红字部分如何翻译？

Recommendation 9. In adults with ITP lasting≥3 months who are corticosteroid-dependent or have no response to corticosteroids, the ASH guideline panel suggests a TPO-RA rather than rituximab Remark: These recommendations are the result of dichotomous evaluation of treatments that are often being considered simultaneously. Each of these second line treatments may be effective therapy and therefore the choice of treatment should be individualized based on duration of ITP, frequency of bleeding episodes requiring hospitalization or rescue medication, comorbidities, age of the patient, medication adherence, medical and social support networks, patient values and preferences, cost, and availability.

红字部分如何翻译？最好写出完整橘子