Key result
Radiology report language significantly influenced anticoagulation treatment for BKDVT, with 100% treated when reports stated 'positive DVT' compared to 46.2% when stated 'negative for DVT' (P<0.001).
Why the study?
What are the diagnostic and treatment patterns for isolated below-knee deep vein thrombosis (BKDVT)?
Population
102 patients with new isolated below-knee deep vein thrombosis who were symptomatic or had previous…
Comparison
Anticoagulation vs Surveillance / no anticoagulation
Design
Cohort
Authors
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Report language may drive BKDVT anticoagulation beyond guidelines; leaves open whether standardized phrasing improves evidence-based care.
Observational (n=102)
What are the diagnostic and treatment patterns for isolated below-knee deep vein thrombosis (BKDVT)?
Absolute Event Rate: 100% vs 46.2%
p-value: p=<0.001
Despite guidelines suggesting surveillance for isolated below-knee DVT, nearly 90% of patients receive anticoagulation, with treatment decisions driven more by radiology report terminology than clinical risk factors.
Fleck et al. (2017) conducted an observational in Isolated below-knee deep vein thrombosis (BKDVT) (n=102). Radiology report language stating 'positive DVT' vs. Radiology report language stating 'negative for DVT' or objective description was evaluated on Decision to treat with anticoagulation (p=<0.001). Radiology report language significantly influenced anticoagulation treatment for BKDVT, with 100% treated when reports stated 'positive DVT' compared to 46.2% when stated 'negative for DVT' (P<0.001).
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