Review: The Wells clinical prediction guide and D-dimer testing predict deep venous thrombosis: COMMENTARY

Perrier, Arnaud
July 2006
ACP Journal Club;Jul/Aug2006, Vol. 145 Issue 1, p24
Academic Journal
The article presents the author's views on the role of clinical assessment to predict the occurrence of deep venous thrombosis (DVT) in patients. Several studies have reported about the consistent prevalence of DVT in the low- and moderate-probability categories. The author revealed that highly sensitive D-dimer assays have a negative likelihood ratio. Therefore, the combination of a low clinical probability of DVT and a negative result from a D-dimer test of either kind convincingly rules out the occurrence of DVT in patients.


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