Accuracy of diagnostic tests for clinically suspected upper extremity deep vein thrombosis: a systematic review

Nisio, Marcello Di; Sluis, Geerte L. van; Bossuyt, Patrick M.; Büller, Harry R.; Porreca, Ettore; Rutjes, Anne W S

doi:10.1111/j.1538-7836.2010.03771.x

Cited by 157 publications

(117 citation statements)

References 34 publications

(63 reference statements)

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“…The algorithm is therefore of unknown value in that population. Ultrasonography is a sensitive (84%-97%) and specific (87%-96%) diagnostic modality that is noninvasive and readily available 22 . In cases in which ultrasonography is inconclusive, other modalities should be considered.…”

Section: Current Oncology-volume 22 Number 1 February 2015mentioning

confidence: 99%

Clinical Challenges in Patients with Cancer-Associated Thrombosis: Canadian Expert Consensus Recommendations

et al. 2015

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general population is increased by a factor of 4 1 . In the cancer patient population, thromboembolism is associated with significant morbidity and mortality, and it is the second most common cause of death after cancer progression 2 . A number of published clinical practice guidelines have provided recommendations to medical oncologists for the management of cancer-associated thrombosis 3-5 ; however, currently available guidelines do not provide recommendations for challenging clinical situations (for example, thrombocytopenia, recurrent vte, catheter-related upper extremity dvt, etc.) encountered by health care practitioners caring for this patient population. METHODSThe purpose of the consensus process was to develop specific recommendations and to provide expert guidance for challenging cases that are not currently addressed in clinical practice guidelines on the treatment and prevention of vte in patients with cancer. The specific questions to be addressed were identified by the participants and supplemented by a systematic review of the available literature. Sources and SearchesFor each of the identified challenges, the literature in medline (1946 to March 2014), embase (1947 to March 2014), the Cochrane Central Register of Controlled Trials, and all Evidence Based Medicine Reviews (using the ovid interface) was systematically reviewed. References in included studies and previous systematic reviews were also reviewed for additional potential studies. The search was limited to human studies reported in the English language. One of the medline search strategies is depicted in Table i. Grading of the Evidence and Consensus ProcessThe multidisciplinary expert consensus group, which included 21 voting participants with expertise ABSTRACTVenous thromboembolism is a common complication in cancer patients, and thromboembolism is the second most common cause of death after cancer progression. A number of clinical practice guidelines provide recommendations for the management of cancerassociated thrombosis. However, the guidelines lack recommendations covering commonly encountered clinical challenges (for example, thrombocytopenia, recurrent venous thromboembolism, etc.) for which little or no evidence exists. Accordingly, recommendations were developed to provide expert guidance to medical oncologists and other health care professionals caring for patients with cancer-associated thrombosis. The current expert consensus was developed by a team of 21 clinical experts. For each identified clinical challenge, the literature in medline, embase, and Evidence Based Medicine Reviews was systematically reviewed. The quality of the evidence was assessed, summarized, and graded. Consensus statements were generated, and the experts voted anonymously using a modified Delphi process on their level of agreement with the various statements. Statements were progressively revised through separate voting iterations and were then finalized. Clinicians using these recommendations and suggestions should tailor patient management accord...

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Section: Current Oncology-volume 22 Number 1 February 2015mentioning

confidence: 99%

Clinical Challenges in Patients with Cancer-Associated Thrombosis: Canadian Expert Consensus Recommendations

et al. 2015

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“…Table 11 summarizes the quality of evidence and frequency of potential clinical outcomes for the various diagnostic strategies. [217][218][219][220][221][222][223][224][225][226][227][228] …”

Section: Mrimentioning

confidence: 99%

Diagnosis of DVT

Bates

Jaeschke

Stevens

et al. 2012

Chest

564

192

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“…Recent studies have demonstrated the usefulness of duplex ultrasonography in detecting and locating preoperative or postoperative thrombosis. 8,10,22,23) To date, most studies have been conducted using Western populations with respect to the incidence rate of VTE following shoulder surgery. There is no report on an Asian population.…”

Section: Introductionmentioning

confidence: 99%

“…The prompt recognition of DVT is important because patients may develop fatal PE. 22) Duplex ultrasonography is a useful tool to screen and diagnose extremity DVT. Recent studies have demonstrated the usefulness of duplex ultrasonography in detecting and locating preoperative or postoperative thrombosis.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The Incidence of Venous Thromboembolism Following Shoulder Surgery: A Pilot Study

Cho

Jang²,

Park

et al. 2017

Clinics in Shoulder and Elbow

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Background: To assess the incidence of venous thromboembolism (VTE) following shoulder surgery and to evaluate the role of postoperative duplex ultrasonography. Methods: The study comprised a total of 224 patients who underwent shoulder surgery, including 180 shoulder arthroscopic surgeries, 28 shoulder arthroplasties, and 16 plate fixations for proximal humerus fracture between January 2014 and December 2014. The mean age of patients was 59.0 years, and there were 81 men and 143 women. Clinical data, including body mass index, blood tests, metabolic work-up for liver and renal function, previous, and present medical history, were evaluated. Duplex ultrasonography in the operative arm was performed on 2 to 4 days after surgery. Results: The overall incidence of VTE following shoulder surgery was 0.45% (1/224). One patient with open reduction and plate fixation for proximal humerus fracture had asymptomatic deep vein thrombosis that showed complete remission after anticoagulant medication during a 2-month period. Four patients had asymptomatic superficial cephalic vein thrombosis and complete remission without any treatment. There was no case of pulmonary embolism. Conclusions: The incidence of VTE following shoulder surgery was extremely low in Asians. Duplex ultrasonography may be not considered a routine follow-up of shoulder surgery and can be selectively performed in high-risk or symptomatic patients for VTE. (Clin Shoulder Elbow 2017;20(1):18-23)

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Accuracy of diagnostic tests for clinically suspected upper extremity deep vein thrombosis: a systematic review

Cited by 157 publications

References 34 publications

Clinical Challenges in Patients with Cancer-Associated Thrombosis: Canadian Expert Consensus Recommendations

Clinical Challenges in Patients with Cancer-Associated Thrombosis: Canadian Expert Consensus Recommendations

Diagnosis of DVT

The Incidence of Venous Thromboembolism Following Shoulder Surgery: A Pilot Study

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