AI Article Synopsis

  • Polycythemia vera (PV) is a disorder that leads to an overproduction of red blood cells and has diverse treatment approaches, including the use of ruxolitinib as a secondary option for patients not responding to hydroxyurea.
  • A survey conducted with 60 hematologists and transfusion specialists in Italy aimed to understand their treatment practices for PV patients, focusing on different patient conditions and therapy options.
  • The findings revealed significant variability in how PV is managed by clinicians, indicating a need for further research to develop clearer guidelines for treating this condition.

Article Abstract

Objectives: Polycythemia vera (PV) is an acquired clonal hematopoietic stem cell disorder characterized by the overproduction of red blood cells. It has long been underlined that there are differences in treatment patterns in routine practice. Therapeutic strategies have also expanded, and in recent years the JAK1/JAK2 inhibitor ruxolitinib has emerged as a second-line therapeutic option in patients who are intolerant to or resistant to hydroxyurea. Determining the impact of changes on practice patterns is of interest, especially for aspects that lack detailed guidance for management.

Methods: To gain insights into treatment patterns by clinicians treating patients with PV in Italy, we carried out a survey of 60 hematologists and transfusion specialists. The questions covered: treatment of low-risk patients, definition of significant leukocytosis, splenomegaly and excessive phlebotomies, resistance/intolerance to hydroxyurea, use of ruxolitinib, cytoreductive therapy, and vaccines.

Results: In general, the results of the survey indicate that there is a large heterogeneity in management of patients with PV across these areas.

Conclusions: While helping to provide greater understanding of treatment patterns for patients with PV in Italy, our survey highlights the need for additional clinical studies to obtain more precise guidance for the routine care of patients with PV.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10100449PMC
http://dx.doi.org/10.1111/ejh.13889DOI Listing

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