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The Current Status of Screening for Essential Thrombocythemia and Polycythemia Vera in Clinical Practice-Report from
Yasunobu Sekiguchi1, Misa Nishitani, Haruko Takizawa
1Dept. of Hematology, Juntendo University Urayasu Hospital.
Objective:
We investigate the current status of screening for essential thrombocythemia(ET)and polycythemia vera(PV), at our hospital.
Methods:
According to the World Health Organization(WHO)diagnostic criteria.
Patients:
All patients who visited Juntendo University Urayasu Hospital between May 1984(when the hospital opened)and January 2019.
Result:
More than 90% of patients with elevated platelet counts(PLT)(n=25,062)and more than 90% of patients with elevated hemoglobin( Hb)or hematocrit(Ht)levels(n=16,422)did not visit the department of hematology, suggesting that there could be a high percentage of patients with potentially latent ET and PV visiting the hospital. In addition, a large number of patients fulfilling the laboratory criteria for ET/PV visited various departments of the hospital other than the department of hematology.
Conclusion:
Because ET/PV manifests with diverse symptoms, including non-specific symptoms and symptoms pertaining to other organ systems. Based on the findings, we consider that it is essential to disseminate information about the WHO diagnostic criteria/clinical symptoms and possibility of latent ET/PV to all departments of the hospital, and to establish cooperation between the department of hematology and other departments.
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