{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T15:49:31Z","timestamp":1790351371250,"version":"4.1.0"},"reference-count":32,"publisher":"S. Karger AG","issue":"6","license":[{"start":{"date-parts":[[2025,2,12]],"date-time":"2025-02-12T00:00:00Z","timestamp":1739318400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"},{"start":{"date-parts":[[2025,2,12]],"date-time":"2025-02-12T00:00:00Z","timestamp":1739318400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Haematol"],"abstract":"<jats:p>Introduction: Distress negatively affects cancer outcomes. The National Comprehensive Cancer Network (NCCN) recommends screening patients for distress by a self-reported scale (0\u201310) and referring those with scores \u22654 to supportive services (SSs). Little is known about the prevalence of distress and healthcare utilization in classical Philadelphia chromosome-negative myeloproliferative neoplasms (MPNs): polycythemia vera (PV), essential thrombocythemia (ET), myelofibrosis (MF). Methods: We retrospectively identified MPN patients at our center to measure the proportions of patients with distress \u22654 evaluated by a SS (chaplaincy, integrative oncology, palliative medicine, psychiatry, psychology, and social work [SW]) or had acute care utilization (ACU; \u2265 1 ED visit or hospitalization) within 6 months of electronic distress screening (EDS). We also obtained sociodemographic, disease characteristics, and symptom score data to stratify variables associated with distress. Results: Among 141 patients (44 PV, 49 ET, and 48 MF), the median age was 63 years (range, 25\u201389). Most patients identified as female (62%), white (77%), and completed EDS within 3 months of diagnosis (55%). Of 75\/141 (53%) who reported distress \u22654, only 25\/75 (33%) were evaluated by SS, and 23\/75 (31%) had ACU within 6 months of EDS. Patients with distress \u22654 evaluated by SS had significantly higher ACU (48% vs. 14%; p = 0.009). Distress was associated with higher symptom scores and more ED visits but not gender, race, ethnicity, diagnosis, relationship status, or insurance. Conclusion: Despite consensus recommendations, most patients with distress \u22654 were not evaluated by SS. Future work should identify ways to better use patient-reported outcomes to promote early intervention.<\/jats:p>","DOI":"10.1159\/000544162","type":"journal-article","created":{"date-parts":[[2025,2,13]],"date-time":"2025-02-13T12:01:23Z","timestamp":1739448083000},"page":"690-698","source":"Crossref","is-referenced-by-count":1,"title":["Distress and Care Utilization in Patients with Myeloproliferative Neoplasms"],"prefix":"10.1159","volume":"148","author":[{"given":"Rushil Virendra","family":"Patel","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danielle","family":"Boselli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick 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