{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T21:47:58Z","timestamp":1780350478038,"version":"3.54.1"},"reference-count":74,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2018,7,19]],"date-time":"2018-07-19T00:00:00Z","timestamp":1531958400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Haemophilia"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:p>von Willebrand disease (<jats:styled-content style=\"fixed-case\">VWD<\/jats:styled-content>) and haemophilia represent the most common inherited or acquired bleeding disorders. However, many laboratories and clinicians may be challenged by their accurate diagnosis or exclusion. Difficulties in diagnosis\/exclusion may include analytical issues, where assays occasionally generate an incorrect result (ie representing an analytical error) or have limitations in their measurement range of and\/or low analytical sensitivity. Also increasingly recognized is the influence of preanalytical issues on the diagnosis of <jats:styled-content style=\"fixed-case\">VWD<\/jats:styled-content> or haemophilia. Unfortunately, postanalytical considerations are often not well considered in the diagnostic process. Therefore, this narrative review aims to provide an overview of some important postanalytical considerations that may help improve the diagnosis of <jats:styled-content style=\"fixed-case\">VWD<\/jats:styled-content> and haemophilia. This review primarily discusses aspects around reporting of test results. However, we also discuss other less well\u2010recognized postanalytical considerations, including the use of assay ratios to help identify differential diagnoses and then guide further investigation.<\/jats:p>","DOI":"10.1111\/hae.13587","type":"journal-article","created":{"date-parts":[[2018,7,19]],"date-time":"2018-07-19T13:44:25Z","timestamp":1532007865000},"page":"849-861","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Postanalytical considerations that may improve the diagnosis or exclusion of haemophilia and von Willebrand disease"],"prefix":"10.1111","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2103-1661","authenticated-orcid":false,"given":"Emmanuel J.","family":"Favaloro","sequence":"first","affiliation":[{"name":"Diagnostic Haemostasis Laboratory Department of Haematology Institute of Clinical Pathology and Medical Research (ICPMR) NSW Health Pathology Westmead Hospital  Westmead NSW Australia"},{"name":"Sydney Centres for Thrombosis and Haemostasis  Westmead NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soma","family":"Mohammed","sequence":"additional","affiliation":[{"name":"Diagnostic Haemostasis Laboratory Department of Haematology Institute of Clinical Pathology and Medical Research (ICPMR) NSW Health Pathology Westmead Hospital  Westmead NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9523-9054","authenticated-orcid":false,"given":"Giuseppe","family":"Lippi","sequence":"additional","affiliation":[{"name":"Section of Clinical Biochemistry University of Verona  Verona Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,7,19]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4939-7196-1_29"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.thromres.2014.05.020"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1538-7836.2006.02146.x"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0035-1564800"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0033-1353420"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1586\/17474086.2015.1039978"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0036-1571311"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4939-7196-1_20"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4939-7196-1_21"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2516.2012.02830.x"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0033-1356573"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0036-1581127"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.12991"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pathol.2016.03.001"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4939-7196-1_2"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1309\/LM749BQETKYPYPVM"},{"key":"e_1_2_12_18_1","first-page":"4","article-title":"Preanalytical variability and quality of diagnostic testing. 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