Consensus on the investigation of thrombophilia in women and clinical management

Carregando...
Imagem de Miniatura
Citações na Scopus
2
Tipo de produção
article
Data de publicação
2019
Título da Revista
ISSN da Revista
Título do Volume
Editora
INST ISRAELITA ENSINO & PESQUISA ALBERT EINSTEIN
Autores
NASCIMENTO, Claudia Mac Donald Bley
MACHADO, Andrea Maria Novaes
GUERRA, Joao Carlos de Campos
ZLOTNIK, Eduardo
CAMPELO, Dirceu Hamilton Cordeiro
WAKSMAN, Hilton
WOLOSKER, Nelson
PODGAEC, Sergio
HAMERSCHLAK, Nelson
Citação
EINSTEIN-SAO PAULO, v.17, n.3, article ID UNSP eAE4510, 7p, 2019
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Objective: To standardize the investigation and clinical management of women with laboratory and/or clinical abnormalities suggestive of thrombophilia, in order to optimize antithrombotic approach and indication of laboratory tests. Methodology: A discussion was carried out among 107 physicians (gynecologists/obstetricians, hematologists and vascular surgeons) present at a forum held at the Hospital Israelita Albert Einstein, in Sao Paulo (SP), Brazil. As a minimum criterion, 80% agreement was established in the voting to each recommendation of conduct in the final document. The cases in which there was agreement below 80% were discussed again, reaching a consensual agreement of conduct for the document writing. Conclusion: The standardization of an institutional consensus of suggestions of clinical approach contributes to a better management of the group to be evaluated and minimizes risks of intercurrent events. This was the first national consensus on the investigation of thrombophilia in women.
Palavras-chave
Thrombophilia, Antiphospholipid syndrome, Venous thromboembolism, Pregnancy, Abortion, habitual, Pregnancy complications, Contraception, Venous thrombosis
Referências
  1. [Anonymous], 2008, FERTIL STERIL, V89, P1603, DOI 10.1016/j.fertnstert.2008.03.002
  2. Baglin T, 2010, BRIT J HAEMATOL, V149, P209, DOI 10.1111/j.1365-2141.2009.08022.x
  3. Bates SM, 2012, CHEST, V141, pE691S, DOI 10.1378/chest.11-2300
  4. Canonico M, 2007, CIRCULATION, V115, P840, DOI 10.1161/CIRCULATIONAHA.106.642280
  5. Connors JM, 2017, NEW ENGL J MED, V377, P1177, DOI 10.1056/NEJMra1700365
  6. Croles FN, 2017, BMJ-BRIT MED J, V359, DOI 10.1136/bmj.j4452
  7. de Bastos M, 2014, COCHRANE DB SYST REV, DOI 10.1002/14651858.CD010813.pub2
  8. Harrop-Griffiths W, 2013, ANAESTHESIA, V68, P966, DOI 10.1111/anae.12359
  9. Heit JA, 2015, NAT REV CARDIOL, V12, P464, DOI 10.1038/nrcardio.2015.83
  10. Hicks LK, 2014, BLOOD, V124, P3524, DOI 10.1182/blood-2014-09-599399
  11. James AH, 2006, AM J OBSTET GYNECOL, V194, P1311, DOI 10.1016/j.ajog.2005.11.008
  12. Jennings I, 2005, SEMIN THROMB HEMOST, V31, P66, DOI 10.1055/s-2005-863807
  13. Kourlaba G, 2016, INT J GYNECOL OBSTET, V132, P4, DOI 10.1016/j.ijgo.2015.06.054
  14. Kurasawa G, 2007, AUST NZ J OBSTET GYN, V47, P213, DOI 10.1111/j.1479-828X.2007.00720.x
  15. L'Hermite M, 2013, CLIMACTERIC, V16, P44, DOI 10.3109/13697137.2013.808563
  16. Lidegaard O, 2011, BMJ-BRIT MED J, V343, DOI 10.1136/bmj.d6423
  17. Lidegaard O, 2009, BRIT MED J, V339, DOI 10.1136/bmj.b2890
  18. Meng KK, 2015, J MATERN-FETAL NEO M, V28, P245, DOI 10.3109/14767058.2014.913130
  19. Middeldorp S, 2016, HEMATOL-AM SOC HEMAT, P1, DOI 10.1182/asheducation-2016.1.1
  20. Moll S, 2015, J THROMB THROMBOLYS, V39, P367, DOI 10.1007/s11239-015-1197-3
  21. Ray J G, 1999, Obstet Gynecol Surv, V54, P265, DOI 10.1097/00006254-199904000-00023
  22. Roumen FJME, 2012, EUR J CONTRACEP REPR, V17, P415, DOI 10.3109/13625187.2012.713535
  23. Santos TD, 2017, J REPROD IMMUNOL, V123, P78, DOI 10.1016/j.jri.2017.09.007
  24. Sorensen HT, 2011, J THROMB HAEMOST, V9, P320, DOI 10.1111/j.1538-7836.2010.04129.x
  25. Stevens SM, 2016, J THROMB THROMBOLYS, V41, P154, DOI 10.1007/s11239-015-1316-1
  26. Vieira CS, 2007, HUM REPROD, V22, P2196, DOI 10.1093/humrep/dem153
  27. Vlieg AV, 2011, J THROMB HAEMOST, V9, P257, DOI 10.1111/j.1538-7836.2010.04148.x
  28. Vlieg AV, 2009, BMJ-BRIT MED J, V339, DOI 10.1136/bmj.b2921
  29. Vlieg AVH, 2010, ARTERIOSCL THROM VAS, V30, P2297, DOI 10.1161/ATVBAHA.110.211482
  30. Working Party, Association of Anaesthetists of Great Britain & Ireland, Obstetric Anaesthetists' Association, Regional Anaesthesia UK, 2016, ANAESTHESIA, V71, P352
  31. Wu O, 2007, CURR OPIN HEMATOL, V14, P500, DOI 10.1097/MOH.0b013e32825f5318