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Current Diagnosis of Venous Thromboembolism in Primary Care: A Clinical Practice Guideline from the American Academy of Family Physicians and the American College of Physicians

¹ American College of Physicians, Philadelphia, Penn
² Merck Institute of Aging and Health, Gloucester Point, Va
³ Private practice, Hadlyme, Conn
⁴ University of California, San Francisco, San Francisco, Calif
⁵ Byron Family Medicine, Byron Center, Miss; American Academy of Family Physicians, Leawood, Kan
⁶ BJC HealthCare, St. Louis, Mo; American Academy of Family Physicians, Leawood, Kan
⁷ Johns Hopkins University School of Medicine, Baltimore, Md
⁸ Hines Veterans Affairs Hospital and Northwestern University, Chicago, Ill
⁹ University of Michigan, Ann Arbor, Mich
¹⁰ Veterans Affairs Palo Alto Health Care System and Stanford University, Stanford, Calif

CORRESPONDING AUTHOR: Amir Qaseem, MD, PhD, MHA, American College of Physicians, 190 N Independence Mall West Philadelphia, PA 19106, aqaseem{at}acponline.org

Annals Journal Club selection—see inside back cover or http://www.annfammed.org/AJC/.

This guideline summarizes the current approaches for the diagnosis of venous thromboembolism. The importance of early diagnosis to prevent mortality and morbidity associated with venous thromboembolism cannot be overstressed. This field is highly dynamic, however, and new evidence is emerging periodically that may change the recommendations. The purpose of this guideline is to present recommendations based on current evidence to clinicians to aid in the diagnosis of lower extremity deep venous thrombosis and pulmonary embolism.

Key Words: Deep vein thrombosis • pulmonary embolism • thromboembolism, venous • practice guidelines • recommendations

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