{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T11:42:34Z","timestamp":1790682154413,"version":"4.1.0"},"reference-count":54,"publisher":"American Society of Hematology","issue":"2","content-domain":{"domain":["ashpublications.org"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,1,25]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Choosing Wisely is a medical stewardship and quality-improvement initiative led by the American Board of Internal Medicine Foundation in collaboration with leading medical societies in the United States. The American Society of Hematology (ASH) has been an active participant in the Choosing Wisely project. In 2019, ASH and the American Society of Pediatric Hematology\/Oncology (ASPHO) formed a joint task force to solicit, evaluate, and select items for a pediatric-focused Choosing Wisely list. By using an iterative process and an evidence-based method, the ASH-ASPHO Task Force identified 5 hematologic tests and treatments that health care providers and patients should question because they are not supported by evidence, and\/or they involve risks of medical and financial costs with low likelihood of benefit. The ASH-ASPHO Choosing Wisely recommendations are as follows: (1) avoid routine preoperative hemostatic testing in an otherwise healthy child with no previous personal or family history of bleeding, (2) avoid platelet transfusion in asymptomatic children with a platelet count &amp;gt;10\u2009\u00d7 103\/\u03bcL unless an invasive procedure is planned, (3) avoid thrombophilia testing in children with venous access-associated thrombosis and no positive family history, (4) avoid packed red blood cells transfusion for asymptomatic children with iron deficiency anemia and no active bleeding, and (5) avoid routine administration of granulocyte colony-stimulating factor for prophylaxis of\u00a0children with asymptomatic autoimmune neutropenia and no history of recurrent or\u00a0severe infections. We recommend that health care providers carefully consider the\u00a0anticipated risks and benefits of these identified tests and treatments before performing\u00a0them.<\/jats:p>","DOI":"10.1182\/bloodadvances.2020003635","type":"journal-article","created":{"date-parts":[[2022,1,24]],"date-time":"2022-01-24T11:42:40Z","timestamp":1643024560000},"page":"679-685","update-policy":"https:\/\/doi.org\/10.1182\/blood.2019cm0000","source":"Crossref","is-referenced-by-count":20,"title":["The ASH-ASPHO Choosing Wisely Campaign: 5 hematologic tests and treatments to question"],"prefix":"10.1182","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8855-9746","authenticated-orcid":false,"given":"Sarah H.","family":"O\u2019Brien","sequence":"first","affiliation":[{"name":"Division of Pediatric Hematology\/Oncology, Nationwide Children\u2019s Hospital\/The Ohio State University, Columbus, OH;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4739-265X","authenticated-orcid":false,"given":"Sherif M.","family":"Badawy","sequence":"additional","affiliation":[{"name":"Division of Hematology, Oncology and Stem Cell Transplant, Ann & Robert H. Lurie Children\u2019s Hospital of Chicago, Chicago, IL;"},{"name":"Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, IL;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2896-1113","authenticated-orcid":false,"given":"Seth J.","family":"Rotz","sequence":"additional","affiliation":[{"name":"Department of Pediatric Hematology, Oncology, and Blood and Marrow Transplantation, Cleveland Clinic Children\u2019s Hospital, Cleveland, OH;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mona D.","family":"Shah","sequence":"additional","affiliation":[{"name":"Division of Hematology and Oncology, Department of Pediatrics, Baylor College of Medicine, Houston, TX;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Makarski","sequence":"additional","affiliation":[{"name":"Independent consultant methodologist, Hamilton, ON, Canada;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel S.","family":"Bercovitz","sequence":"additional","affiliation":[{"name":"Division of Hematology, Oncology and Stem Cell Transplant, Ann & Robert H. 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and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa K.","family":"Hicks","sequence":"additional","affiliation":[{"name":"Division of Hematology\/Oncology, St. Michael\u2019s Hospital, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"234","published-online":{"date-parts":[[2022,1,24]]},"reference":[{"key":"2022012416352199700_B1","article-title":"Promoting conversations between patients and clinicians","author":"Choosing Wisely\u00ae, an initiative of the ABIM Foundation","year":"2012"},{"issue":"24","key":"2022012416352199700_B2","doi-asserted-by":"crossref","first-page":"3524","DOI":"10.1182\/blood-2014-09-599399","article-title":"Five hematologic tests and treatments to question","volume":"124","author":"Hicks","year":"2014","journal-title":"Blood."},{"issue":"24","key":"2022012416352199700_B3","doi-asserted-by":"crossref","first-page":"3879","DOI":"10.1182\/blood-2013-07-518423","article-title":"The ASH Choosing Wisely\u00ae campaign: five hematologic tests and treatments to question","volume":"122","author":"Hicks","year":"2013","journal-title":"Blood."},{"issue":"8","key":"2022012416352199700_B4","doi-asserted-by":"crossref","first-page":"787","DOI":"10.1002\/ajh.24412","article-title":"Identifying existing Choosing Wisely recommendations of high relevance and importance to hematology","volume":"91","author":"Hicks","year":"2016","journal-title":"Am J Hematol."},{"issue":"7001","key":"2022012416352199700_B5","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1136\/bmj.311.7001.376","article-title":"Consensus methods for medical and health services research","volume":"311","author":"Jones","year":"1995","journal-title":"BMJ."},{"issue":"3","key":"2022012416352199700_B6","first-page":"655","article-title":"How to use the nominal group and Delphi techniques","volume":"38","author":"McMillan","year":"2016","journal-title":"Int J Clin Pharm."},{"key":"2022012416352199700_B7","doi-asserted-by":"crossref","DOI":"10.1177\/1179545X18821158","article-title":"Routine preoperative coagulation tests in children undergoing elective surgery or invasive procedures: Are they still necessary?","volume":"12","author":"Alzahrani","year":"2019","journal-title":"Clin Med Insights Blood Disord."},{"issue":"3","key":"2022012416352199700_B8","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1016\/S0165-5876(01)00574-2","article-title":"The need for routine pre-operative coagulation screening tests (prothrombin time PT\/partial thromboplastin time PTT) for healthy children undergoing elective tonsillectomy and\/or adenoidectomy","volume":"61","author":"Asaf","year":"2001","journal-title":"Int J Pediatr Otorhinolaryngol."},{"key":"2022012416352199700_B9","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1016\/j.bcmd.2017.01.009","article-title":"Perioperative management of hemostasis in children and adolescents","volume":"67","author":"Bidlingmaier","year":"2017","journal-title":"Blood Cells Mol Dis."},{"issue":"5","key":"2022012416352199700_B10","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1111\/j.1365-2141.2007.06968.x","article-title":"Guidelines on the assessment of bleeding risk prior to surgery or invasive procedures","volume":"140","author":"Chee","year":"2008","journal-title":"Br J Haematol."},{"issue":"1","key":"2022012416352199700_B11","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1093\/bja\/aeq357","article-title":"Routine preoperative coagulation tests: an outdated practice?","volume":"106","author":"van Veen","year":"2011","journal-title":"Br J Anaesth."},{"issue":"6","key":"2022012416352199700_B12","doi-asserted-by":"crossref","first-page":"1153","DOI":"10.1002\/pbc.22708","article-title":"A cost-effectiveness analysis of coagulation testing prior to tonsillectomy and adenoidectomy in children","volume":"55","author":"Cooper","year":"2010","journal-title":"Pediatr Blood Cancer."},{"key":"2022012416352199700_B13","doi-asserted-by":"crossref","first-page":"S51","DOI":"10.1055\/s-0037-1619750","article-title":"Repeated coagulation testing in children. 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