American Society of Hematology, ABHH, ACHO, Grupo CAHT, Grupo CLAHT, SAH, SBHH, SHU, SOCHIHEM, SOMETH, Sociedad Panameña de Hematología, Sociedad Peruana de Hematología, and SVH 2022 guidelines for prevention of venous thromboembolism in surgical and medical patients and long-distance travelers in Latin America

Blood Advances - Tập 6 - Trang 3636-3649 - 2022
Ignacio Neumann1, Ariel Izcovich2, Ricardo Aguilar3, Guillermo León Basantes4, Patricia Casais5,6, Cecilia C. Colorio7, María Cecilia Guillermo Esposito8, Pedro P. García Lázaro9, Jaime Pereira10, Luis A. Meillon-García11, Suely Meireles Rezende12, Juan Carlos Serrano13, Mario L. Tejerina Valle14, Felipe Vera15, Lorena Karzulovic16, Gabriel Rada1, Holger J. Schünemann17,18,19
1Department of Internal Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile
2Hospital Alemán, Buenos Aires, Argentina
3Servicio de Hematología, Complejo Hospitalario Dr. Arnulfo Arias Madrid, Ciudad de Panamá, Panamá
4Clínica Universitaria Colombia, Bogotá, Colombia
5Epidemiología Clínica y Evidencia, Instituto de Investigaciones en Salud Pública, Universidad de Buenos Aires, Buenos Aires, Argentina
6Centro de Hematología Pavlovsky, Buenos Aires, Argentina
7Fundación Favaloro, Buenos Aires, Argentina
8Hospital de Clínicas Dr. Manuel Quintela, Montevideo, Uruguay
9Hospital de Alta complejidad Virgen de la Puerta, La Esperanza, Perú
10Department of Hematology and Oncology, Pontificia Universidad Católica de Chile, Santiago, Chile
11The ABC Medical Center, Ciudad de México, México
12Department of Internal Medicine, Faculty of Medicine, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
13Centro Clínico San Cristóbal, San Cristóbal, Venezuela
14Caja Petrolera de Salud, La Paz, Bolivia
15School of Health and Related Research, University of Sheffield, Sheffield, United Kingdom
16Department of Pediatrics, Pontificia Universidad Católica de Chile, Santiago, Chile
17Department of Health Research Methods, Evidence, and Impact
18Department of Medicine, McMaster University, Hamilton, Ontario, Canada
19Department of Biomedical Sciences, Humanitas University, Milan, Italy

Tóm tắt

Abstract Background: Venous thromboembolism (VTE) is a common disease in Latin American settings. Implementation of international guidelines in Latin American settings requires additional considerations. Objective: To provide evidence-based guidelines about VTE prevention for Latin American patients, clinicians, and decision makers. Methods: We used the GRADE ADOLOPMENT method to adapt recommendations from 2 American Society of Hematology (ASH) VTE guidelines (Prevention of VTE in Surgical Patients and Prophylaxis for Medical Patients). ASH and 12 local hematology societies formed a guideline panel composed of medical professionals from 10 countries in Latin America. Panelists prioritized 20 questions relevant to the Latin American context. A knowledge synthesis team updated evidence reviews of health effects conducted for the original ASH guidelines and summarized information about factors specific to the Latin American context, that is, values and preferences, resources, accessibility, feasibility, and impact on health equity. Results: The panel agreed on 21 recommendations. In comparison with the original guideline, 6 recommendations changed direction and 4 recommendations changed strength. Conclusions: This guideline ADOLOPMENT project highlighted the importance of contextualization of recommendations in other settings, based on differences in values, resources, feasibility, and health equity impact.

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Blood Advances

Tập 6

3636-3649

Thông tin tác giả