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Resultados de RecomendacionesRegistros :  6737

Don’t use greater than 2 mg/kg/day of methylprednisolone (or equivalent) for the initial treatment of graft-versus-host disease.


Choosing Wisely®

American Soc. for Blood and Marrow Transplantation & the Canadian Blood and Marrow Transplant Group


Published studies have shown no advantage to using methylprednisolone-equivalent doses higher than 2 mg/kg/day in acute graft-versus-host disease. In addition, using higher doses increases risks of corticosteroid related toxicity. Furthermore, at least in patients with grade I-II acute graft-versus-host disease, initial therapy with lower-dose corticosteroids at 1 mg/kg/day may be equivalent.

ver más ... 2018

Don’t routinely use peripheral blood stem cells for patients with aplastic anemia when a suitable bone marrow donor is available due to a higher risk of graft-versus-host disease.


Choosing Wisely®

American Soc. for Blood and Marrow Transplantation & the Canadian Blood and Marrow Transplant Group


Mientras que el injerto más rápido con células madre de sangre periférica movilizadas con filgrastim da como resultado una recuperación más rápida de los recuentos de sangre periférica en comparación con la médula ósea en pacientes con anemia aplásica, la mayor tasa de enfermedad de injerto contra huésped puede ser perjudicial.

ver más ... 2018

Do not routinely continue a series of apheresis procedures without a predefined objective goal, and stop the series if it is apparent that the goal cannot be reached or adverse effects outweigh ...


Choosing Wisely®

American Society for Apheresis


Apheresis procedures are performed sequentially until a predefined objective goal is reached. When the goal is either achieved or is determined to be unreachable the burden and potential adverse effects of performing additional procedures outweighs the potential benefits.

ver más ... 2018

Do not routinely monitor coagulation tests during a course of therapeutic plasma exchange, unless the procedure is performed daily.


Choosing Wisely®

American Society for Apheresis


For most indications, therapeutic plasma exchange can be performed on an intermittent schedule using clotting factor deficient replacement fluid without the need for routine monitoring of the patient’s hemostasis status. Daily treatments significantly reduce clotting factors; therefore, coagulation testing may be appropriate.

ver más ... 2018

Do not continue simple transfusions in patients with stroke from sickle cell disease who have iron overload, if red blood cell exchange is available.


Choosing Wisely®

American Society for Apheresis


Stroke is a common cause of serious morbidity in children and mortality in adults with sickle cell disease. Exchange transfusion is a more effective method than simple transfusions to prevent both recurrent strokes and the complications of iron overload.

ver más ... 2018