Wells nejm 2003

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    Get Your Copy. Comment Rules and scores compel strict divisions among groups, but these divisions often do not account for the remarkable biologic heterogeneity that physicians encounter when they evaluate patients. The Wells score fulfills only the first two criteria. Such schemes should guide rather than dictate practice. The Wells rule does not adequately rule out deep venous thrombosis in primary care patients. Meta-analysis: The value of clinical assessment in the diagnosis of deep venous thrombosis. Study physicians received training in use of the score. Citation s : Goodacre S et al. Ann Intern Med Jul Comment Rules and scores compel strict divisions among groups, but these divisions often do not account for the remarkable biologic heterogeneity that physicians encounter when they evaluate patients.

  • Validation of the Wells Score for Predicting DVT
  • Validation of the Wells Score for Predicting DVT
  • Evaluation of Ddimer in the diagnosis of suspected deepvein thrombosis.

  • Philip S. Wells, M.D.,; David R. Anderson, M.D.,; Marc Rodger, M.D.,; Melissa Forgie, M.D.,; Clive Kearon, N Engl J Med ; Philip S.

    Validation of the Wells Score for Predicting DVT

    Wells, M.D.,; David R. Anderson, M.D.,; Marc Rodger, M.D.,; Melissa Forgie, M.D.,; Clive Kearon, M.D., Ph.D., N Engl J Med ; Perspective Aug 7, From Presumed Benefit to Potential Harm — Hormone Therapy and Heart Disease D.M.

    Video: Wells nejm 2003 Laryngeal Mask Airway in Medical Emergencies NEJM

    Herrington and T.D. Howard.
    Ann Intern Med Jul 19; However, the Wells score and physician judgment both were good prediction tools. They contend that a low Wells DVT score plus a negative d -dimer result allows clinicians to forgo further testing.

    images wells nejm 2003

    However, the Wells score and physician judgment both were good prediction tools. To learn more, please visit our Cookie Information page. Use of a clinical prediction score in patients with suspected deep venous thrombosis: Two steps forward, one step back? Create your free JWatch.

    Validation of the Wells Score for Predicting DVT

    images wells nejm 2003
    Wells nejm 2003
    Get Your Copy. Douketis JD. The Wells rule does not adequately rule out deep venous thrombosis in primary care patients.

    Wells and colleagues have shown that the Wells deep.

    Now, two recent studies and an editorial address whether this scheme is better than physician judgment and whether it is valid when used in other settings and by other clinicians. Don't miss out!

    Sep 25;(13) Wells PS(1), Anderson DR, Rodger M, Forgie M, Kearon C, Dreyer J, Kovacs G, Mitchell M, Lewandowski B, Kovacs MJ.

    The Wells score (Table ) has proven to be clinically reliable and is widely used in NEJm ;–35; a good recent summary available free at M.

    images wells nejm 2003

    n engl j med ;2 july 10, Low-Molecular-Weight Heparin Luk C, Wells PS, Anderson D, Kovacs. MJ. Extended outpatient therapy.
    An editorialist points out that before clinical prediction instruments are adopted, they should be shown to be based on methodologically sound studies, to be useful for patient management, and to have been validated externally.

    In a meta-analysis, researchers in the U. Among patients with a low Wells score and a negative d -dimer test result, the prevalence of DVT fell to 2.

    Create your free JWatch. However, the Wells score and physician judgment both were good prediction tools. Get Your Copy. Clinical prediction instruments are intended to improve case-finding while being both efficient specific and reliable sensitive.

    images wells nejm 2003
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    Ann Intern Med Jul Wells and colleagues have shown that the Wells deep venous thrombosis score in its several iterations is both efficient and reliable when used in combination with d -dimer testing JWEM Oct 29 In the Wells derivation and validation sets, patients had been referred for testing.

    They contend that a low Wells DVT score plus a negative d -dimer result allows clinicians to forgo further testing.

    Ann Intern Med Jul 19 Clinical prediction instruments are intended to improve case-finding while being both efficient specific and reliable sensitive. Don't miss out!

    n engl j med ;13 september 25, Philip S. Wells, M.D., David R. Anderson, M.D., Marc Rodger, M.D. Melissa Forgie. Philip S Wells, David Anderson, +7 authors Michael J. Kovacs; Published in The New England journal of medicine ; DOI/NEJMoa when used in combination with d-dimer testing (JWEM Oct 29 ).

    They contend that a low Wells DVT score plus a negative d-dimer result.
    In the Wells derivation and validation sets, patients had been referred for testing.

    Of potentially relevant articles, 51 were included in the meta-analysis; 8 articles evaluated physician judgment. Such schemes should guide rather than dictate practice. Ann Intern Med Jul 19 Clinical prediction instruments are intended to improve case-finding while being both efficient specific and reliable sensitive. To learn more, please visit our Cookie Information page.

    Oudega R et al.

    Evaluation of Ddimer in the diagnosis of suspected deepvein thrombosis.

    Meta-analysis: The value of clinical assessment in the diagnosis of deep venous thrombosis.

    images wells nejm 2003
    Wells nejm 2003
    Meta-analysis: The value of clinical assessment in the diagnosis of deep venous thrombosis.

    Use of a clinical prediction score in patients with suspected deep venous thrombosis: Two steps forward, one step back? Lower-extremity ultrasonography was the gold standard for diagnosis.

    images wells nejm 2003

    The Wells rule does not adequately rule out deep venous thrombosis in primary care patients. In a meta-analysis, researchers in the U.

    Don't miss out! Plato was onto this more than two millennia ago, noting that any rule for physicians might preclude doing what is right for an individual patient.

    3 Replies to “Wells nejm 2003”

    1. Wells and colleagues have shown that the Wells deep venous thrombosis score in its several iterations is both efficient and reliable when used in combination with d -dimer testing JWEM Oct 29 The researchers found that of 13 clinical features e.