.
  • In a study of 1,752 MF patients largely untreated with ruxolitinib (RUX), anemia significantly increased BP incidence, with rates varying based on the severity of anemia.
  • Even among patients treated with RUX, those starting treatment with significant anemia showed similar BP rates, underscoring the need for careful management of anemia in MF patients and its implications for treatment safety.
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Blood transfusion safety is an essential element of public health. Current blood screening strategies rely on targeted techniques that could miss unknown or unexpected pathogens. Recent studies have demonstrated the presence of a viral community (virobiota/virome) in the blood of healthy individuals.

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Objectives: Asian Americans are often perceived as perpetual foreigners even when they are born and raised in the country. Such national exclusion is particularly evident when considering implicit biases that reveal American is more strongly associated with White than Asian identity. In the current research, we examined if living in a region where people implicitly associate American nationality more strongly with White over Asian identity predicts the political participation of Asian Americans living within the same region.

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  • Standard therapy for myelofibrosis typically involves Janus kinase inhibitors (JAKis), but they have low response rates and high dropout rates, indicating a need for better treatments like pelabresib (CPI-0610), a bromodomain and extraterminal domain inhibitor.
  • In the MANIFEST phase II study, patients who had not previously received JAKis were treated with pelabresib and ruxolitinib, showing promising results: 68% of patients achieved a significant spleen volume reduction after 24 weeks, and many also experienced symptom relief and improved hemoglobin levels.
  • The combination therapy was generally well tolerated, with 95% of participants continuing treatment beyond 24 weeks,
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Invasive species can impact native populations through competition, predation, habitat alteration, and disease transmission, but also genetically through hybridization. Potential outcomes of hybridization span the continuum from extinction to hybrid speciation and can be further complicated by anthropogenic habitat disturbance. Hybridization between the native green anole lizard (Anolis carolinensis) and a morphologically similar invader (A.

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Chronic neutrophilic leukemia (CNL) is a rare but potentially aggressive negative myeloproliferative neoplasm, characterized by sustained mature, neutrophilic leukocytosis. The discovery of key driver mutations in the colony-stimulating-factor-3 receptor () gene resulted in the updated World Health Organization (WHO) diagnostic criteria in 2016. A significant number of CNL cases have been associated with plasma cell dyscrasias, predominantly multiple myeloma (MM) and monoclonal gammopathy of unknown significance (MGUS).

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Objective: Discontinuation of Ruxolitinib (RUX), a JAK1/JAK2 inhibitor, can induce symptom-relapse and even life-threatening adverse events. Due to increasing use of RUX, this so-called RUX discontinuation syndrome (RDS) is becoming more prevalent. To create better awareness for this potentially fatal syndrome, we present a case of an adult male who developed a fatal RDS.

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Patient engagement has been a focus of patient-centered care in recent years, encouraging health care organizations to increase efforts to facilitate a patient's ability to participate in health care. At the same time, a growing body of research has examined the impact that social determinants of health (SDOH) have on patient health outcomes. Additionally, health care equity is increasingly becoming a focus of many organizations as they work to ensure that all patients receive equitable care.

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Patients with Philadelphia-negative myeloproliferative neoplasms are at high risk of thrombotic events (TEs). Predisposing factors have been identified in essential thrombocythemia (ET), polycythemia vera (PV) and primary myelofibrosis (primary MF, PMF), while yet not recognized in post PV/ET-MF (known as secondary MF, SMF). Within the 1258 SMF of the MYSEC (MYelofibrosis SECondary to PV and ET) dataset, 135 (10.

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Myelofibrosis (MF) is a clonal myeloproliferative neoplasm, typically associated with disease-related symptoms, splenomegaly, cytopenias and bone marrow fibrosis. Patients experience a significant symptom burden and a reduced life expectancy. Patients with MF receive ruxolitinib as the current standard of care, but the depth and durability of responses and the percentage of patients achieving clinical outcome measures are limited; thus, a significant unmet medical need exists.

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  • Janus kinase inhibitors (JAKi) improve symptoms and spleen size in myelofibrosis but don't address anemia, which is linked to worse outcomes.
  • Momelotinib shows promise in improving anemia, symptoms, and spleen size, with survival rates similar to ruxolitinib in clinical trials.
  • Achieving transfusion independence is crucial for better survival outcomes, highlighting momelotinib's potential as a treatment option for myelofibrosis patients.
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  • Myeloproliferative neoplasms (MPNs) are rare in individuals under 25, and a study examined 444 such patients over a median follow-up of 9.7 years across 38 centers globally.
  • The study found that 11.1% had a history of thrombosis, with higher risks associated with the JAK2V617F mutation and hyperviscosity symptoms, while new thrombotic and hemorrhagic events occurred at significant rates.
  • It highlighted that disease transformation, particularly to myelofibrosis, was common, with splenomegaly identified as a new risk factor, indicating a need for updated management guidelines for young MPN patients.
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