Evidence map›Paper›PMID 26780738›Full record

ReviewJournal of thrombosis and thrombolysis2016

Guidance for the treatment of deep vein thrombosis and pulmonary embolism.

Michael B Streiff, Giancarlo Agnelli, Jean M Connors, Mark Crowther, Sabine Eichinger, Renato Lopes, Robert D McBane, Stephan Moll, Jack Ansell

Erratum issuedOpen access · hybridAbstract readReview
In one paragraph

Review in Journal of thrombosis and thrombolysis, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 137 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
137citing papers in PubMed, 5 pooled it
29.2field-weighted citation impact, top 1% 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

137 citing papers in PubMed, 5 syntheses or guidelines pooled it, 339 citations in OpenAlex.

  1. Statins for adults with a first episode of venous thromboembolic disease.The Cochrane database of systematic reviews · 2026
    Pooled it
  2. Pooled it
  3. Guideline
  4. Treatment of distal deep vein thrombosis.The Cochrane database of systematic reviews · 2020
    Pooled it
  5. Pooled it
  6. Trial
  7. First Evidence: TRAP-Induced Platelet Aggregation Is Reduced in Patients Receiving Xabans.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis · 2018
    Trial
  8. Article
  9. Review
  10. Review
  11. Article
  12. Review
  13. Article
  14. Anticoagulation in malignancy: the patient who bleeds and clots simultaneously.Hematology. American Society of Hematology. Education Program · 2025
    Review
  15. Anticoagulant therapy in patients with cancer and thrombocytopenia.Journal of thrombosis and thrombolysis · 2025
    Review
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article

77 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 9 institutions in 4 countries.

Michael B StreiffDivision of Hematology, Department of Medicine and Pathology, The Johns Hopkins University School of Medicine, Baltimore, MD, USA. mstreif@jhmi.edu.
Giancarlo AgnelliStroke Unit, Department of Internal Medicine, University of Perugia, Perugia, Italy.
Jean M ConnorsHematology Division, Brigham and Women's Hospital, Dana Farber Cancer Institute, Harvard Medical School, Boston, MA, USA.
Mark CrowtherDepartments of Medicine and Pathology and Molecular Medicine, McMaster University, Hamilton, Canada.
Sabine EichingerDepartment of Medicine, Medical University of Vienna, Vienna, Austria.
Renato LopesDivision of Cardiology, Department of Medicine, Duke University Medical Center, Durham, NC, USA.
Robert D McBaneCardiovascular Division, Department of Medicine, Mayo Clinic, Rochester, MN, USA.
Stephan MollDepartment of Medicine, University of North Carolina School of Medicine, Chapel Hill, NC, USA.
Jack AnsellDepartment of Medicine, Hofstra North Shore/LIJ School of Medicine, Hempstead, NY, USA.
Duke Medical Center · USHarvard University · USHofstra University · USJohns Hopkins University · USMayo Clinic in Arizona · USMcMaster University · CAMedical University of Vienna · ATUniversity of North Carolina at Chapel Hill · USUniversity of Perugia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This guidance document focuses on the diagnosis and treatment of venous thromboembolism (VTE). Efficient, cost effective diagnosis of VTE is facilitated by combining medical history and physical examination with pre-test probability models, D dimer testing and selective use of confirmatory imaging. Clinical prediction rules, biomarkers and imaging can be used to tailor therapy to disease severity. Anticoagulation options for acute VTE include unfractionated heparin, low molecular weight heparin, fondaparinux and the direct oral anticoagulants (DOACs). DOACs are as effective as conventional therapy with LMWH and vitamin K antagonists. Thrombolytic therapy is reserved for massive pulmonary embolism (PE) or extensive deep vein thrombosis (DVT). Inferior vena cava filters are reserved for patients with acute VTE and contraindications to anticoagulation. Retrievable filters are strongly preferred. The possibility of thoracic outlet syndrome and May-Thurner syndrome should be considered in patients with subclavian/axillary and left common iliac vein DVT, respectively in absence of identifiable triggers. The optimal duration of therapy is dictated by the presence of modifiable thrombotic risk factors. Long term anticoagulation should be considered in patients with unprovoked VTE as well as persistent prothrombotic risk factors such as cancer. Short-term therapy is sufficient for most patients with VTE associated with transient situational triggers such as major surgery. Biomarkers such as D dimer and risk assessment models such the Vienna risk prediction model offer the potential to customize VTE therapy for the individual patient. Insufficient data exist to support the integration of bleeding risk models into duration of therapy planning.

Indexed as

Pulmonary EmbolismVenous ThrombosisAdministration, OralAnticoagulantsHumansPractice Guidelines as TopicRisk FactorsAnticoagulantsAnticoagulant therapyDeep vein thrombosisDOACsNOACsPulmonary embolismVenous thromboembolism

Identifiers

PMID26780738
PMCPMC4715858
OpenAlexW2284149813

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.