{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T04:22:05Z","timestamp":1792297325217,"version":"4.4.0"},"reference-count":25,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2015,1,1]],"date-time":"2015-01-01T00:00:00Z","timestamp":1420070400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Advances in Hematology"],"published-print":{"date-parts":[[2015]]},"abstract":"<jats:p>Few trial-based assessments of ruxolitinib in patients with lower-risk myelofibrosis (MF) have been conducted, and no studies have made such assessments in a real-world population. We assessed changes in spleen size and constitutional symptoms during ruxolitinib treatment using a retrospective, observational review of anonymized US medical record data of patients diagnosed with IPSS low-risk (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\"><mml:mi>n<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn>25<\/mml:mn><\/mml:math>) or intermediate-1-risk (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\"><mml:mi>n<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn>83<\/mml:mn><\/mml:math>) MF. The majority of patients were male (low risk, 60%; intermediate-1 risk, 69%). Most patients (92% and 77%) were still receiving ruxolitinib at the medical record abstraction date (median observation\/exposure time, 8 months). The proportion of patients with moderate or severe palpable splenomegaly (\u226510\u2009cm) decreased from diagnosis (56%) to best response (12%). Fatigue was reported in 47% of patients and was the most common constitutional symptom. For most symptoms in both risk groups, shifts in the distribution of severity from more to less severe from diagnosis to best response were observed. Both patients with low-risk and intermediate-1-risk MF experienced a substantial decrease in spleen size with ruxolitinib treatment in real-world settings. For most symptoms examined, there were distinct improvements in the distribution of severity during ruxolitinib treatment. These findings suggest that patients with lower-risk MF may benefit clinically from ruxolitinib treatment.<\/jats:p>","DOI":"10.1155\/2015\/848473","type":"journal-article","created":{"date-parts":[[2015,11,9]],"date-time":"2015-11-09T21:04:20Z","timestamp":1447103060000},"page":"1-9","source":"Crossref","is-referenced-by-count":21,"title":["Real-World Assessment of Clinical Outcomes in Patients with Lower-Risk Myelofibrosis Receiving Treatment with Ruxolitinib"],"prefix":"10.1155","volume":"2015","author":[{"given":"Keith L.","family":"Davis","sequence":"first","affiliation":[{"name":"RTI Health Solutions, Research Triangle Park, NC 27709, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabelle","family":"C\u00f4t\u00e9","sequence":"additional","affiliation":[{"name":"Novartis Pharmaceuticals Corporation, East Hanover, NJ 07936, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James A.","family":"Kaye","sequence":"additional","affiliation":[{"name":"RTI Health Solutions, Waltham, MA 02451, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Estella","family":"Mendelson","sequence":"additional","affiliation":[{"name":"Novartis Pharmaceuticals Corporation, East Hanover, NJ 07936, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haitao","family":"Gao","sequence":"additional","affiliation":[{"name":"Novartis Pharmaceuticals Corporation, East Hanover, NJ 07936, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julian","family":"Perez Ronco","sequence":"additional","affiliation":[{"name":"Novartis Pharma AG, 4056 Basel, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"98","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.22365"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1111\/bjh.12375"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.2146\/ajhp120602"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1182\/blood-2008-07-170449"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1200\/jco.2012.42.1925"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1200\/jco.2010.32.2446"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.26359"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1056\/nejmoa1110556"},{"key":"9","volume":"118, article 1753","year":"2011","journal-title":"Blood"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1182\/blood-2009-02-195974"},{"issue":"7","key":"11","doi-asserted-by":"crossref","first-page":"2226","DOI":"10.1182\/blood.V95.7.2226","volume":"95","year":"2000","journal-title":"Blood"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1200\/jco.2010.31.8436"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1016\/j.bbmt.2009.10.025"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)71142-9"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1056\/nejmoa051113"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1016\/j.ccr.2005.03.023"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1056\/nejmoa1110557"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.1182\/blood-2011-01-328955"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.1111\/bjh.13379"},{"key":"20","doi-asserted-by":"publisher","DOI":"10.1182\/blood-2012-07-446849"},{"key":"21","doi-asserted-by":"publisher","DOI":"10.3109\/10428194.2013.789507"},{"key":"22","doi-asserted-by":"publisher","DOI":"10.6061\/clinics\/2013(03)oa09"},{"key":"23","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocp.2011.11.001"},{"key":"24","doi-asserted-by":"publisher","DOI":"10.1186\/1756-8722-6-79"},{"key":"25","doi-asserted-by":"publisher","DOI":"10.3324\/haematol.2014.119545"}],"container-title":["Advances in Hematology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/ah\/2015\/848473.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/ah\/2015\/848473.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/ah\/2015\/848473.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,9,11]],"date-time":"2020-09-11T04:35:08Z","timestamp":1599798908000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/ah\/2015\/848473\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015]]},"references-count":25,"alternative-id":["848473","848473"],"URL":"https:\/\/doi.org\/10.1155\/2015\/848473","relation":{},"ISSN":["1687-9104","1687-9112"],"issn-type":[{"value":"1687-9104","type":"print"},{"value":"1687-9112","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015]]}}}