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clinical_decision-making_and_treatment_of_myelodysplastic_syndromes

Hellström-Lindberg ES, Kröger N. Clinical decision-making and treatment of myelodysplastic syndromes. Blood. 2023;142(26):2268-2281. doi:10.1182/blood.2023020079

Patient assessment and goal of treatment

  • TD (transfusion dependency): 50% need RBC transfusion
  • Initial decision-making
  • Supportive care
  • Iron chelation therapy
  • Criteria for response to treatment
  • Growth factor treatment
  • Luspatercept
  • Immunosuppressive treatment
  • Lenalidomide treatment
  • Imetelstat and other novel targeted drugs for lower-risk MDS
  • Hypomethylating agents
  • HMA in combination with novel agents and molecularly targeted drugs
  • Chemotherapy
  • Stem cell transplantation

Treatment algorithm for MDS