PMID- 11397032
OWN - NLM
STAT- MEDLINE
DCOM- 20010719
LR  - 20161124
IS  - 1078-5884 (Print)
IS  - 1078-5884 (Linking)
VI  - 21
IP  - 6
DP  - 2001 Jun
TI  - A survey of deep venous thrombosis management by consultant vascular surgeons in 
      the United Kingdom and Ireland.
PG  - 558-63
AB  - OBJECTIVES: The aim of this study was to detail the current consensus amongst 
      vascular surgeons in Great Britain and Ireland regarding their investigation and 
      management of patients with suspected or proven deep vein thrombosis (DVT). 
      METHODS: The database of the Vascular Surgical Society of Great Britain and 
      Ireland (VSS) was utilised to send coded postal questionnaires to all consultant 
      surgeon members. RESULTS: Replies were received from 281 (65%) consultants. 
      Duplex ultrasound is used alone to confirm DVT by 69% of respondents. A 
      thrombophilia screen is always performed by 14% of consultants, for patients with 
      proven DVT, and is more commonly requested by consultants based in a teaching 
      hospital. The majority (57%) of consultants treat DVT with unfractionated heparin 
      (UFH) and warfarin, whereas only 38% utilise low molecular weight heparins (LMWH) 
      and warfarin. A management policy for DVT is reported to be in place by 59%, and 
      a set policy for the specific management of calf vein DVT by just 20%. 
      CONCLUSION: New diagnostic modalities and treatments have been developed for DVT 
      that are more convenient and cost-effective. Although clinical guidelines for the 
      management of patients with DVT are beginning to emerge, there is still a wide 
      discrepancy in many areas of DVT management, and practice at variance with the 
      current evidence base, amongst vascular surgeons in the United Kingdom and 
      Ireland.
CI  - Copyright 2001 Harcourt Publishers Limited.
FAU - Turton, E P
AU  - Turton EP
AD  - Department of Vascular and Endovascular Surgery, St James's Hospital, The United 
      Leeds Teaching Hospitals Trust, Leeds, LS9 7TF, UK.
FAU - Coughlin, P A
AU  - Coughlin PA
FAU - Berridge, D C
AU  - Berridge DC
FAU - Mercer, K G
AU  - Mercer KG
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - England
TA  - Eur J Vasc Endovasc Surg
JT  - European journal of vascular and endovascular surgery : the official journal of 
      the European Society for Vascular Surgery
JID - 9512728
RN  - 0 (Anticoagulants)
RN  - 0 (Heparin, Low-Molecular-Weight)
RN  - 5Q7ZVV76EI (Warfarin)
RN  - 9005-49-6 (Heparin)
SB  - IM
MH  - Anticoagulants/therapeutic use
MH  - Female
MH  - Heparin/therapeutic use
MH  - Heparin, Low-Molecular-Weight/therapeutic use
MH  - Hormone Replacement Therapy
MH  - Humans
MH  - Ireland
MH  - *Practice Patterns, Physicians'
MH  - Specialties, Surgical/*statistics & numerical data
MH  - Thrombophilia/diagnosis
MH  - Ultrasonography, Doppler, Duplex
MH  - United Kingdom
MH  - Venous Thrombosis/*therapy
MH  - Warfarin/therapeutic use
EDAT- 2001/06/09 10:00
MHDA- 2001/07/20 10:01
CRDT- 2001/06/09 10:00
PHST- 2001/06/09 10:00 [pubmed]
PHST- 2001/07/20 10:01 [medline]
PHST- 2001/06/09 10:00 [entrez]
AID - S1078-5884(01)91317-6 [pii]
AID - 10.1053/ejvs.2001.1317 [doi]
PST - ppublish
SO  - Eur J Vasc Endovasc Surg. 2001 Jun;21(6):558-63. doi: 10.1053/ejvs.2001.1317.