Vincenza Snow, MD; Amir Qaseem, MD, PhD, MHA; Patricia Barry, MD, MPH; E. Rodney Hornbake, MD; Jonathan E. Rodnick, MD; Timothy Tobolic, MD; Belinda Ireland, MD, MS; Jodi B. Segal, MD; Eric B. Bass, MD, MPH; Kevin B. Weiss, MD, MPH; Lee Green, MD, MPH; Douglas K. Owens, MD, MS; and the Joint American College of Physicians/American Academy of Family Physicians Panel on Deep Venous Thrombosis/Pulmonary Embolism*
Disclaimer: The authors of this article are responsible for its contents, including any clinical or treatment recommendations. No statement in this article should be construed as an official position of the Agency for Healthcare Research and Quality or the U.S. Department of Health and Human Services.
Grant Support: Financial support for the development of this guideline comes exclusively from the American College of Physicians and American Academy of Family Physicians operating budgets.
Potential Financial Conflicts of Interest: None disclosed.
Requests for Single Reprints: Amir Qaseem, MD, PhD, MHA, American College of Physicians, 190 N. Independence Mall West, Philadelphia, PA 19106.
Current Author Addresses: Drs. Snow and Qaseem: American College of Physicians, 190 N. Independence Mall West, Philadelphia, PA 19106.
Dr. Barry: 1584 York River Drive, Gloucester Point, VA 23062.
Dr. Hornbake: 7 Shelter Rock Road, PO Box 218, Hadlyme, CT 06439.
Dr. Rodnick: University of California, San Francisco, Box 0886, San Francisco, CA 94143.
Dr. Tobolic: Byron Center Medicine, PO Box 307, 7751 Byron Center Avenue, Byron Center, MI 49315.
Dr. Ireland: BJC HealthCare, 600 South Taylor, Suite 122, St. Louis, MO 63110.
Drs. Segal and Bass: Johns Hopkins University, 1830 East Monument Street, 8th Floor, Baltimore, MD 21205.
Dr. Weiss: Hines Veterans Affairs Hospital, PO Box 5000, Hines, IL 60141.
Dr. Green: University of Michigan, 1018 Fuller Street, Campus #0708, Ann Arbor, MI 48109.
Dr. Owens: Stanford University, 117 Encina Commons, Stanford, CA 94305.
Venous thromboembolism is a common condition affecting 7.1 persons per 10 000 person-years among community residents. Incidence rates for venous thromboembolism are higher in men and African Americans and increase substantially with age. It is critical to treat deep venous thrombosis at an early stage to avoid development of further complications, such as pulmonary embolism or recurrent deep venous thrombosis. The target audience for this guideline is all clinicians caring for patients who have been given a diagnosis of deep venous thrombosis or pulmonary embolism. The target patient population is patients receiving a diagnosis of pulmonary embolism or lower-extremity deep venous thrombosis.
*Clinical Efficacy and Assessment Subcommittee of the American College of Physicians: Douglas K. Owens, MD, MS (Chair); Mark Aronson, MD; Donald E. Casey Jr., MD, MPH, MBA; J. Thomas Cross Jr., MD, MPH; Nancy C. Dolan, MD; Nick Fitterman, MD; E. Rodney Hornbake, MD; Paul Shekelle, MD, PhD; Katherine D. Sherif, MD; and Kevin Weiss, MD, MPH (Immediate Past Chair). Commission on Science of the American Academy of Family Physicians: Eric M. Wall, MD, MPH (Chair); Kevin A. Peterson, MD, MPH; James M. Gill, MD; Robert C. Marshall, MD, MPH; Jonathan E. Rodnick, MD; Kenneth G. Schellhase, MD, MPH; Steven W. Strode, MD, MEd, MPH; Kurtis S. Elward, MD, MPH; James W. Mold, MD, MPH; Jonathan L. Temte, MD, PhD; Frederick M. Chen, MD, MPH; Thomas F. Koinis, MD; Donya A. Powers, MD; Karl M. Kochendorfer, MD; Peter John Oppelt; Herbert F. Young, MD, MA; and Bellinda K. Schoof, MHA. Approved by the American College of Physicians Board of Regents in April 2006. Approved by the American Academy of Family Physicians Board of Directors on 28 March 2006.
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Snow V, Qaseem A, Barry P, Hornbake ER, Rodnick JE, Tobolic T, et al. Management of Venous Thromboembolism: A Clinical Practice Guideline from the American College of Physicians and the American Academy of Family Physicians. Ann Intern Med. 2007;146:204–210. doi: 10.7326/0003-4819-146-3-200702060-00149
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Published: Ann Intern Med. 2007;146(3):204-210.
Guidelines, Venous Thromboembolism.
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