ASSESSMENT FORM
MPN-10 Symptom Assessment Form
MPN-10 Symptom Assessment Form is a symptom assessment tool that can assist MPN patients in monitoring their disease on their own. Before your next medical appointment, you may use the assessment form to record the change of the listed symptoms for your doctor's follow-up.
Please select a number from 0 to 10 to reflect the severity of the symptom. 0 is absent/as good as it can be and 10 is worst-imaginable. Please ensure that every number selected can accurately reflect your condition.
MPN-10 Total Score | 0 | point |
MPN-SAF TSS items were designated as “moderate” if symptoms were rated as ≥ 4 of 10 or ≤ 6 of 10; and as “severe” if symptoms were rated as ≥ 7 of 10. For patients who completed at least six of these 10 items on the BFI and MPN-SAF, the MPN TSS was computed as the average of the observed items multiplied by 10 to achieve a 0-to-100 scale.
Additional information:
What are myeloproliferative neoplasms?
Myeloproliferative neoplasms include primary myelofibrosis (PMF), essential thrombocythaemia (ET) and polycythaemia vera (PV).2
Among them, primary myelofibrosis is a Philadelphia-negative classical MPN. This rare type of blood cancer is characterized by the overproduction of a specific type of blood cells in the body that disrupts the normal functioning of the body, resulting in scarring of the bone marrow (fibrosis) and spleen enlargement. Potential complications and symptoms include fatigue, fever, night sweats, itchy skin, bone pain, abdominal pain or discomfort, and weight loss.1 Prognosis of myelofibrosis is poor and treatment options are limited.3,4 About 10%-15% myelofibrosis cases begin with primary thrombocytosis or polycythemia. These cases are also known as secondary myelofibrosis.2
References :
- Emmanuel RM, et al. J Clin Oncol. 2012;30:4098-4103.
- Leukemia & Lymphoma Society. Myeloproliferative Neoplasms. Available at https://www.lls.org/sites/default/files/2021-10/PS81_MPN_Booklet_2021.pdf (Last accessed: 15 Sep 2022).
- Mesa RA, et al. Leuk Res. 2009;33:1199-1203.
- Verstovsek S, et al. New Eng J Med. 2010;16(363):1117-1127.