einstein (São Paulo). 13/Aug/2019;17(3):eAE4510.

Consensus on the investigation of thrombophilia in women and clinical management

Claudia Mac Donald Bley Nascimento ORCID logo , Andréa Maria Novaes Machado ORCID logo , João Carlos de Campos Guerra ORCID logo , Eduardo Zlotnik ORCID logo , Dirceu Hamilton Cordeiro Campêlo ORCID logo , Paulo Kauffman ORCID logo , Hilton Waksman ORCID logo , Nelson Wolosker ORCID logo , Sérgio Podgaec ORCID logo , Nelson Hamerschlak ORCID logo

DOI: 10.31744/einstein_journal/2019AE4510

ABSTRACT

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 São 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.

Consensus on the investigation of thrombophilia in women and clinical management

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