如何理解？

Recommendation 10a. In children with newly diagnosed ITP and a platelet count of<20x 109/L who have no or mild bleeding (skin manifestations) only, the ASH guideline panel suggests against admission to the hospital and in favor of management as an outpatient (conditional recommendation based on very low certainty in the evidence of effects ⊕◯ ◯◯). Remark: For patients with uncertainty about the diagnosis, those with social concerns, those who live far from the hospital, and those for whom follow-up cannot be guaranteed, admission to the hospital may be preferable.

Recommendation 10b. In children with newly diagnosed ITP and a platelet count of≥20x 109/L who have no or mild bleeding (skin manifestations) only, the ASH guideline panel suggests against admission to the hospital and in favor of management as an outpatient (conditional recommendation based on very low certainty in the evidence of effects ⊕◯ ◯◯). Remark: For patients with uncertainty about the diagnosis, those with social concerns, those who live far from the hospital, or those for whom follow up cannot be guaranteed, admission to the hospital may be preferable.

这两段文字除红字方面不一样，几乎完全一样，这样符合实际情况吗？如何理解？