Key result
In patients with suspected DVT, recurrent DVT at 3 months occurred in 0.85% (lower extremity) and 0.49% (upper extremity), with low PE rates and no major bleeding reported.
Why the study?
Prompt evaluation and therapeutic intervention improve patient-important outcomes after DVT diagnosis, prompting a systematic review of patient-important outcomes in patients with suspected DVT.
What are the clinical outcomes of patients with suspected deep vein thrombosis evaluated by various diagnostic pathways?
Systematic Review (n=5,626)
What are the clinical outcomes of patients with suspected deep vein thrombosis evaluated by various diagnostic pathways?
Diagnostic pathways using D-dimer for low pretest probability and ultrasound for higher pretest probability are safe and associated with low rates of recurrent VTE at 3 months in patients with suspected DVT.
No takes yet. Share an insight, caveat, or question.
Supports low VTE recurrence with standard DVT pathways; leaves open optimal strategies due to sparse direct evidence.
Patel et al. (2020) conducted a systematic review in suspected deep vein thrombosis (n=5,626). Diagnostic pathways (D-dimer, ultrasound) was evaluated on recurrent DVT and PE. In patients with suspected DVT, recurrent DVT at 3 months occurred in 0.85% (lower extremity) and 0.49% (upper extremity), with low PE rates and no major bleeding reported.
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