GLENVIEW, Illinois – The American College of Chest Physicians (CHEST) recently released new clinical guidelines for venous thromboembolism (VTE) management, “ Antithrombotic Therapy for VTE Disease: Second Update of the CHEST Guideline and Expert Panel ” that provides 29 recommendations on 17 Patients, Interventions, Comparators, Outcomes (PICO) questions, four of which have not been addressed previously.
This is the second update to the ninth edition of these guidelines. The last full edition of the guideline, “ Antithrombotic Therapy and Prevention of Thrombosis 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines, ” or “AT9,” was published in 2012 and was last updated in 2016 . This guideline is the first addressing this topic and will be regularly updated as new evidence emerges according to the Living Guidelines Model of the American College of Chest Physicians.
Within the updated recommendations, the panel generated 29 guidance statements, 13 of which are graded as strong recommendations. These include:
“These guidelines help to clarify for providers the intricacies of managing patients with VTE,” says member of the expert panel, Scott C. Woller, MD, FCCP. “Serving as a comprehensive reference for any stage, the recommendations cover aspects from initial management through secondary prevention and risk reduction of post-thrombotic syndrome.”
The order of presentation of the PICOs and guidance statements in the manuscript is intended to follow the chronology of VTE management:
The guidance statements are intended primarily for clinicians who manage patients with VTE but may inform researchers in selecting questions for future studies. Patients and policy makers may also be informed by the guideline content.
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About the American College of Chest Physicians
The American College of Chest Physicians®(CHEST) is the global leader in the prevention, diagnosis and treatment of chest diseases. Its mission is to champion advanced clinical practice, education, communication and research in chest medicine. It serves as an essential connection to clinical knowledge and resources for its 19,000+ members from around the world who provide patient care in pulmonary, critical care and sleep medicine. For information about the American College of Chest Physicians, and its flagship journal CHEST ®, visit chestnet.org .
CHEST Journal
Antithrombotic Therapy for VTE Disease: Second Update of the CHEST Guideline and Expert Panel Report – Executive Summary
2-Aug-2021