title: [An audit of the Hungarian Philadelphia negative chronic myeloproliferative neoplasia registry. Evaluation of the essential thrombocythaemic patients].
abstract: BACKGROUND
  In order to establish and use a national registry, several Hungarian hematology centers collected data of myeloproliferative neoplasia patients.
  
  
  OBJECTIVE
  The recent publication is an analysis of the data of registered essential thrombocythaemic patients.
  
  
  METHODS
  an online electronic registry has been established, using 2008 World Health Organization's diagnostic criteria and thrombotic risk was evaluated according to Landolfi stratification.
  
  
  RESULTS
  Data of 350 essential thrombocythaemic patients from 15 Hungarian hematology centers entered up to the date of June 30, 2015 were used for analysis. Patients were followed up to (median) 6 years. The epidemiologic data (age, gender) and thrombotic events prior and after the diagnosis, were similar to the literature. The thrombotic events of anagrelide treated patient (n = 139) and the hydroxyurea + aspirin treated patients (n = 141) have been compared. The major arterial and venous events were similar between the groups, but there were fivefold less minor arterial and venous events in the anagrelide group (p<0.001). Thrombotic incidence after diagnosis were influenced only by medication and thrombotic events before the diagnosis.
  
  
  CONCLUSIONS
  Anagrelide significantly decreased the number of patients experiencing minor arterial and minor venous thrombosis, vs hydroxyurea + aspirin. Despite of the treatment the risk of thrombotic events after diagnosis remained high, and was significantly increased in patients with thrombosis before diagnosis. Orv. Hetil., 2017, 158(3), 111-116.
authors.affiliation: Szent Borbála Kórház Tatabánya, Dózsa Gy. út 77., 2800.
authors.forename: Péter
authors.initials: P
authors.lastname: Dombi
authors.affiliation: Hematológiai Tanszék, Debreceni Egyetem, Általános Orvostudományi Kar Debrecen.
authors.forename: Árpád
authors.initials: Á
authors.lastname: Illés
authors.affiliation: I. Belgyógyászati Klinika, Semmelweis Egyetem, Általános Orvostudományi Kar Budapest.
authors.forename: Judit
authors.initials: J
authors.lastname: Demeter
authors.affiliation: Bölcsészet- és Társadalomtudományi Kar, Pázmány Péter Katolikus Egyetem Piliscsaba (Esztergom).
authors.forename: Lajos
authors.initials: L
authors.lastname: Homor
authors.affiliation: Hematológiai Tanszék, Debreceni Egyetem, Általános Orvostudományi Kar Debrecen.
authors.forename: Zsófia
authors.initials: Z
authors.lastname: Simon
authors.affiliation: Hematológiai Tanszék, Debreceni Egyetem, Általános Orvostudományi Kar Debrecen.
authors.forename: Miklós
authors.initials: M
authors.lastname: Udvardy
authors.affiliation: Hematológiai Osztály, Somogy Megyei Kaposi Mór Oktató Kórház Kaposvár.
authors.forename: Éva
authors.initials: É
authors.lastname: Karádi
authors.affiliation: Hematológiai Osztály, Somogy Megyei Kaposi Mór Oktató Kórház Kaposvár.
authors.forename: Ádám
authors.initials: Á
authors.lastname: Kellner
authors.affiliation: Hematológiai Osztály, Somogy Megyei Kaposi Mór Oktató Kórház Kaposvár.
authors.forename: Miklós
authors.initials: M
authors.lastname: Egyed
mesh_terms: D005260:Female; D006801:Humans; D006814:Hungary; D008297:Male; D009196:Myeloproliferative Disorders / Q000188:drug therapy* / Q000453:epidemiology*; D010677:Philadelphia Chromosome; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use*; D011799:Quinazolines / Q000627:therapeutic use*; D012042:Registries
chemical_list: D010975:Platelet Aggregation Inhibitors; D011799:Quinazolines; C021139:anagrelide
keywords: Landolfi stratification; Landolfi-stratifikáció; essential thrombocythaemia; essentialis thrombocythaemia; myeloproliferativ neoplasia; myeloproliferative neoplasia; registry; regiszter