title: Cross-talk between available guidelines for the management of patients with beta-thalassemia major.
abstract: Efforts to optimize the management of patients with β-thalassemia major (TM) continue to expand. Evidence from biomedical research evaluating safe and careful processing measures of blood products, the efficacy and safety of oral iron chelators, and noninvasive techniques for the assessment of iron overload are translated into better patient outcomes. The construction of TM management guidelines facilitated the incorporation of such evidence into practice. However, as several aspects of the management of TM remain controversial or governed by resource availability, a concern regarding potential variations in recommendations made by the different guidelines becomes rational, especially for physicians treating TM patients outside countries where the guidelines were constructed. In this work, we overview currently available guidelines for the management of TM and explore apparent similarities and differences between them. The evaluated guidelines included the Thalassaemia International Federation, US, Canadian, UK, Italian and Australian guidelines. We noted a general consensus for most aspects of management, although some guidelines provided more comprehensive and contemporary recommendations than others. We did not identify differences warranting concern, although minor differences in iron overload assessment strategy and more notable variations in the recommendations for iron chelation therapy were observed.
authors.affiliation: Department of Medicine and Medical Specialties, IRCCS Ca' Granda Foundation Maggiore Policlinico Hospital, University of Milan, Milan, Italy.
authors.forename: Khaled M
authors.initials: KM
authors.lastname: Musallam
authors.forename: Michael
authors.initials: M
authors.lastname: Angastiniotis
authors.forename: Androulla
authors.initials: A
authors.lastname: Eleftheriou
authors.forename: John B
authors.initials: JB
authors.lastname: Porter
mesh_terms: D001803:Blood Transfusion; D015913:Chelation Therapy; D006801:Humans; D007502:Iron Chelating Agents / Q000627:therapeutic use*; D017410:Practice Guidelines as Topic; D013156:Splenectomy; D017086:beta-Thalassemia / Q000188:drug therapy / Q000628:therapy*
chemical_list: D007502:Iron Chelating Agents