The Saudi clinical practice guideline for the diagnosis of the first deep venous thrombosis of the lower extremity

Fahad Al-Hameed, Hasan M. Al-Dorzi, Abdulrahman Shamy, Abdulelah Qadi, Ebtisam Bakhsh, Essam Aboelnazar, Mohamad Abdelaal, Tarig Alkhuwaitir, Mohamed S. Al-Moamary, Mohamed S. Al-Hajjaj, Jan Brozek, Holger Schunemann, Reem Mustafa, Maicon Falavigna

Research output: Contribution to journalReview articleResearchpeer-review

10 Citations (Scopus)

Abstract

The diagnosis of deep venous thrombosis (DVT) may be challenging due to the inaccuracy of clinical assessment and diversity of diagnostic tests. On one hand, missed diagnosis may result in life-threatening conditions. On the other hand, unnecessary treatment may lead to serious complications. As a result of an initiative of the Ministry of Health of the Kingdom of Saudi Arabia (KSA), an expert panel led by the Saudi Association for Venous Thrombo-Embolism (SAVTE; a subsidiary of the Saudi Thoracic Society) with the methodological support of the McMaster University Working Group, produced this clinical practice guideline to assist healthcare providers in evidence-based clinical decision-making for the diagnosis of a suspected first DVT of the lower extremity. Twenty-four questions were identified and corresponding recommendations were made following the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach. These recommendations included assessing the clinical probability of DVT using Wells criteria before requesting any test and undergoing a sequential diagnostic evaluation, mainly using highly sensitive D-dimer by enzyme-linked immunosorbent assay (ELISA) and compression ultrasound. Although venography is the reference standard test for the diagnosis of DVT, its use was not recommended.

Original languageEnglish
Pages (from-to)3-15
Number of pages13
JournalAnnals of Thoracic Medicine
Volume10
Issue number1
DOIs
Publication statusPublished - 1 Jan 2015

Fingerprint

Practice Guidelines
Venous Thrombosis
Lower Extremity
4 alpha-glucanotransferase
Saudi Arabia
Phlebography
Embolism
Routine Diagnostic Tests
Health Personnel
Enzyme-Linked Immunosorbent Assay
Health
Therapeutics

Keywords

  • Clinical practice guideline
  • deep venous thrombosis
  • diagnosis
  • Saudi Arabia
  • venous thromboembolism

Cite this

Al-Hameed, Fahad ; Al-Dorzi, Hasan M. ; Shamy, Abdulrahman ; Qadi, Abdulelah ; Bakhsh, Ebtisam ; Aboelnazar, Essam ; Abdelaal, Mohamad ; Alkhuwaitir, Tarig ; Al-Moamary, Mohamed S. ; Al-Hajjaj, Mohamed S. ; Brozek, Jan ; Schunemann, Holger ; Mustafa, Reem ; Falavigna, Maicon. / The Saudi clinical practice guideline for the diagnosis of the first deep venous thrombosis of the lower extremity. In: Annals of Thoracic Medicine. 2015 ; Vol. 10, No. 1. pp. 3-15.
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abstract = "The diagnosis of deep venous thrombosis (DVT) may be challenging due to the inaccuracy of clinical assessment and diversity of diagnostic tests. On one hand, missed diagnosis may result in life-threatening conditions. On the other hand, unnecessary treatment may lead to serious complications. As a result of an initiative of the Ministry of Health of the Kingdom of Saudi Arabia (KSA), an expert panel led by the Saudi Association for Venous Thrombo-Embolism (SAVTE; a subsidiary of the Saudi Thoracic Society) with the methodological support of the McMaster University Working Group, produced this clinical practice guideline to assist healthcare providers in evidence-based clinical decision-making for the diagnosis of a suspected first DVT of the lower extremity. Twenty-four questions were identified and corresponding recommendations were made following the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach. These recommendations included assessing the clinical probability of DVT using Wells criteria before requesting any test and undergoing a sequential diagnostic evaluation, mainly using highly sensitive D-dimer by enzyme-linked immunosorbent assay (ELISA) and compression ultrasound. Although venography is the reference standard test for the diagnosis of DVT, its use was not recommended.",
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Al-Hameed, F, Al-Dorzi, HM, Shamy, A, Qadi, A, Bakhsh, E, Aboelnazar, E, Abdelaal, M, Alkhuwaitir, T, Al-Moamary, MS, Al-Hajjaj, MS, Brozek, J, Schunemann, H, Mustafa, R & Falavigna, M 2015, 'The Saudi clinical practice guideline for the diagnosis of the first deep venous thrombosis of the lower extremity', Annals of Thoracic Medicine, vol. 10, no. 1, pp. 3-15. https://doi.org/10.4103/1817-1737.146849

The Saudi clinical practice guideline for the diagnosis of the first deep venous thrombosis of the lower extremity. / Al-Hameed, Fahad; Al-Dorzi, Hasan M.; Shamy, Abdulrahman; Qadi, Abdulelah; Bakhsh, Ebtisam; Aboelnazar, Essam; Abdelaal, Mohamad; Alkhuwaitir, Tarig; Al-Moamary, Mohamed S.; Al-Hajjaj, Mohamed S.; Brozek, Jan; Schunemann, Holger; Mustafa, Reem; Falavigna, Maicon.

In: Annals of Thoracic Medicine, Vol. 10, No. 1, 01.01.2015, p. 3-15.

Research output: Contribution to journalReview articleResearchpeer-review

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T1 - The Saudi clinical practice guideline for the diagnosis of the first deep venous thrombosis of the lower extremity

AU - Al-Hameed, Fahad

AU - Al-Dorzi, Hasan M.

AU - Shamy, Abdulrahman

AU - Qadi, Abdulelah

AU - Bakhsh, Ebtisam

AU - Aboelnazar, Essam

AU - Abdelaal, Mohamad

AU - Alkhuwaitir, Tarig

AU - Al-Moamary, Mohamed S.

AU - Al-Hajjaj, Mohamed S.

AU - Brozek, Jan

AU - Schunemann, Holger

AU - Mustafa, Reem

AU - Falavigna, Maicon

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N2 - The diagnosis of deep venous thrombosis (DVT) may be challenging due to the inaccuracy of clinical assessment and diversity of diagnostic tests. On one hand, missed diagnosis may result in life-threatening conditions. On the other hand, unnecessary treatment may lead to serious complications. As a result of an initiative of the Ministry of Health of the Kingdom of Saudi Arabia (KSA), an expert panel led by the Saudi Association for Venous Thrombo-Embolism (SAVTE; a subsidiary of the Saudi Thoracic Society) with the methodological support of the McMaster University Working Group, produced this clinical practice guideline to assist healthcare providers in evidence-based clinical decision-making for the diagnosis of a suspected first DVT of the lower extremity. Twenty-four questions were identified and corresponding recommendations were made following the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach. These recommendations included assessing the clinical probability of DVT using Wells criteria before requesting any test and undergoing a sequential diagnostic evaluation, mainly using highly sensitive D-dimer by enzyme-linked immunosorbent assay (ELISA) and compression ultrasound. Although venography is the reference standard test for the diagnosis of DVT, its use was not recommended.

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KW - diagnosis

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