POEMs

Routine CT Scans for Occult Malignancy Not Useful in Patients with Unprovoked VTE

 


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Am Fam Physician. 2016 Jan 1;93(1):59a-60.

Clinical Question

Is routine computed tomography (CT) of the abdomen and pelvis helpful in patients with an initial unprovoked episode of venous thromboembolism (VTE)?

Bottom Line

There is no advantage to adding CT of the abdomen and pelvis to a basic screening protocol for occult malignancy in patients with unprovoked VTE. (Level of Evidence = 1b)

Synopsis

Patients with an unprovoked episode of deep venous thrombosis (DVT) or pulmonary embolism (PE) are at increased risk of occult malignancy. However, the best approach to evaluate patients for cancer is unclear. In this trial, adults with a first diagnosis of an episode of DVT or PE at

POEMs (patient-oriented evidence that matters) are provided by EssentialEvidence Plus, a point-of-care clinical decision support system published by Wiley-Blackwell. For more information, please see http://www.essentialevidenceplus.com. Copyright Wiley-Blackwell. Used with permission.

For definitions of levels of evidence used in POEMs, see http://www.essentialevidenceplus.com/product/ebm_loe.cfm?show=oxford.

To subscribe to a free podcast of these and other POEMs that appear in AFP,search in iTunes for “POEM of the Week” or go to http://goo.gl/3niWXb.

This series is coordinated by Sumi Sexton, MD, Associate Deputy Editor.

A collection of POEMs published in AFP is available at http://www.aafp.org/afp/poems.



 

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