Clinical applicability of proposed algorithm for identifying individuals at risk for hereditary hematologic malignancies.

Abstract:

:Multiple genes have been identified to cause hereditary predispositions to hematologic malignancies, and characterized by an increased risk to develop myelodysplastic syndromes (MDS), acute myeloid leukemia (AML), and/or aplastic anemia (AA). Referral algorithms for patients who may be at higher risk have been proposed, with limited data regarding applicability. Our study aimed to evaluate referral criteria on a population of MDS/AML/AA patients. Demographic information and medical history were obtained from 608 patients referred over a 9-month period. Median age at diagnosis was 67 years (56-73), 387 (64%) were male, and the majority of individuals (54.9%) had AML. Overall, 406 individuals (66.8%) had insufficient documentation to determine whether certain criteria were met. Two hundred and two (33.2%) individuals met at least one criteria for genetic counseling referral; however, only nine (4.5%) were referred. Increased documentation of personal and family history is necessary to better assess and validate the applicability of these criteria.

journal_name

Leuk Lymphoma

journal_title

Leukemia & lymphoma

authors

Clifford M,Bannon S,Bednar EM,Czerwinski J,Davis J,Dunnington L,Shahrukh Hashmi S,DiNardo CD

doi

10.1080/10428194.2019.1630618

subject

Has Abstract

pub_date

2019-12-01 00:00:00

pages

3020-3027

issue

12

eissn

1042-8194

issn

1029-2403

journal_volume

60

pub_type

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