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. 2020 Jun 6;36(4):605–615. doi: 10.1007/s12288-020-01300-0

Table 6.

Proposed recommendations for myeloproliferative neoplasms in COVID afflicted areas/hospitals

Chronic myeloid leukemia High priority

Continue TKI in accordance to standard guidelines

Single agent 2nd generation TKI or reduced intensity protocols for blast crises (steroid + vincristine + TKI  for lymphoid BC and HMA/LDAC + TKI for myeloid BC) [53]

Intermediate priority

Allogeneic transplants for advanced phase CML maybe deferred

TFR trials may be deferred

Low priority Reduce follow up; BCR ABL monitoring  may  be done yearly in patients in MMR
Myeloproliferative neoplasms Moderate priority

Decrease frequency of phlebotomy; may consider hydroxyurea for low risk polycythemia vera [60]

Defer starting of JAK inhibitors [54]

Postpone all allogeneic transplants

Low priority Reduce monitoring and increase follow up intervals