静脉血栓栓塞疾病的抗血栓治疗:胸部指南和专家小组报告的第二次更新。

IF 11.3 1区 化学 Q1 CHEMISTRY, PHYSICAL
ACS Catalysis Pub Date : 2021-12-01 Epub Date: 2021-08-02 DOI:10.1016/j.chest.2021.07.055
Scott M Stevens, Scott C Woller, Lisa Baumann Kreuziger, Henri Bounameaux, Kevin Doerschug, Geert-Jan Geersing, Menno V Huisman, Clive Kearon, Christopher S King, Andrew J Knighton, Erica Lake, Susan Murin, Janine R E Vintch, Philip S Wells, Lisa K Moores
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引用次数: 329

摘要

背景:这是这些指南第9版的第2次更新。我们对17个PICO(人口、干预、比较者、结果)问题提出了建议,其中4个问题以前没有解决过。方法:我们使用GRADE(分级推荐、评估、发展和评价)方法,根据高、中、低确定性证据生成强、弱推荐。结果:专家组产生了29项指导声明,其中13项被评为强烈建议,涵盖了静脉血栓栓塞治疗的各个方面,从初始治疗到二级预防和血栓后综合征的风险降低。在第9版(2012年)或第一次更新(2016年)中没有出现的四个新的指导声明已被添加。自第一次更新以来,已经对8条语句进行了实质性修改。结论:自2016年以来出现了新的证据,进一步为静脉血栓栓塞患者的护理标准提供了信息。在重要的管理问题上,特别是在有限疾病和特殊患者群体中,仍然存在很大的不确定性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Antithrombotic Therapy for VTE Disease: Second Update of the CHEST Guideline and Expert Panel Report.

Background: This is the 2nd update to the 9th edition of these guidelines. We provide recommendations on 17 PICO (Population, Intervention, Comparator, Outcome) questions, four of which have not been addressed previously.

Methods: We generate strong and weak recommendations based on high-, moderate-, and low-certainty evidence, using GRADE (Grading of Recommendations, Assessment, Development, and Evaluation) methodology.

Results: The panel generated 29 guidance statements, 13 of which are graded as strong recommendations, covering aspects of antithrombotic management of VTE from initial management through secondary prevention and risk reduction of postthrombotic syndrome. Four new guidance statements have been added that did not appear in the 9th edition (2012) or 1st update (2016). Eight statements have been substantially modified from the 1st update.

Conclusion: New evidence has emerged since 2016 that further informs the standard of care for patients with VTE. Substantial uncertainty remains regarding important management questions, particularly in limited disease and special patient populations.

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来源期刊
ACS Catalysis
ACS Catalysis CHEMISTRY, PHYSICAL-
CiteScore
20.80
自引率
6.20%
发文量
1253
审稿时长
1.5 months
期刊介绍: ACS Catalysis is an esteemed journal that publishes original research in the fields of heterogeneous catalysis, molecular catalysis, and biocatalysis. It offers broad coverage across diverse areas such as life sciences, organometallics and synthesis, photochemistry and electrochemistry, drug discovery and synthesis, materials science, environmental protection, polymer discovery and synthesis, and energy and fuels. The scope of the journal is to showcase innovative work in various aspects of catalysis. This includes new reactions and novel synthetic approaches utilizing known catalysts, the discovery or modification of new catalysts, elucidation of catalytic mechanisms through cutting-edge investigations, practical enhancements of existing processes, as well as conceptual advances in the field. Contributions to ACS Catalysis can encompass both experimental and theoretical research focused on catalytic molecules, macromolecules, and materials that exhibit catalytic turnover.
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