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. 2021 Jan 12;5(1):280–300. doi: 10.1182/bloodadvances.2020003265

Table 1.

Summary of prioritized questions

Population Intervention Comparator Outcome
1 Patients suspected of VWD Using a BAT to screen for VWD Nonstandardized clinical assessment (not using a BAT) Accurate VWD diagnosis
2 Patients suspected of VWD with negative/normal BAT (eg, men and children) Blood testing No blood testing Accurate VWD diagnosis
3 Patients suspected of VWD VWF:RCo (automated and nonautomated assays) Newer assays that reflect the platelet-binding activity of VWF (eg, VWF:GPIbM, VWF:GPIbR). Accurate VWD diagnosis/classification
4 Patients with a historic diagnosis of type 1 VWD but who now have normal VWF levels Reconsider the diagnosis Remove the diagnosis Accurate VWD diagnosis
5 Patients with abnormal initial VWD screen (low VWF:Ag and/or platelet-dependent VWF activity) and suspected type 1 VWD Diagnosis of type 1 VWD at VWF:Ag and/or platelet-dependent VWF activity <0.30 IU/mL Diagnosis of type 1 VWD at VWF:Ag and/or platelet-dependent VWF activity <0.50 IU/mL Accurate VWD diagnosis (to identify type 1 VWD)
6 Patients suspected of type 1C VWD VWFpp/VWF:Ag Desmopressin trial with 1- and 4-h blood work Accurate VWD classification (to identify type 1C)
7 Patients with abnormal initial screen (low VWF:Ag and/or platelet-dependent VWF activity) and suspected of type 2 VWD Platelet-dependent VWF activity/VWF:Ag ratio <0.5 Higher cutoff <0.7 Accurate VWD classification (to identify those suspected of having type 2A, 2B, or 2M in need of additional testing)
8 Patients suspected of type 2A, 2B, or 2M in need of additional testing VWF multimer analysis VWF:CB/VWF:Ag Accurate VWD classification (to identify type 2A, 2B, or 2M)
9 Patients suspected of type 2A or 2B VWD Low-dose RIPA Targeted genetic testing Accurate VWD classification (to identify type 2B)
10 Patients suspected of type 2N in need of additional testing VWF:FVIII binding Targeted genetic testing Accurate VWD classification (to identify type 2N)