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Table 7 Concepts identified in the literature review

From: Development of a symptom assessment in patients with myelofibrosis: qualitative study findings

Concept

Concept description

Night sweats [1, 2, 12, 13, 15, 17,18,19,20,21,22,23,24,25,26, 28,29,30,31,32, 34, 35, 37,38,39, 41] (including nocturnal sweats)

Episodes of nighttime sweating that soak your nightclothes or bedding and are related to some underlying cause

Fatigue [2, 13, 15, 17, 19,20,21,22, 24,25,26,27,28,29,30, 33,34,35,36,37,38,39, 41]

Feeling of tiredness that lasts a long time and doesn’t go away even after rest

Itching [1, 2, 12, 13, 15, 17,18,19,20,21,22, 24, 26, 28, 38, 39, 41]

Skin tingling or irritation that makes one want to scratch the itchy area

Bone pain [1, 2, 12, 13, 15, 17, 18, 20,21,22, 24,25,26, 28, 32, 34, 37, 39, 41] (including bone tenderness)

Aching or other discomfort in one or more bones

Weight loss [2, 12, 13, 15,16,17, 19, 21, 23,24,25, 28,29,30, 34, 37, 38] (Including undesired weight loss, weight loss attributed to gastric ulcer)

Decrease in body weight, when one did not try to lose the weight on their own

Fever [2, 12, 15, 16, 20, 21, 23,24,25, 28,29,30, 35, 37, 38]

Body temperature that is higher than normal

Abdominal discomfort/pain [1, 12, 13, 15, 17, 18, 21, 22, 24,25,26, 28, 34, 37,38,39, 41]

Pain/discomfort in the area from below one’s chest to groin

Early satiety [1, 12, 13, 15, 17, 18, 22, 24, 28, 33, 34, 39, 41]

Feeling full sooner than normal or after eating less than usual

Pain under left ribs [1, 2, 16, 18, 22, 26, 28, 39, 41] (including spleen pain, left upper quadrant/subcostal pain, occasional pain or discomfort from the enlarged spleen)

Pain or discomfort located under the ribs on the side of the abdomen

Dyspnea [19, 20, 26,27,28, 34, 41]

Feeling of not getting enough air (shortness of breath)

Appetite loss [19, 20, 26, 27, 34, 39, 41]

Reduced desire to eat

Pain/discomfort [20, 26, 27, 39, 41]

Feeling triggered in the nervous system. It may be sharp or dull, it may come and go, or it may be constant. It may be felt in one area of the body, such as the back, abdomen or chest or may be felt all over

Cough [21, 22, 25, 33, 34]

Reflex that keeps one’s throat and airways clear

Muscle pain [1, 18, 26, 39, 41]

Involves more than one muscle and can involve ligaments, tendons, and fascia, the soft tissues that connect muscles, bones, and organs

Headache [12, 21] (including chronic headache)

Pain in any region of the head

Numbness/tingling [12, 21, 32] (peripheral neuropathy)

Abnormal sensations that can occur anywhere in your body, but are often felt in your fingers, hands, feet, arms, or legs

Constipation [20, 27]

Having three or fewer bowel movements in a week. The stool can be hard and dry and sometimes it is painful to pass

Diarrhea [20, 27]

Having loose, watery stools more than three times in 1 day. One may also have cramps, bloating, nausea and an urgent need to have a bowel movement

Anorexia [20, 37]

Becoming too thin, but one doesn’t eat enough

Dizziness/vertigo [12, 21]

Dizziness is a feeling of being lightheaded or losing your balance. Vertigo is a feeling that the room is spinning

Nausea [20, 27]

An uneasy or unsettled feeling in the stomach together with an urge to vomit

Swelling [20, 25] (including swollen extremities)

Swelling of extremities (arms and legs)

Altered bowels [25]

Altered movement of food through the digestive tract. This could be in the form of diarrhea, constipation or bowel incontinence

Altered consciousness [28]

Altered awareness

Delirium [28]

Sudden severe confusion due to rapid changes in brain function that occur with physical or mental illness

Easy bruising [37]

Bleeding episodes

Palpitations [28] (including compensatory tachycardia)

Feelings or sensations that your heart is pounding or racing. They can be felt in your chest, throat, or neck

Photophobia [28]

Eye discomfort in bright light

Sweats [16]

Sweating is the release of liquid from the body’s sweat glands. Patients may experience excessive sweating due to MF

Abdominal swelling [14]

When the belly area is bigger than usual

Vomiting [20]

Forcing the contents of the stomach up through the esophagus and out of the mouth

Weakness [28]

Reduced strength in one or more muscles