At. Cohen et al., ANTIPLATELET TREATMENT FOR THROMBOPROPHYLAXIS - A STEP FORWARD OR BACKWARDS, BMJ. British medical journal, 309(6963), 1994, pp. 1213-1215
A recent meta-analysis from the Antiplatelet Trialists' Collaboration
recommended that antilatelet treatment either alone or, for greater ef
fect, in addition to other proved forms of thromboprophylaxis should b
e considered for patients at high risk of thromboembolism. This paper
argues that the current evidence does not justify the adoption of aspi
rin or other antiplatelet treatment for venous thromboprophylaxis, esp
ecially when more effective alternatives exist. Furthermore, several i
ssues relating to this latest meta-analysis need to be debated.