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D-dimer useful for excluding deep vein thrombosis and pulmonary embolism
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Although diagnostic tests often are good for both identifying and excluding disease, sometimes tests do one better than the other. A normal D-dimer test result can be relied upon to rule out suspected pulmonary embolism or deep vein thrombosis. It is not particularly helpful, by itself, to rule in the diagnosis. The results of this meta-analysis confirm an earlier meta-analysis (Ann Emerg Med 2002; 40:133–144). (LOE=1a)

 
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Practice Recommendations from Key Studies

Stein PD, Hull RD, Patel KC, et al. D-dimer for the exclusion of acute venous thrombosis and pulmonary embolism. A systematic review. Ann Intern Med 2004; 140:589–602.

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The Journal of Family Practice - 53(9)
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Practice Recommendations from Key Studies

Stein PD, Hull RD, Patel KC, et al. D-dimer for the exclusion of acute venous thrombosis and pulmonary embolism. A systematic review. Ann Intern Med 2004; 140:589–602.

Author and Disclosure Information

Practice Recommendations from Key Studies

Stein PD, Hull RD, Patel KC, et al. D-dimer for the exclusion of acute venous thrombosis and pulmonary embolism. A systematic review. Ann Intern Med 2004; 140:589–602.

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BOTTOM LINE

Although diagnostic tests often are good for both identifying and excluding disease, sometimes tests do one better than the other. A normal D-dimer test result can be relied upon to rule out suspected pulmonary embolism or deep vein thrombosis. It is not particularly helpful, by itself, to rule in the diagnosis. The results of this meta-analysis confirm an earlier meta-analysis (Ann Emerg Med 2002; 40:133–144). (LOE=1a)

 
BOTTOM LINE

Although diagnostic tests often are good for both identifying and excluding disease, sometimes tests do one better than the other. A normal D-dimer test result can be relied upon to rule out suspected pulmonary embolism or deep vein thrombosis. It is not particularly helpful, by itself, to rule in the diagnosis. The results of this meta-analysis confirm an earlier meta-analysis (Ann Emerg Med 2002; 40:133–144). (LOE=1a)

 
Issue
The Journal of Family Practice - 53(9)
Issue
The Journal of Family Practice - 53(9)
Page Number
682-690
Page Number
682-690
Publications
Publications
Topics
Article Type
Display Headline
D-dimer useful for excluding deep vein thrombosis and pulmonary embolism
Display Headline
D-dimer useful for excluding deep vein thrombosis and pulmonary embolism
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