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Page: Demographic data
1. Your pseudonym (unique identifier)
 answered question1,547
 
skipped question
2
 Response
Count
[ShowReplies]1,547

2. Patient identifier (must be unique)
 answered question1,547
 
skipped question
2
 Response
Count
[ShowReplies]1,547

Page: Diagnosis
3. Was this patient diagnosed with MDS?
 answered question1,512
 
skipped question
37
 Response
Percent
Response
Count
Yes
99.7%1,507
No
0.3%5

Page: Diagnostic Testing
4. Did this patient's diagnostic evaluation include cytogenetic testing on bone marrow within 12 weeks of diagnosis? (Measure 1)
 answered question1,478
 
skipped question
71
 Response
Percent
Response
Count
Yes
92.4%1,365
No
7.0%104
Other (please specify)
[ShowReplies]
0.9%13

5. Did you use an established risk classification/prognostication system to help plan your patient's treatment? (Measure 2)
 answered question1,478
 
skipped question
71
 Response
Percent
Response
Count
Yes
85.9%1,269
No
14.1%209

Page: Risk classification/prognostication
6. Which established risk classification/prognostication system did you use?
 answered question1,261
 
skipped question
288
 Response
Percent
Response
Count
IPSS (International Prognostic Scoring System)
72.5%914
WHO (World Health Organization)
11.4%144
Other (please specify)
[ShowReplies]
0.2%3

Page: Erythropoietin/Darbepoietin
7. Has this MDS patient ever received erythropoietin/darbepoietin?
 answered question1,465
 
skipped question
84
 Response
Percent
Response
Count
Yes
65.1%954
No
35.2%516

Page: Erythropoietin/Darbepoietin Therapy
8. Did your patient have anemia before treatment started?
 answered question956
 
skipped question
593
 Response
Percent
Response
Count
Yes
98.0%937
No
1.4%13
Other (please specify)
[ShowReplies]
0.6%6

9. Did you determine that your patient had adequate iron stores for treating MDS with erythropoietin/darbepoietin? Adequate iron stores is determined by EITHER bone marrow examination, including iron stain OR peripheral blood iron showing ferritin >100 ng/ml and/or the ratio of serum iron to TIBC >20%. (Measure 3)
 answered question956
 
skipped question
593
 Response
Percent
Response
Count
Yes
95.9%917
No
3.2%31
Other (please specify)
[ShowReplies]
0.9%9

10. Was this patient's serum erythropoietin level <=500 mU/ml prior to starting erythropoietin/darbepoietin therapy? (Measure 4)
 answered question956
 
skipped question
593
 Response
Percent
Response
Count
Yes
65.9%630
No
16.0%153
Other (please specify)
[ShowReplies]
18.5%177

11. Did you evaluate response of the hemoglobin to erythropoietin/darbepoietin therapy after 8 weeks of maximal therapy and adjust your prescription? Adjust your prescription means discontinued erythropoietin/darbepoietin therapy in the absence of benefit, or decreased dose to tolerance if positive response.
 answered question956
 
skipped question
593
 Response
Percent
Response
Count
Yes
92.5%884
No
3.3%32
Other (please specify)
[ShowReplies]
4.3%41

Page: Response to erythropoietin/darbepoietin
12. Did this patient have a positive response to erythropoietin/darbepoietin therapy after 8 weeks?
 answered question922
 
skipped question
627
 Response
Percent
Response
Count
Yes
71.0%655
No
29.4%271

Page: Positive response to erythropoietin/darbepoeitin therapy
13. Did you decrease dose to tolerance? (Measure 5A)
 answered question662
 
skipped question
887
 Response
Percent
Response
Count
Yes
78.9%522
No
16.5%109
Other (please specify)
[ShowReplies]
4.7%31

Page: Absence of benefit to erythropoietin/darbepoietin therapy
14. Did you discontinue erythropoietin/darbepoietin in the absence of benefit? (Measure 5B)
 answered question283
 
skipped question
1,266
 Response
Percent
Response
Count
Yes
79.9%226
No
10.6%30
Other (please specify)
[ShowReplies]
9.9%28

Page: Transfusional Hemosiderosis
15. Has this MDS patient had more than 20 units of packed red cells transfused

OR

a ferritin level >1000 ng/ml?
 answered question1,445
 
skipped question
104
 Response
Percent
Response
Count
Yes
24.3%351
No
76.0%1,098

Page: Chelation Therapy
16. Did you start this patient on intravenous or oral iron chelation therapy to decrease iron overload? (Measure 6)
 answered question365
 
skipped question
1,184
 Response
Percent
Response
Count
Yes
54.0%197
No
41.1%150
Other (please specify)
[ShowReplies]
5.2%19

Page: Stem Cell Candidate
17. Is this patient is a candidate for allogeneic stem cell transplantation?
 answered question1,444
 
skipped question
105
 Response
Percent
Response
Count
Yes
17.9%258
No
82.3%1,188

Page: Irradiated Transfusion Products
18. Are you ordering irradiated transfusion products? (Measure 7)
 answered question263
 
skipped question
1,286
 Response
Percent
Response
Count
Yes
87.8%231
No
8.0%21
Other (please specify)
[ShowReplies]
4.2%11

Page: Clinical Trials
19. Has this patient been checked for clinical trial eligibility in the past year? (Measure 8)
 answered question1,438
 
skipped question
111
 Response
Percent
Response
Count
Yes
45.5%655
No
51.2%736
Other (please specify)
[ShowReplies]
3.5%50

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