MDS patients
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Diagnosis myelodysplastic syndrome (primary or secondary) based on cytopenia in at least 1 cell line + dysplasia in 2 cell lines (and no other cause (especially deficiencies)) and a pathologic anatomic diagnosis after bone marrow punction; 2. Refractory anaemia (RA): blood: ¡Ü 1% blasts, ¡Ü 1 x 109 monocytes; bone marrow: 15% of the erythroid cells; 4. Refractory anaemia with excess blasts (RAEB): blood: 1 x 109/l monocytes, <5% blasts; bone marrow: blasts < 20%, increase of the monocytic component; 6. Erythrocyte transfusion need; 7. Working knowledge of the national language; 8. Written consent for participating this study (informed consent).
Exclusion criteria
Exclusion criteria: 1. Candidate for bone marrow- or organ transplantation; 2. Medication: growth factors (GM-CSF), or EPO; 3. Patients who will receive an intensive chemotherapeutic treatment with a cytopenia, expected longer than 2 weeks; 4. Refractory anaemia with excess blasts in transformation (RAEB-t): blood: ¡Ý 5% blasts or Auer rods; bone marrow: or blasts > 20 - < 30% or Auer rods; 5. Pregnancy at the moment of inclusion; 6. Patients with congenital severe haemolytic anaemia, like thalassemia or sickle cell anaemia; 7. Patients with AIDS or a severe congenital or acquired (e.g. iatrogenic) immunological disorder; 8. Severe active infections at the moment of inclusion; 9. Severe cardiac, pulmonal, neurological, metabolic or psychiatric disease at the moment of inclusion.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Fatigue. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Health related Quality of Life; 2. Blood usage and the costs; 3. Haemoglobin increase after transfusion; 4. Hart beat, blood pressure, temperature, platelet count; 5. Development of RBC alloantibodies; 6. Mortality. | — |
Contacts
Sanquin Blood Bank South West Region, Wytemaweg 10