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6 or 3 months of anticoagulant therapy did not differ for treatment failure in patients with DVT, PE, or both

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 Q In patients with deep vein thrombosis (DVT), pulmonary embolism (PE), or both, what is the optimum duration of oral anticoagulant therapy?

Clinical impact ratings IM/Ambulatory care ★★★★★★☆ Haematology ★★★★★★☆

METHODS

Embedded ImageDesign:

randomised controlled trial (RCT).

Embedded ImageAllocation:

{concealed}*.

Embedded ImageBlinding:

{unblinded}*.

Embedded ImageFollow-up period:

1 year.

Embedded ImageSetting:

46 hospitals in the UK.

Embedded ImagePatients:

810 patients ⩾18 years of age (mean age 59 y, 53% men, based on 749 patients) with DVT, PE, or both, who were to receive anticoagulant therapy. Exclusion criteria included DVT or PE in the past 3 years; severe DVT or PE requiring embolectomy or thrombolysis; neoplasia in the past 3 years; polycythaemia, thrombocythaemia, homozygous factor V Leiden, lupus anticoagulant, or deficiency of protein C, protein S, or antithrombin; advanced multiple sclerosis, orthopaedic problems of the lower limbs, or prolonged or continuous immobility for other reasons; allergy to heparin or warfarin; need …

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