The EValuation of ERythrocytosis pRospEctive cohort STudy (EVEREST) is a prospective study designed to shed light on these key questions in the diagnosis, management, and clinical outcomes in patients with elevated hemoglobin (erythrocytosis). This longitudinal, prospective study will generate high quality data that can help inform the optimal approach to diagnosis and management in this patient population.
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
1. Adult patients (\>=18 years) referred to hematology clinics at London Health Sciences Centre with hemoglobin levels \>=165 g/L in males or \>=160 g/L in females.
2. Patients capable of providing informed consent.
3. Age \>= 18 years.
Exclusion Criteria:
1. Patients \<18 years.
2. Patients without erythrocytosis.
3. Patients incapable of providing informed consent.
Primary outcome measure(s)
Incidence and Causes of Erythrocytosis — 5 years The study will measure the incidence of primary and secondary causes of erythrocytosis, including polycythemia vera (PV), chronic hypoxia, medication use (e.g., SGLT2 inhibitors, testosterone), and other secondary causes. Data will be derived from clinical records and diagnostic investigations conducted as part of routine care.
Unit of Measure: Proportion of participants (%) and count (n) categorized by cause over the study duration.
Diagnostic Accuracy of the JAKPOT Prediction Rule — 5 years The diagnostic accuracy of the JAKPOT prediction rule will be assessed for differentiating JAK2-positive erythrocytosis/PV from other causes. Measures will include sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV).
Unit of Measure: Sensitivity (%), specificity (%), PPV (%), and NPV (%).
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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