Five hematologic tests and treatments to question

Lisa K. Hicks, Harriet Bering, Kenneth R. Carson, Adam E. Haynes, Judith Kleinerman, Vishal Kukreti, Alice Ma, Brigitta U. Mueller, Sarah H. O'Brien, Julie A. Panepinto, Marcelo C. Pasquini, Anita Rajasekhar, Ravi Sarode, William A. Wood

Research output: Contribution to journalReview article

36 Scopus citations

Abstract

Choosing Wisely® is a medical stewardship initiative led by the American Board of Internal Medicine Foundation in collaboration with professional medical societies in the United States. The American Society of Hematology (ASH) released its first Choosing Wisely® list in 2013. Using the same evidence-based methodology as in 2013, ASH has identified 5 additional tests and treatments that should be questioned by clinicians and patients under specific, indicated circumstances. The ASH 2014 Choosing Wisely® recommendations include: (1) do not anticoagulate for more than 3 months in patients experiencing a first venous thromboembolic event in the setting of major, transient risk factors for venous thromboembolism; (2) do not routinely transfuse for chronic anemia or uncomplicated pain crises in patients with sickle cell disease; (3) do not perform baseline or surveillance computed tomography scans in patients with asymptomatic, early-stage chronic lymphocytic leukemia; (4) do not test or treat for heparin-induced thrombocytopenia if the clinical pretest probability of heparin-induced thrombocytopenia is low; and (5) do not treat patients with immune thrombocytopenia unless they are bleeding or have very low platelet counts.

Original languageEnglish
Pages (from-to)3524-3528
Number of pages5
JournalBlood
Volume124
Issue number24
DOIs
StatePublished - Dec 4 2014

Fingerprint Dive into the research topics of 'Five hematologic tests and treatments to question'. Together they form a unique fingerprint.

  • Cite this

    Hicks, L. K., Bering, H., Carson, K. R., Haynes, A. E., Kleinerman, J., Kukreti, V., Ma, A., Mueller, B. U., O'Brien, S. H., Panepinto, J. A., Pasquini, M. C., Rajasekhar, A., Sarode, R., & Wood, W. A. (2014). Five hematologic tests and treatments to question. Blood, 124(24), 3524-3528. https://doi.org/10.1182/blood-2014-09-599399