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Aplastic Anemia — Goals and Metrics — Clinical Pathway

Aplastic Anemia Clinical Pathway — All Settings

Goals

  • Improving clinician recognition of patients with aplastic anemia
  • Timely diagnosis, completion of pre-treatment laboratory evaluations, and initiation of treatment
  • Improved patient outcomes by standardizing assessment of treatment response and initiation of 2nd treatment when indicated.

Metrics

  • % of patients that have definitive treatment plan in place by 4 weeks from diagnosis
  • % of patients that have BM aspirate/biopsy completed with proper cytogenetic assessments, including karyotype analysis and SNP array at diagnosis
  • % of patients with severe aplastic anemia that have HLA typing, telomere testing, PNH testing, and chromosomal breakage testing completed and resulted by 4 weeks from diagnosis.
  • % of patients who remain transfusion dependent or with an ANC < 500 by 6 months post treatment.
  • % of patients who undergo repeat BM aspirate/biopsy at 3 and 12 months post-IST.
  • % of patients who undergo PNH testing at 1 year post-transplant.
  • % of patients who have dose adjustment of Cyclosporine after Voriconazole is discontinued.

Notes

  • BM: Bone marrow
  • SNP: Single-nucleotide polymorphism
  • HLA: Human Leukocyte antigen
  • PNH: Paroxysmal nocturnal hemoglobinuria
  • IST: Immunosuppressive therapy

 

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