Table 4.

Estimated number needed to test to prevent VTE when not taking combined oral contraceptives

ThrombophiliaRisk on COC per year, %Risk difference per 100 womenNumber not taking COCs to prevent 1 VTENumber of relatives to be tested
Family history of VTE     
 General population, no family history 0.08 0.03 3333 None 
 General population, family history 0.04 0.06 1667 None 
Relatives with FVL or PGM 0.5 0.3 333 666 
Relatives with AT, PC, or PS deficiency 4.3 3.6 28 56 
ThrombophiliaRisk on COC per year, %Risk difference per 100 womenNumber not taking COCs to prevent 1 VTENumber of relatives to be tested
Family history of VTE     
 General population, no family history 0.08 0.03 3333 None 
 General population, family history 0.04 0.06 1667 None 
Relatives with FVL or PGM 0.5 0.3 333 666 
Relatives with AT, PC, or PS deficiency 4.3 3.6 28 56 

Table adapted with permission from Middeldorp,50 which includes data based on family studies and a general population risk based on a baseline VTE risk in young women of 0.01% per year, an RR of VTE by use of COC of 4, and an RR of 2 for VTE by having a positive family history.

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