Evidence map›Paper›PMID 40674679›Full record

SynthesisJCO oncology practice2026

Clinical Practice Recommendations for Myelofibrosis Management in the Asia-Pacific Region: The APAC-MF Alliance.

Keita Kirito, Chul Won Choi, Than Hein, Hsin-An Hou, Chul Won Jung, Yok-Lam Kwong, Garret M K Leung, Melissa G M Ooi, Ponlapat Rojnuckarin, David M Ross and 4 more

Abstract readSystematic Review
In one paragraph

Synthesis in JCO oncology practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Keita KiritoDepartment of Hematology/Oncology, University of Yamanashi, Chuo-shi, Japan.
Chul Won ChoiDepartment of Internal Medicine, Korea University College of Medicine, Seoul, Republic of Korea.ORCID 0000-0002-3032-4239
Than HeinDepartment of Haematology, Singapore General Hospital, Singapore, Singapore.ORCID 0000-0003-1056-083X
Hsin-An HouDepartment of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan.ORCID 0000-0003-2780-4845
Chul Won JungDivision of Hematology-Oncology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
Yok-Lam KwongDepartment of Medicine, School of Clinical Medicine, LKS Faculty of Medicine, the University of Hong Kong, Pokfulam, Hong Kong.ORCID 0000-0001-8156-6978
Garret M K LeungDepartment of Medicine, School of Clinical Medicine, LKS Faculty of Medicine, the University of Hong Kong, Pokfulam, Hong Kong.ORCID 0009-0007-4836-4929
Melissa G M OoiDepartment of Hematology-Oncology, National University Cancer Institute, Singapore, Singapore.ORCID 0000-0002-7392-0655
Ponlapat RojnuckarinKing Chulalongkorn Memorial Hospital, Chulalongkorn University, Bangkok, Thailand.
David M RossRoyal Adelaide Hospital and Flinders Medical Centre, Adelaide, SA, Australia.ORCID 0000-0001-7171-2935
Lee-Yung ShihChang Gung Memorial Hospital-Linkou, Chang Gung University, Taoyuan, Taiwan.ORCID 0000-0003-1866-7922
Katsuto TakenakaDepartment of Hematology, Clinical Immunology, and Infectious Diseases, Ehime University Graduate School of Medicine, Toon, Japan.
Winnie Z Y TeoDepartment of Hematology-Oncology, National University Cancer Institute, Singapore, Singapore.ORCID 0000-0003-4356-6146
Harinder GillDepartment of Medicine, School of Clinical Medicine, LKS Faculty of Medicine, the University of Hong Kong, Pokfulam, Hong Kong.ORCID 0000-0002-9551-4893

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMyelofibrosis (MF) is a complex and clinically heterogeneous myeloproliferative neoplasm, presenting significant challenges for patient care and clinical decision making. Although global guidelines exist for MF management and continue to evolve with the advent of novel therapies, they do not consider regional variations in drug accessibility nor the availability of diagnostic tools and resources. The notable gap in regional guidance for managing patients with MF in the Asia-Pacific (APAC) region has led to regional disparities in patient care practices. To bridge this gap, a steering committee (SC) of 14 expert hematologists from the APAC region collaborated to develop evidence- and consensus-based consensus statements (CSs) for MF management in the APAC region. MATERIALS AND

methodsOn the basis of evidence from a systematic literature review and their own clinical experience, the SC drafted 13 clinical practice recommendations across four consensus themes: (1) defining the thresholds for anemia and when to initiate or modify treatment; (2) defining when to initiate or modify treatment for thrombocytopenia; (3) defining Janus kinase inhibitor failure and what would warrant switching treatment; and (4) defining the most appropriate risk stratification model for MF in the APAC region. The SC and an extended faculty (EF) of 47 hematologists and two patients voted on the CSs in a modified Delphi process using a 9-point scale (1 = strongly disagree, 9 = strongly agree), with consensus achieved when 75% agreed within the range of 7-9.

resultsFollowing amendments to align with EF feedback, consensus was achieved for all 13 CSs.

conclusionThese CSs offer pragmatic guidance tailored to the MF landscape in the APAC region, which aims to enhance the quality of patient care and outcomes. The CSs in this study are formally endorsed by the Asian Myeloid Working Group.

Indexed as

Practice Guidelines as TopicPrimary MyelofibrosisAsiaDisease ManagementHumans

Identifiers

PMID40674679
PMCPMC13185719

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.