The ASH-ASPHO Choosing Wisely Campaign: 5 hematologic tests and treatments to question.

Autor: O'Brien SH; Division of Pediatric Hematology/Oncology, Nationwide Children's Hospital/The Ohio State University, Columbus, OH., Badawy SM; Division of Hematology, Oncology and Stem Cell Transplant, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL.; Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, IL., Rotz SJ; Department of Pediatric Hematology, Oncology, and Blood and Marrow Transplantation, Cleveland Clinic Children's Hospital, Cleveland, OH., Shah MD; Division of Hematology and Oncology, Department of Pediatrics, Baylor College of Medicine, Houston, TX., Makarski J; Independent consultant methodologist, Hamilton, ON, Canada., Bercovitz RS; Division of Hematology, Oncology and Stem Cell Transplant, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL.; Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, IL., Hogan MS; Department of Pediatrics, Section of Hematology and Oncology, Yale School of Medicine, New Haven, CT., Luchtman-Jones L; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH.; Division of Hematology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH., Panepinto JA; Division of Pediatric Hematology/Oncology, Children's Wisconsin/Medical College of Wisconsin, Milwaukee, WI., Priola GM; Division of Pediatric Hematology/Oncology, Mission Children's Hospital, Asheville, NC., Witmer CM; Division of Hematology, Children's Hospital of Philadelphia, Philadelphia, PA., Wolfson JA; Division of Pediatric Hematology-Oncology, Institute for Cancer Outcomes and Survivorship, University of Alabama, Birmingham, AL., Yee M; Division of Hematology/Oncology, Department of Pediatrics, Emory University, Atlanta, GA.; Aflac Cancer and Blood Disorders Center, Children's Healthcare of Atlanta, Atlanta, GA., Hicks LK; Division of Hematology/Oncology, St. Michael's Hospital, Toronto, ON, Canada.
Jazyk: angličtina
Zdroj: Pediatric blood & cancer [Pediatr Blood Cancer] 2021 Aug; Vol. 68 (8), pp. e28967. Date of Electronic Publication: 2021 May 28.
DOI: 10.1002/pbc.28967
Abstrakt: Choosing Wisely is a medical stewardship and quality-improvement initiative led by the American Board of Internal Medicine Foundation in collaboration with leading medical societies in the United States. The American Society of Hematology (ASH) has been an active participant in the Choosing Wisely project. In 2019, ASH and the American Society of Pediatric Hematology/Oncology (ASPHO) formed a joint task force to solicit, evaluate, and select items for a pediatric-focused Choosing Wisely list. By using an iterative process and an evidence-based method, the ASH-ASPHO Task Force identified 5 hematologic tests and treatments that health care providers and patients should question because they are not supported by evidence, and/or they involve risks of medical and financial costs with low likelihood of benefit. The ASH-ASPHO Choosing Wisely recommendations are as follows: (1) avoid routine preoperative hemostatic testing in an otherwise healthy child with no previous personal or family history of bleeding, (2) avoid platelet transfusion in asymptomatic children with a platelet count 10 × 10 3 /μL unless an invasive procedure is planned, (3) avoid thrombophilia testing in children with venous access-associated thrombosis and no positive family history, (4) avoid packed red blood cells transfusion for asymptomatic children with iron deficiency anemia and no active bleeding, and (5) avoid routine administration of granulocyte colony-stimulating factor for prophylaxis of children with asymptomatic autoimmune neutropenia and no history of recurrent or severe infections. We recommend that health care providers carefully consider the anticipated risks and benefits of these identified tests and treatments before performing them.
(© 2021 American Society of Hematology. All rights reserved. Pediatric Blood & Cancer published by Wiley Periodicals LLC.)
Databáze: MEDLINE
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