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1: Ann Intern Med. 2001 Mar 6;134(5):409-17.Click here to read Links
Comment in:
Ann Intern Med. 2002 Jul 16;137(2):144-5; author reply 145.

Clinical trials that have influenced the treatment of venous thromboembolism: a historical perspective.

Hirsh J, Bates SM.

Hamilton Civic Hospitals Research Centre, Henderson Division, 711 Concession Street, Hamilton, Ontario L8V 1C3, Canada. jhirsh@thrombosis.hhscr.org

In 1960, Barritt and Jordan performed the first randomized trial demonstrating the efficacy of anticoagulant therapy in the treatment of venous thromboembolism. Since then, important therapeutic advances have been made in the treatment of deep venous thrombosis and pulmonary embolism. This paper reviews the important clinical trials involving anticoagulant therapy and vena caval interruption. The studies are discussed from a historical perspective, and an attempt is made to analyze both the thought processes that prompted their design and the reasons why they changed practice.

PMID: 11242501 [PubMed - indexed for MEDLINE]

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