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Survey on Recommended Health Care for Adult Patients with Myelodysplastic Syndromes Identifies Areas for Improvement

Author

Listed:
  • Ioannis Chanias

    (Department of Hematology and Central Hematology Laboratory, Inselspital, Bern University Hospital, University of Bern, 3010 Bern, Switzerland
    Shared first authorship.)

  • C. Matthias Wilk

    (Department of Medical Oncology and Hematology, University Hospital Zurich and University of Zurich, 3010 Bern, Switzerland
    Shared first authorship.)

  • Rudolf Benz

    (Department of Hematology and Oncology, Cantonal Hospital Muensterlingen, 8596 Muensterlingen, Switzerland)

  • Michael Daskalakis

    (Department of Hematology and Central Hematology Laboratory, Inselspital, Bern University Hospital, University of Bern, 3010 Bern, Switzerland)

  • Georg Stüssi

    (Clinic of Hematology, Oncology Institute of Southern Switzerland, 6500 Bellinzona, Switzerland)

  • Adrian Schmidt

    (Clinic for Medical Oncology and Hematology, City Hospital Waid and Triemli, 8063 Zurich, Switzerland)

  • Ulrike Bacher

    (Department of Hematology and Central Hematology Laboratory, Inselspital, Bern University Hospital, University of Bern, 3010 Bern, Switzerland)

  • Nicolas Bonadies

    (Department of Hematology and Central Hematology Laboratory, Inselspital, Bern University Hospital, University of Bern, 3010 Bern, Switzerland
    Department for BioMedical Research (DBMR), University of Bern, 3010 Bern, Switzerland)

  • on behalf of the Swiss MDS Study Group

    (Membership of the Swiss MDS Study Group is provided in the Acknowledgments.)

Abstract

The impact on health care of patients with myelodysplastic syndromes (MDS) is continuously rising. To investigate the perception of hemato-oncologists concerning the recommended MDS patient care in Switzerland, we conducted a web-based survey on diagnosis, risk-stratification and treatment. 43/309 physicians (13.9%) replied to 135 questions that were based on current guidelines between 3/2017 and 2/2018. Only questions with feedback-rates >50% were further analysed and ratios >90% defined “high agreement”, 70–90% “agreement”, 30–70% “insufficient agreement” and <30% “disagreement”. For diagnosis, we found insufficient agreement on using flow-cytometry, classifying MDS precursor conditions, performing treatment response assessment after hypomethylating agents (HMA) and evaluating patients with suspected germ-line predisposition. For risk-stratification, we identified agreement on using IPSS-R but insufficient agreement for IPSS and patient-based assessments. For treatment, we observed disagreement on performing primary infectious prophylaxis in neutropenia but agreement on using only darbepoetin alfa in anaemic, lower-risk MDS patients. For thrombopoietin receptor agonists, insufficient agreement was found for the indication, preferred agent and triggering platelet count. Insufficient agreement was also found for immunosuppressive treatment in hypoplastic MDS and HMA dose adjustments. In conclusion, we identified areas for improvement in MDS patient care, in need of further clinical trials, information, and guiding documents.

Suggested Citation

  • Ioannis Chanias & C. Matthias Wilk & Rudolf Benz & Michael Daskalakis & Georg Stüssi & Adrian Schmidt & Ulrike Bacher & Nicolas Bonadies & on behalf of the Swiss MDS Study Group, 2020. "Survey on Recommended Health Care for Adult Patients with Myelodysplastic Syndromes Identifies Areas for Improvement," IJERPH, MDPI, vol. 17(24), pages 1-18, December.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:24:p:9562-:d:465571
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    References listed on IDEAS

    as
    1. Cauane Blumenberg & Aluísio J. D. Barros, 2018. "Response rate differences between web and alternative data collection methods for public health research: a systematic review of the literature," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(6), pages 765-773, July.
    2. Campbell, S. M. & Roland, M. O. & Buetow, S. A., 2000. "Defining quality of care," Social Science & Medicine, Elsevier, vol. 51(11), pages 1611-1625, December.
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