Current diagnosis of venous thromboembolism in primary care: a clinical practice guideline from the American Academy of Family Physicians and the American College of Physicians

This guideline summarizes the current approaches for the diagnosis of venous thromboembolism. The importance of early diagnosis to prevent mortality and morbidity associated with venous thromboembolism cannot be overstressed. This field is highly dynamic, however, and new evidence is emerging period...

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Published inAnnals of family medicine Vol. 5; no. 1; pp. 57 - 62
Main Authors Qaseem, Amir, Snow, Vincenza, Barry, Patricia, Hornbake, E Rodney, Rodnick, Jonathan E, Tobolic, Timothy, Ireland, Belinda, Segal, Jodi, Bass, Eric, Weiss, Kevin B, Green, Lee, Owens, Douglas K
Format Journal Article
LanguageEnglish
Published United States Copyright 2007 Annals of Family Medicine, Inc 01.01.2007
SeriesAnnals Journal Club
Subjects
Comorbidity
Fibrin Fibrinogen Degradation Products - analysis
Humans
Predictive Value of Tests
Primary Health Care - standards
Probability
Pulmonary Embolism - diagnosis
Pulmonary Embolism - diagnostic imaging
Pulmonary Embolism - epidemiology
Sensitivity and Specificity
Societies, Medical
Systematic Reviews
Tomography, X-Ray Computed
Ultrasonography
United States
Venous Thrombosis - diagnosis
Venous Thrombosis - diagnostic imaging
Venous Thrombosis - epidemiology
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Summary:This guideline summarizes the current approaches for the diagnosis of venous thromboembolism. The importance of early diagnosis to prevent mortality and morbidity associated with venous thromboembolism cannot be overstressed. This field is highly dynamic, however, and new evidence is emerging periodically that may change the recommendations. The purpose of this guideline is to present recommendations based on current evidence to clinicians to aid in the diagnosis of lower extremity deep venous thrombosis and pulmonary embolism.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
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ObjectType-Instructional Material/Guideline-3
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Joint American Academy of Family Physicians/American College of Physicians Panel on Deep Venous Thrombosis/Pulmonary Embolism: Clinical Efficacy and Assessment Subcommittee of the American College of Physicians: Douglas K. Owens, MD, MS, Chair; Mark Aronson, MD; Donald E. Casey Jr, MD, MPH, MBA; J. Thomas Cross, Jr, MD, MPH; Nancy C. Dolan, MD; Nick Fitterman, MD; E. Rodney Hornbake, MD; Paul Shekelle, MD, PhD; Katherine D. Sherif, MD; Kevin Weiss, MD, MPH (Immediate Past Chair). Commission on Science of the American Academy of Family Physicians: Eric M. Wall, MD, MPH, Chair; Kevin A. Peterson, MD, MPH; James M. Gill, MD; Robert C. Marshall, MD, MPH; Jonathan E. Rodnick, MD; Kenneth G. Schellhase, MD, MPH; Steven W. Strode, MD, MEd, MPH; Kurtis S. Elward, MD, MPH; James W. Mold, MD, MPH; Jonathan L. Temte, MD, PhD; Frederick M. Chen, MD, MPH; Thomas F. Koinis, MD; Donya A. Powers, MD; Karl M. Kochendorfer, MD; Peter John Oppelt; Herbert F. Young, MD, MA; Bellinda K. Schoof, MHA.
CORRESPONDING AUTHOR: Amir Qaseem, MD, PhD, MHA, American College of Physicians, 190 N Independence Mall West Philadelphia, PA 19106, aqaseem@acponline.org
Notice: Clinical practice guidelines are “guides” only and may not apply to all patients and all clinical situations. Thus, they are not intended to override clinicians’ judgment. All American College of Physicians’ clinical practice guidelines are considered automatically withdrawn or invalid 5 years after publication or once an update has been issued.
This guideline was approved by the American College of Physicians Board of Regents on April 4, 2006; and approved by the American Academy of Family Physicians Board of Directors on March 28, 2006.
Conflicts of interest: none reported
Disclaimer: No statement in this article should be construed as an official position of the Agency for Healthcare Research and Quality or the US Department of Health and Human Services.
Funding support: Financial support for the development of this guideline comes exclusively from the American College of Physicians and American Academy of Family Physicians operating budgets.
ISSN:1544-1709
1544-1717
DOI:10.1370/afm.667