5 Hematology Procedures That Should Stop or Be Limited

There is a quite interesting publication in Blood considering the practices that should be stopped or limited in hematology

Here are the recommendations:

1. Don’t transfuse more than the minimum number of red blood cell (RBC) units necessary to relieve symptoms of anemia or to return a patient to a safe hemoglobin range (7 to 8 g/dL in stable, non-cardiac in-patients).

2. Don’t test for thrombophilia in adult patients with venous thromboembolism (VTE) occurring in the setting of major transient risk factors (surgery, trauma or prolonged immobility).

3. Don’t use inferior vena cava (IVC) filters routinely in patients with acute VTE.

4. Don’t administer plasma or prothrombin complex concentrates for non-emergent reversal of vitamin K antagonists (i.e. outside of the setting of major bleeding, intracranial hemorrhage or anticipated emergent surgery).

5. Limit surveillance computed tomography (CT) scans in asymptomatic patients following curative-intent treatment for aggressive lymphoma.

 

And at the 6th place but still important:

6. The diagnosis of lymphoma should be based on excisional biopsies, and clinicians should not initiate treatment of lymphoma based of tissue obtained exclusively from fine-needle aspirations.

 

The whole thing can be found and read for free here:

http://www.choosingwisely.org/doctor-patient-lists/american-society-of-hematology/

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