Table 2.

Decision analysis for primary management of anemia in low/intermediate-1 risk myelodysplastic disorder (MDS).

TreatmentSerum EPO < 500mU/mLRBC, < 2 U/mo*Age, < 60 yDeletion 5q
* RBC transfusion dependence for less than 6 mos is predictive of response to therapy. 
Abbrevations: ESA, erythropoiesis-stimulating agent; HMA, hypomethylating agents; IST, immunosuppressive therapy; sEPO, serum erythropoietin concentration; RBC, red blood cells; mos, months; yes, predictive for response; no, not predictive for response; NR, not relevant for prediction of response to therapy; 
ESA Yes Yes NR NR 
ESA Yes No NR No 
HMA No No No No 
Lenalidomide No NR NR Yes 
IST No Yes Yes No 
TreatmentSerum EPO < 500mU/mLRBC, < 2 U/mo*Age, < 60 yDeletion 5q
* RBC transfusion dependence for less than 6 mos is predictive of response to therapy. 
Abbrevations: ESA, erythropoiesis-stimulating agent; HMA, hypomethylating agents; IST, immunosuppressive therapy; sEPO, serum erythropoietin concentration; RBC, red blood cells; mos, months; yes, predictive for response; no, not predictive for response; NR, not relevant for prediction of response to therapy; 
ESA Yes Yes NR NR 
ESA Yes No NR No 
HMA No No No No 
Lenalidomide No NR NR Yes 
IST No Yes Yes No 
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