Table of Contents
Thrombosis
Volume 2014, Article ID 306018, 6 pages
http://dx.doi.org/10.1155/2014/306018
Research Article

Variability in the Management of Superficial Venous Thrombophlebitis across Practitioners Based in North America and the Global Community

1Department of Surgery, Medical College of Wisconsin, 8701 Watertown Plank, Milwaukee, WI 53045, USA
2Division of Vascular Surgery, Department of Surgery, Johns Hopkins Medical Center, Baltimore, MD, USA
3Department of Internal Medicine, North Shore-Long Island Jewish Health System, New York City, NY, USA

Received 27 July 2014; Accepted 15 September 2014; Published 12 October 2014

Academic Editor: Omer Iqbal

Copyright © 2014 Anahita Dua et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. This study aimed to compare management patterns of patients with SVT among healthcare practitioners based in North America versus those in the global community. Methods. A 17-question, multiple choice survey with questions regarding SVT diagnosis and management strategies was provided to practitioners who attended the American Venous Forum (AVF) meeting in 2011. Results. There were 487 practitioners surveyed with 365 classified as North American (US or Canada) and 122 (56 Europe, 25 Asia, 11 South America, and 7 Africa) representing the global community. The key difference seen between the groups was in the initial imaging study used in patients presenting with SVT () and physicians in the US ordered fewer bilateral duplex ultrasounds and more unilateral duplex ultrasounds (49.6% versus 58.2%, 39.7% versus 34.4%). In the US cohort, phlebologists and vascular surgeons constituted 82% () of the specialties surveyed. In the global community, SVT was managed by phlebologists or vascular surgeons 44% () of the time. Surgical management was highly variable between groups. Conclusion. There is currently no consensus between or among practitioners in North America or globally as to the surgical management of SVT, duration of follow-up, and anticoagulation parameters.