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Semin Thromb Hemost 2017; 43(05): 500-504
DOI: 10.1055/s-0037-1599142
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Scoring Systems for Postthrombotic Syndrome

Hilde Skuterud Wik
1   Department of Haematology, Oslo University Hospital, Oslo, Norway
,
Waleed Ghanima
1   Department of Haematology, Oslo University Hospital, Oslo, Norway
2   Institute of Clinical Medicine, University of Oslo, Oslo, Norway
3   Department of Medicine, Østfold Hospital Trust, Kalnes, Norway
,
Per Morten Sandset
1   Department of Haematology, Oslo University Hospital, Oslo, Norway
2   Institute of Clinical Medicine, University of Oslo, Oslo, Norway
4   Research Institute of Internal Medicine, Oslo University Hospital, Oslo, Norway
,
Susan R. Kahn
5   Center for Clinical Epidemiology, Jewish General Hospital, McGill University, Montreal, Quebec, Canada
› Author Affiliations
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Publication History

Publication Date:
03 May 2017 (online)

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Abstract

Postthrombotic syndrome (PTS) is the most common long-term complication after deep vein thrombosis (DVT) and is associated with reduced quality of life. There is no single objective test to diagnose the presence of PTS and it is usually diagnosed on the basis of typical symptoms and signs in a limb previously affected by DVT. Scoring systems for PTS are primarily developed as research tools, but could possibly also be useful in the clinical setting. A main advantage of a good scoring system is standardization of the diagnostic process. An optimal scoring system should be both sensitive and specific for PTS, but this has been difficult to achieve because the symptoms and signs of PTS can be similar to other conditions leading to complaints in the lower limb. In an effort to standardize the definition of PTS, in 2009, the International Society on Thrombosis and Haemostasis Subcommittee on Control of Anticoagulation reviewed available scales and recommended use of the Villalta scale as the most appropriate measure to diagnose and grade the severity of PTS. The aim of this article is to review the existing scoring systems for PTS and to present our view on the advantages and disadvantages of these diagnostic tools.

Keywords

postthrombotic syndrome - diagnosis - scoring systems
 

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