Evidence map›Paper›PMID 25593601›Full record

ArticleAnnals of thoracic medicine

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 Al Khuwaitir, Mohamed S Al-Moamary, Mohamed S Al-Hajjaj and 4 more

Open access · diamondAbstract read
In one paragraph

Article in Annals of thoracic medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Observational
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  14. Clinical Characteristics and Outcomes of Deep Vein Thrombosis in Relation to Location: A Retrospective Analysis Study.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 5 institutions in 2 countries.

Fahad Al-HameedDepartment of Intensive Care, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs Jeddah, Saudi Arabia.
Hasan M Al-DorziDepartment of Intensive Care, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs Jeddah, Saudi Arabia.
Abdulrahman ShamyDepartment of Radiology, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, Saudi Arabia.
Abdulelah QadiDepartment of Medicine, King Fahad General Hospital, Jeddah, Saudi Arabia.
Ebtisam BakhshDepartment of Medicine, King Fahad Medical City, Ministry of Health, Riyadh, Saudi Arabia.
Essam AboelnazarDepartment of Surgery, Um Al Qura University, Makkah, Saudi Arabia.
Mohamad AbdelaalDepartment of Pathology, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, Saudi Arabia.
Tarig Al KhuwaitirDepartment of Medicine, King Fahad General Hospital, Jeddah, Saudi Arabia.
Mohamed S Al-MoamaryDepartment of Medicine, King Abdulaziz Medical City, Riyadh, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Saudi Arabia.
Mohamed S Al-HajjajKing Saud University, Saudi Arabia.
Jan BrozekDepartment of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Canada ; Department of Medicine, McMaster University, Hamilton, Canada.
Holger SchünemannDepartment of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Canada ; Department of Medicine, McMaster University, Hamilton, Canada.
Reem MustafaDepartment of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Canada ; Department of Internal Medicine and Nephrology, University of Missouri-Kansas City, Kansas City, Missouri, United States.
Maicon FalavignaDepartment of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Canada ; Institute for Education and Research, Hospital Moinhos de Vento, Porto Alegre, Brazil.
King Fahad Hospital Jeddah · SAKing Saud bin Abdulaziz University for Health Sciences · SAKing Saud University · SAMcMaster University · CAUmm al-Qura University · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

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.

Indexed as

Clinical practice guidelinedeep venous thrombosisdiagnosisSaudi Arabiavenous thromboembolism

Identifiers

PMID25593601
PMCPMC4286842
OpenAlexW2034341656

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.