Fill out the form below to track the burden of your symptoms.
Using the sliders below, select a number from 1 to 10 (0 if absent) for each symptom. 1 is most favorable and 10 least favorable.
?
Fatigue
Night sweats
Filling up quickly when you eat
(early satiety)
Itching
(pruritus)
Abdominal discomfort
Bone pain
(diffuse not joint pain or arthritis)
Inactivity
Fever
(>37.8°C or >100°F)
Problems with concentration
– Compared to prior to my MPN
Unintentional weight loss last 6 months
To help you and your healthcare provider get a clear overall picture of how you feel with PV, each of your scores for the above symptoms will be added up to calculate your total symptom score.
Use the additional space below to describe your general well-being over the past week or any other information you may want to discuss with your healthcare provider, such as what may be helping to alleviate or worsen symptoms, how you cope with symptoms, or how you feel after a phlebotomy.
The MPN10 is a tool designed to help you assess how your PV-related symptoms are making you feel and impacting your day-to-day life, so that you can better describe these symptoms, and any changes in severity, to your healthcare provider. Your symptom score is important, and individual, to you. It is important to remember that patients may rate symptom severity differently.
When living with a chronic condition like PV, it is important that you take an active role in monitoring your symptoms and discussing changes with your healthcare provider. Tell your healthcare provider if any of your symptoms become worse or more challenging for you.
The following questions may help you discuss your symptoms with your healthcare provider:
References
1. Eman1.uel, RM, et al. Myeloproliferative neoplasm (MPN) symptom assessment form total symptom score: prospective international assessment of an abbreviated symptom burden scoring system among patients with MPNs. J Clin Oncol 2012;30(33):4098.
2.Mesa R, Miller CB, Thyne M, et al. Myeloproliferative neoplasms (MPNs) have a significant impact on patients’ overall health and productivity: the MPN Landmark survey. BMC Cancer. 2016;16(167):1-10.
This web application is intended for use as a resource and diary tracker for patients with myelofibrosis, polycythaemia vera, or essential thrombocythaemia . Information provided on this web application, including outputs from its interactive features, should not be considered an alternative to medical or management advice from your healthcare provider team.
This tool helps you track aspects of
your polycythaemia vera (PV), so you
are prepared for discussions with your
healthcare provider and have a record
of your disease status over time.
Score your symptom severity as often
as you would like. Enter your blood test
or phlebotomy results as needed, after
each procedure.