64th ASH Annual Meeting and Exposition: Point/Counterpoint: The case for/against thrombophilia testing in many/most adults with unprovoked thrombosis.

Sponsor: EDUCATION

Spotlight Sessions

Clinical Practice (Health Services and Quality)

288-290 (Ernest N. Morial Convention Center)

Chair:

Wendy Lim, MD, MSc, McMaster University

Disclosures:

Lim: Pfizer: Consultancy, Honoraria, Membership on an entity's Board of Directors or advisory committees; BMS-Pfizer Alliance: Honoraria; Aspen: Membership on an entity's Board of Directors or advisory committees; Sobi: Membership on an entity's Board of Directors or advisory committees.

The role of thrombophilia testing in clinical practice remains controversial. In the absence of clinical trials evaluating thrombophilia testing and its effect on decision-making and clinical outcomes, the utility of thrombophilia testing is largely guided by expert opinion. Thrombophilia testing is frequently requested and performed in patients with a family history of thrombosis, in patients with established thrombosis and in women with pregnancy complications. The merits and pitfalls of thrombophilia testing in these scenarios will be discussed and debated.

Point/Counterpoint: There case FOR thrombophilia testing in many/most adults with unprovoked thrombosis.

Stephan Moll, MD

University of North Carolina School of Medicine, Chapel Hill, NC

Point/Counterpoint: There case AGAINST thrombophilia testing in many/most adults with unprovoked thrombosis

Deborah M. Siegal, MD

Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada; Department of Medicine, University of Ottawa, Ottawa, ON, Canada

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