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| ID | Type | Description | Link |
|---|---|---|---|
| 22.02437.000091 | Other Identifier | CPP OUEST II | |
| 2022-A01244-39 | Other Identifier | ANSM |
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Lack of inclusions
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The objective of this study is to evaluate the diagnostic efficiency of general practitioners for the diagnosis of proximal deep vein thrombosis of the lower limbs compared with whole-leg ultrasound with Doppler performed by the vascular physician.
After being informed about the study and the potential risks, all patients who have given their written consent and who meet the eligibility criteria will benefit from a 3-point compression ultrasound performed by the general practitioner before being referred for a whole-leg ultrasound with Doppler at the vascular physician.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| compression ultrasound | Experimental | All patients receive a 3-point compression ultrasound followed within 72 hours by a whole-leg ultrasound with Doppler performed by a vascular physician. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Compression ultrasound | Diagnostic Test | Patients receive a 3-point compression ultrasound performed by the general practitioner to look for proximal deep vein thrombosis. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Diagnostic performance of 3 point venous compression | The diagnostic performance (Sensitivity, Specificity, Positive Predictive Value, Negative Predictive Value) of 3-point venous compression ultrasound performed by general practitioners for the diagnosis of proximal venous thrombosis of the lower limbs compared to the usual recommended examination (whole leg ultrasound by a vascular physician) | 72 hours |
| Measure | Description | Time Frame |
|---|---|---|
| The evaluation of the feasibility of venous compression ultrasound in the office by the general practitioner. | For each patient, the general practitioner must say whether or not he or she was successful in performing the compression ultrasound. The measure will be the percentage of ultrasound examinations considered successful by general practitioners. | 72 hours |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Thomas DELOMAS, Dr | Hospital Saint Lo | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Bayeux | Bayeux | Normandy | 14400 | France | ||
| Avranches |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29133492 | Background | Mumoli N, Vitale J, Giorgi-Pierfranceschi M, Sabatini S, Tulino R, Cei M, Bucherini E, Bova C, Mastroiacovo D, Camaiti A, Palmiero G, Puccetti L, Dentali F; PRACTICUS Study Investigators. General Practitioner-Performed Compression Ultrasonography for Diagnosis of Deep Vein Thrombosis of the Leg: A Multicenter, Prospective Cohort Study. Ann Fam Med. 2017 Nov;15(6):535-539. doi: 10.1370/afm.2109. | |
| 24495051 |
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| ID | Term |
|---|---|
| D020246 | Venous Thrombosis |
| D013924 | Thrombophlebitis |
| ID | Term |
|---|---|
| D013927 | Thrombosis |
| D016769 | Embolism and Thrombosis |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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All included patients will have a compression ultrasound performed by the general practitioner followed within 72 hours by a whole leg ultrasound with Doppler performed by the vascular physician.
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|
| Duration of the ultrasound performed by the general practitioner in minutes. | Duration of the ultrasound performed by the general practitioner in minutes. | 72 hours |
| The interpretability of ultrasound images by general practitioners | The interpretability of ultrasound images by general practitioners. For each patient, the general practitioner must note the result of his or her ultrasound (compressibility or total incompressibility of the veins on the 3 points studied). He must also correctly interpret the ultrasound result (presence of venous thrombosis in case of total incompressibility of the vein or absence of thrombosis in case of total compressibility of the vein). The measure will be the percentage of correct interpretation of the compression test. | 72 hours |
| Avranches |
| 50300 |
| France |
| Bain de Bretagne | Bain-de-Bretagne | 35470 | France |
| Colombelles | Colombelles | 14460 | France |
| Condé sur vire | Condé-sur-Vire | 50890 | France |
| Honfleur | Honfleur | 14600 | France |
| Ifs | Ifs | 14123 | France |
| Le Chesnay | Le Chesnay | 78150 | France |
| Le pont de montvert | Le Pont-de-Montvert | 48220 | France |
| Lons-le-Saunier | Lons-le-Saunier | 39000 | France |
| Le Molay Littry | Molay | 14330 | France |
| Ouistreham | Ouistreham | 14150 | France |
| Paris rue de Rome | Paris | 75017 | France |
| Percy | Percy | 50410 | France |
| Ploerdut | Ploërdut | 56160 | France |
| Potigny | Potigny | 14420 | France |
| Saix | Saïx | 81710 | France |
| Sannerville | Sannerville | 14940 | France |
| Troarn | Troarn | 14670 | France |
| Background |
| Mumoli N, Vitale J, Cocciolo M, Cei M, Brondi B, Basile V, Sabatini S, Gambaccini L, Carrara I, Camaiti A, Giuntoli S, Dentali F. Accuracy of nurse-performed compression ultrasonography in the diagnosis of proximal symptomatic deep vein thrombosis: a prospective cohort study. J Thromb Haemost. 2014 Apr;12(4):430-5. doi: 10.1111/jth.12522. |
| 23138420 | Background | Pomero F, Dentali F, Borretta V, Bonzini M, Melchio R, Douketis JD, Fenoglio LM. Accuracy of emergency physician-performed ultrasonography in the diagnosis of deep-vein thrombosis: a systematic review and meta-analysis. Thromb Haemost. 2013 Jan;109(1):137-45. doi: 10.1160/TH12-07-0473. Epub 2012 Nov 8. |
| 31145304 | Background | Lee JH, Lee SH, Yun SJ. Comparison of 2-point and 3-point point-of-care ultrasound techniques for deep vein thrombosis at the emergency department: A meta-analysis. Medicine (Baltimore). 2019 May;98(22):e15791. doi: 10.1097/MD.0000000000015791. |
| D010689 |
| Phlebitis |
| D016491 | Peripheral Vascular Diseases |
| D014657 | Vasculitis |