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April 24, 2009Haemostasis

Reliability of Phlebography in the Assessment of Venous Thrombosis in a Clinical Trial

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Key result

Phlebography interpretation of 94 films showed a 35% discrepancy rate between first and second evaluations, highlighting the need for quality control procedures in clinical trials.

Why the study?

What is the reliability of phlebography interpretation for assessing venous thrombosis in a clinical trial setting?

Population

94 phlebograms from a multicenter controlled study comparing low-molecular-weight heparin to standard…

Comparison

Second reading of phlebograms by the same two… vs First central evaluation by the two independent…

Design

Other, two independent radiologists

Follow-up

3 months between evaluations

Authors

HPH. PicoletUniversité Claude Bernard Lyon 1ALAlain LeizoroviczVascular MedicineDRD RevelLille’s Cardiology Hospital

Discussion

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Member takes

Overview

Variable phlebography readings threaten trial endpoint validity; mandates standardized adjudication protocols in venous thrombosis RCTs.

Study Design

Type

Observational (n=94)

Multicenter

Yes

Structured PICO

What is the reliability of phlebography interpretation for assessing venous thrombosis in a clinical trial setting?

P
Population
94 phlebograms from a multicenter controlled study of postsurgical thrombosis prevention evaluated for interpretation reliability.
E
Exposure
Second reading of phlebograms by the same two independent radiologists 3 months after the first evaluation, with adjudication by a senior radiologist
C
Comparator
First central evaluation by the two independent radiologists
O
Outcome
Discrepancies in interpretation between the first and second evaluation, specifically regarding the presence of venous thrombosissurrogate

Phlebography interpretation for venous thrombosis has a high rate of discrepancies, highlighting the need for thorough quality control procedures in clinical trials.

Cite This Study

Picolet et al. (2009) conducted an observational in Venous thrombosis (n=94). Phlebography interpretation was evaluated on Discrepancies between first and second evaluation. Phlebography interpretation of 94 films showed a 35% discrepancy rate between first and second evaluations, highlighting the need for quality control procedures in clinical trials.

synapsesocial.com/papers/6a93e823ced013f319fc07c8https://doi.org/10.1159/000216151
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Phlebography as the Gold Standard in Thromboprophylactic Studies?1992 · 24 citations
  2. 2Risk factors and coagulation parameters in relationship to phlebographic response and clinical outcome in the treatment of acute deep vein thrombosis2003 · 12 citations
  3. 3Surrogate Endpoints for the Assessment of Efficacy in Venous Thromboembolism Treatment Trials1998 · 9 citations
  4. 4Diagnostic Accuracy in Venous Thrombosis1970 · 120 citations
  5. 5The diagnosis of acute, recurrent, deep-vein thrombosis: a diagnostic challenge.1983 · 218 citations