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Published byBenjamin Hunt Modified over 6 years ago
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Perspectives on Managing Polycythemia Vera for the Nurse Practitioner and Physician Assistant
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Program Objectives
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Polycythemia Vera Overview
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Patient Case 1 Initial Presentation
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When to Suspect PV
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Initial Workup for PV
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WHO 2016 Diagnostic Criteria for PV
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Patient Case 1 (cont)
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Audience Question 1
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Risk Stratification for Thrombosis in PV
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Risk Factors for Decreased Survival in PV
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Causes of Mortality in Patients With PV
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PV Treatment Goals
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Management of Disease Symptoms
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Communication Between Providers and Patients/Caregivers
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Communication Among the Healthcare Team
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Cytoreductive Therapy
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Symptomatic Profiles of Patients With PV According to HU Use
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PV Risk-Adapted Treatment Strategy
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Management of Treatment-Related AEs
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Patient Case 1 2 Years Later
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Evaluating Response to Treatment
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Patient Case 1 Resolution
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Patient Case 2 Presentation
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Patient Case 2 (cont)
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Resistance to or Intolerance of HU or IFNα
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How to Determine Resistance to or Intolerance of HU
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Audience Question 2
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Alternative Therapies for PV Resistant to or Intolerant of HU
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Pegylated IFNα2a for PV Phase 2 Study Responses
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Pegylated IFNα2a for PV Molecular Response
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Ruxolitinib
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Mechanism of JAK-STAT Signaling
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Ruxolitinib for PV Phase 3 RESPONSE Trial
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RESPONSE Trial Efficacy Results
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Ruxolitinib Dosing in PV
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Ruxolitinib Dose Modifications
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Ruxolitinib Safety Profile
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Management of AEs
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Patient Case 2 Treatment Plan
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Summary and Conclusion
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Abbreviations
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Abbreviations
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