Why the study?
The optimal duration of anticoagulation after a first episode of unprovoked deep-vein thrombosis is uncertain.
Does an additional 18 months of warfarin reduce the composite of recurrent venous thromboembolism or major bleeding in patients with a first unprovoked proximal deep-vein thrombosis initially treated for 6 months?
Does an additional 18 months of warfarin reduce the composite of recurrent venous thromboembolism or major bleeding in patients with a first unprovoked proximal deep-vein thrombosis initially treated for 6 months?
An additional 18 months of warfarin therapy after an initial 6 months of anticoagulation for a first unprovoked proximal DVT significantly reduces the composite risk of recurrent VTE or major bleeding.
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Extended warfarin may be warranted after unprovoked proximal DVT; confirms net clinical benefit of prolonged anticoagulation.
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Couturaud et al. (2019) studied this question.
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