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CME Activity

Clinical Decision Rules for Excluding Pulmonary Embolism

Faculty

Wim Lucassen

Geert-Jan Geersing

Petra M.G. Erkens, MSc

Johannes B. Reitsma

Karel G.M. Moons

Harry Büller

Henk C. van Weert

Accredited by

American College of Physicians

Course Description

This systematic review of 52 studies involving 55 268 patients compared gestalt (a physician's unstructured estimate) and clinical decision rules for evaluating adults with suspected pulmonary embolism and assessed the failure rate of these methods when used in combination with D-dimer testing. Combining a decision rule or gestalt with D-dimer testing seemed safe for most strategies. The authors recommend standardized rules because gestalt has lower specificity, but the choice of a particular rule and D-dimer test depends on prevalence and setting.

Activity Details

Credit Types:CME
Credit Amount:1.0 Credits
Release Date:2011-Oct-04
Expiration Date:2013-Oct-04
Estimated Time for Completion:1 hour
Registration Required:Yes
Cost:$260/yr
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