Diagnosis of post-thrombotic syndrome: International union of phlebology (UIP) survey of medical specialists.

Phlebology Pub Date : 2024-10-01 Epub Date: 2024-06-12 DOI:10.1177/02683555241259616

Nuo Xu, Manisha Siriwardene, Nikita Naidu, David E Connor, Alun H Davies, Peter Gloviczki, Mark H Meissner, Kurosh Parsi

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Abstract

Objective: To review the current approaches to the diagnosis of Post-Thrombotic Syndrome (PTS) and to evaluate the potential need for a diagnostic tool.

Method: Medical specialists were invited to participate in an online survey of their current approaches to the diagnosis and management of PTS, including the use of scoring systems, diagnostic imaging techniques and the extent the practitioner reviews the patient's venous history.

Results: 502 participants completed the survey. Over 80% obtained imaging reports to confirm a history of deep vein thrombosis (DVT). 72% of participants always obtained an up-to-date duplex ultrasound for PTS diagnosis. Over 50% did not use a scoring system for either PTS diagnosis or management. 65% of the participants agreed that a new system for PTS diagnosis should be devised.

Conclusion: Heterogeneity was observed in methods of diagnosing PTS by medical practitioners with frequent use of medical imaging studies and moderate use of scoring systems. Development of a new diagnostic tool for PTS should be considered for future studies.

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血栓后综合征的诊断：国际静脉学联盟（UIP）对医学专家的调查。

目的：回顾目前诊断血栓后综合征（PTS）的方法，并评估对诊断工具的潜在需求：回顾目前诊断血栓后综合征（PTS）的方法，评估对诊断工具的潜在需求：方法：邀请医学专家参与一项在线调查，了解他们目前诊断和处理 PTS 的方法，包括评分系统的使用、影像诊断技术以及医生审查患者静脉病史的程度：结果：502 名参与者完成了调查。超过 80% 的参与者获得了影像报告，以确认深静脉血栓 (DVT) 病史。72%的参与者在进行 PTS 诊断时总是获得最新的双相超声检查。超过 50% 的参与者在诊断或处理 PTS 时未使用评分系统。65%的参与者同意应设计一套新的 PTS 诊断系统：结论：医疗从业人员诊断 PTS 的方法存在差异，他们经常使用医学影像检查，但对评分系统的使用不多。今后的研究应考虑开发新的 PTS 诊断工具。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Phlebology

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