Table 1.

Goals of RBC and platelet transfusion in MDS

Transfusion typeGoal of transfusionMeasured byDesired outcomes
Red cell transfusion 
  • Improve acute and chronic symptoms of anemia (fatigue, dyspnea, chest pain, palpitations, effects on cognitive function)

  • Minimize major complications of (severe) anemia

  • Improve functional outcomes

 
  • Hemoglobin and hematocrit

  • Functional measures using standardized tool (eg, fatigue score, walk distance, grip strength) or self-report

 
  • Control of symptoms

  • Better functional status in activities of daily living

  • Increased ability to participate in work or social and community interests

 
Platelet transfusion 
  • Improve symptoms of thrombocytopenia (patient experience of skin bruising and other bleeding)

  • Minimize major complications of (severe) thrombocytopenia

  • Improve functional outcomes

 
  • Platelet count

  • Bleeding assessments (eg, standardized tool or self-report)

 
  • Improved health-related QoL

 
Transfusion typeGoal of transfusionMeasured byDesired outcomes
Red cell transfusion 
  • Improve acute and chronic symptoms of anemia (fatigue, dyspnea, chest pain, palpitations, effects on cognitive function)

  • Minimize major complications of (severe) anemia

  • Improve functional outcomes

 
  • Hemoglobin and hematocrit

  • Functional measures using standardized tool (eg, fatigue score, walk distance, grip strength) or self-report

 
  • Control of symptoms

  • Better functional status in activities of daily living

  • Increased ability to participate in work or social and community interests

 
Platelet transfusion 
  • Improve symptoms of thrombocytopenia (patient experience of skin bruising and other bleeding)

  • Minimize major complications of (severe) thrombocytopenia

  • Improve functional outcomes

 
  • Platelet count

  • Bleeding assessments (eg, standardized tool or self-report)

 
  • Improved health-related QoL

 
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