Evidence map›Paper›PMID 30113416›Full record

Trial reportBlood coagulation & fibrinolysis : an international journal in haemostasis and thrombosis2018

Validation of the STA-Liatest DDi assay for exclusion of proximal deep vein thrombosis according to the latest Clinical and Laboratory Standards Institute/Food and Drug Administration guideline: results of a multicenter management study.

Carlos Aguilar, Michelangelo Sartori, Armando D'Angelo, Christopher Kabrhel, James Groce, Emmanuel de Maistre, Suman M Wasan, Jeannine Kassis, John Lazarchick, Colin Kaide and 7 more

Open access · greenAbstract readClinical TrialMulticenter StudyValidation Study
In one paragraph

Trial report in Blood coagulation & fibrinolysis : an international journal in haemostasis and thrombosis, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.8field-weighted citation impact, top 25% 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

1 citing paper in PubMed, 7 citations in OpenAlex.

  1. Article
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

17 authors at 14 institutions in 5 countries.

Carlos AguilarHospital General Santa Barbara, Soria, Spain.
Michelangelo SartoriOspedaliera Policlinico S. Orsola Malpighi, Bologna.
Armando D'AngeloOspedale San Raffaele, Milan, Italy.
Christopher KabrhelMassassuchetts General Hospital, Boston, Massachusettts.
James GroceThe Moses H. Cone Memorial, Greensboro, North Carolina, USA.
Emmanuel de MaistreCHU de Dijon, Dijon, France.
Suman M WasanOKC VAMS Pathology and Laboratory Services, Oklahoma City, Oklahoma, USA.
Jeannine KassisHôpital Maisonneuve - Rosemont, Montreal, Quebec, Canada.
John LazarchickMedical University of South Carolina, Charleston, South Carolina.
Colin KaideOhio State University Medical Center, Columbus, Ohio, USA.
Pascual Marco VeraHopsital General Universitario de Alicante, Alicante, Spain.
Jeffrey KlineIndiana University Health Methodist Hospital, Indianapolis, Indiana.
D Mark CourtneyNorthwestern University Hospital, Chicago, Illinois.
Andrew RubinTexas Health Fort Worth Hospital, Fort Worth, Texas.
Melhem SharafuddinUniversity of Iowa Hospital and Clinics, Iowa City, Iowa, USA.
Gilles PernodDepartment of Vascular Medicine, Grenoble-Alpes University Hospital, Universite Grenoble Alpes CNRS/TIMC-IMAG UMR 5525/Themas, Grenoble, F-CRIN, INNOVTE (Investigation Network On Venous Thrombo-Embolism), France.
DiET Study Group
CHU Dijon Bourgogne · FRHôpital Maisonneuve-Rosemont · CAHospital General Universitario de Alicante Doctor Balmis · ESIndiana University – Purdue University Indianapolis · USIRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola · ITIRCCS Ospedale San Raffaele · ITMedical University of South Carolina · USMoses H Cone Memorial Hospital · USNorthwestern Memorial Hospital · USOklahoma City VA Medical Center · USTexas Health Harris Methodist Hospital Fort Worth · USThe Ohio State University · USTranslational Innovation in Medicine and Complexity · FRUniversity of Iowa Hospitals and Clinics · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

: Recommended strategy for venous thromboembolism (VTE) diagnosis includes the use of sensitive D-dimer (DDi) assays along with pretest probability (PTP) assessment. The Clinical and Laboratory Standards Institute (CLSI) recently issued a guideline (US FDA endorsed) on DDi in VTE exclusion. Such guideline specifies the ideal D-dimer assay characteristics and target population. Demonstrate STA-LiatestD-Di performance combined with a PTP score for proximal deep vein thrombosis (pDVT) exclusion in a CLSI compliant study. International, multicenter, prospective nonrandomized, noninterventional clinical outcome management study conducted in a standard-of-care setting. DDi was measured in DVT-suspected consecutive low/moderate PTP outpatients, without conditions possibly impacting DDi values independently of thrombosis presence (age >80, pregnancy, postoperative, cancer) using a 0.5 μg/ml (FEU) threshold for DVT exclusion. Results were used to determine test performance. One thousand two hundred and thirty-four patients (17 centers) signed informed consent. Nine hundred and eighty (mean age: 55) with valid results (494 negative DDi) completed the study (DVT prevalence: 8.7%). STA-LiatestD-Di performance exceeded CLSI/FDA requirements: sensitivity: 100% (95% CI 95.8-100%), NPV: 100% (95% CI 99.3-100%). STA-LiatestD-Di associated with PTP score showed excellent performance for pDVT exclusion, as recently demonstrated for pulmonary embolism. The assay allows safe VTE exclusion, avoiding unnecessary imaging tests.

Indexed as

AdultAgedFemaleFibrin Fibrinogen Degradation ProductsHumansImmunoturbidimetryMaleMiddle AgedOutpatientsProspective StudiesSensitivity and SpecificityUnited StatesUnited States Food and Drug AdministrationVenous ThrombosisFibrin Fibrinogen Degradation Productsfibrin fragment D

Identifiers

PMID30113416
PMCPMC6200385
OpenAlexW2885926612

What OpenQuestion holds

Textmetadata
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.