Table 2

Recommendations for management of iron overload in MDS patients

CharacteristicNCCN92 MDS Foundation91 
Transfusion status Received >20 RBC transfusions; continuing transfusions Transfusion dependent, requiring 2 U/mo for >1 y 
Serum ferritin concentration >2500 μg/L >1000 μg/L 
MDS risk category IPSS: low or intermediate-1 IPSS: low or intermediate-1; WHO: RA, RARS, and 5q− 
Patient profile Candidate for allograft Candidate for allograft; need to preserve organ function; life expectancy >1 y without comorbidities limiting progress 
CharacteristicNCCN92 MDS Foundation91 
Transfusion status Received >20 RBC transfusions; continuing transfusions Transfusion dependent, requiring 2 U/mo for >1 y 
Serum ferritin concentration >2500 μg/L >1000 μg/L 
MDS risk category IPSS: low or intermediate-1 IPSS: low or intermediate-1; WHO: RA, RARS, and 5q− 
Patient profile Candidate for allograft Candidate for allograft; need to preserve organ function; life expectancy >1 y without comorbidities limiting progress 

IPSS, International Prognostic Scoring System.

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