Evidence map›Paper›PMID 37195076›Full record

ArticleBlood advances2023

American Society of Hematology 2023 guidelines for management of venous thromboembolism: thrombophilia testing.

Saskia Middeldorp, Robby Nieuwlaat, Lisa Baumann Kreuziger, Michiel Coppens, Damon Houghton, Andra H James, Eddy Lang, Stephan Moll, Tarra Myers, Meha Bhatt and 7 more

Open access · goldAbstract read
In one paragraph

Article in Blood advances, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 131 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
131citing papers in PubMed, 5 pooled it
56.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

131 citing papers in PubMed, 5 syntheses or guidelines pooled it, 204 citations in OpenAlex.

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  4. U.S. Selected Practice Recommendations for Contraceptive Use, 2024.MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports · 2024
    Guideline
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71 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 13 institutions in 6 countries.

Saskia MiddeldorpDepartment of Internal Medicine, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID 0000-0002-1006-6420
Robby NieuwlaatMichael G. DeGroote Cochrane Canada and MacGRADE Centres, McMaster University, Hamilton, ON, Canada.
Lisa Baumann KreuzigerDepartment of Medicine, Division of Hematology & Oncology, Versiti Blood Research Institute, Versiti and Medical College of Wisconsin, Milwaukee, WI.ORCID 0000-0002-1171-0548
Michiel CoppensDepartment of Vascular Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.ORCID 0000-0001-6891-9062
Damon HoughtonDivision of Vascular Medicine, Department of Cardiovascular Diseases, Mayo Clinic, Rochester, MN.ORCID 0000-0002-6065-9523
Andra H JamesDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Duke University School of Medicine, Durham, NC.ORCID 0000-0003-4570-6595
Eddy LangDepartment of Emergency Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.ORCID 0000-0003-0850-4337
Stephan MollDivision of Hematology, Department of Medicine, University of North Carolina School of Medicine, Chapel Hill, NC.ORCID 0000-0001-8573-7930
Tarra MyersCambridge, ON, Canada.
Meha BhattMichael G. DeGroote Cochrane Canada and MacGRADE Centres, McMaster University, Hamilton, ON, Canada.
Chatree Chai-AdisaksophaDivision of Hematology, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Luis E Colunga-LozanoHealth Science Center, Universidad de Guadalajara, Guadalajara, Mexico.ORCID 0000-0001-7737-4914
Samer G KaramMichael G. DeGroote Cochrane Canada and MacGRADE Centres, McMaster University, Hamilton, ON, Canada.ORCID 0000-0002-5167-4246
Yuan ZhangDepartment of Internal Medicine, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID 0000-0002-4174-0641
Wojtek WierciochMichael G. DeGroote Cochrane Canada and MacGRADE Centres, McMaster University, Hamilton, ON, Canada.ORCID 0000-0001-6576-1650
Holger J SchünemannMichael G. DeGroote Cochrane Canada and MacGRADE Centres, McMaster University, Hamilton, ON, Canada.ORCID 0000-0003-3211-8479
Alfonso IorioDepartment of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada.ORCID 0000-0002-3331-8766
Cochrane · CARadboud University Nijmegen · NLAmsterdam University Medical Centers · NLCalifornia State University, Northridge · USChiang Mai University · THDuke University · USImpact · CAMayo Clinic · USMedical College of Wisconsin · USUniversidad de Guadalajara · MXUniversity of Calgary · CAUniversity of Freiburg · DEUniversity of North Carolina at Chapel Hill · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hereditary and acquired thrombophilia are risk factors for venous thromboembolism (VTE). Whether testing helps guide management decisions is controversial. These evidence-based guidelines from the American Society of Hematology (ASH) intend to support decision making about thrombophilia testing. ASH formed a multidisciplinary guideline panel covering clinical and methodological expertise and minimizing bias from conflicts of interest. The McMaster University GRADE Centre provided logistical support, performed systematic reviews, and created evidence profiles and evidence-to-decision tables. The Grading of Recommendations Assessment, Development, and Evaluation approach (GRADE) was used. Recommendations were subject to public comment. The panel agreed on 23 recommendations regarding thrombophilia testing and associated management. Nearly all recommendations are based on very low certainty in the evidence due to modeling assumptions. The panel issued a strong recommendation against testing the general population before starting combined oral contraceptives (COCs) and conditional recommendations for thrombophilia testing in the following scenarios: (a) patients with VTE associated with nonsurgical major transient or hormonal risk factors; (b) patients with cerebral or splanchnic venous thrombosis, in settings where anticoagulation would otherwise be discontinued; (c) individuals with a family history of antithrombin, protein C, or protein S deficiency when considering thromboprophylaxis for minor provoking risk factors and for guidance to avoid COCs/hormone replacement therapy; (d) pregnant women with a family history of high-risk thrombophilia types; and (e) patients with cancer at low or intermediate risk of thrombosis and with a family history of VTE. For all other questions, the panel provided conditional recommendations against testing for thrombophilia.

Indexed as

HematologyThrombophiliaVenous ThromboembolismAnticoagulantsAntithrombinsFemaleHumansPregnancyUnited StatesAnticoagulantsAntithrombins

Identifiers

PMID37195076
PMCPMC10709681
OpenAlexW4376872039

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.