title: [NHG guideline 'Deep-vein thrombosis and pulmonary embolus'].
abstract: The revised Dutch College of General Practitioners (Nederlands Huisartsen Genootschap [NHG]) guideline 'Deep-vein thrombosis and pulmonary embolus' includes recommendations for the treatment of patients with deep-vein thrombosis (DVT) and thrombophlebitis, and for the exclusion of pulmonary embolism (PE). The general practitioner (GP) can exclude the presence of DVT or PE in some patients by using a decision rule and a D-dimer test. When using D-dimer test as a point-of-care test, meticulous care is essential during the test procedure and storage of blood. The GP can treat many patients with DVT; the NHG guideline does not advise use of direct oral anticoagulants. In the case of an isolated DVT in the calf, treatment with anticoagulants or ultrasound follow-up can be chosen in consultation with the patient or on the basis of regional agreements. In the case of patients with superficial thrombophlebitis, a wait-and-see approach is usually sufficient.
authors.affiliation: Nederlands Huisartsen Genootschap, afd. Richtlijnontwikkeling en Wetenschap, Utrecht.
authors.forename: Jip
authors.initials: J
authors.lastname: de Jong
authors.forename: Wim A M
authors.initials: WA
authors.lastname: Lucassen
authors.forename: Geert-Jan
authors.initials: GJ
authors.lastname: Geersing
authors.forename: Jako S
authors.initials: JS
authors.lastname: Burgers
authors.forename: Tjerk
authors.initials: T
authors.lastname: Wiersma
mesh_terms: D000925:Anticoagulants / Q000627:therapeutic use; D003937:Diagnosis, Differential; D005338:Fibrin Fibrinogen Degradation Products; D058006:General Practice / Q000592:standards*; D006801:Humans; D009426:Netherlands; D017410:Practice Guidelines as Topic; D011655:Pulmonary Embolism / Q000097:blood / Q000175:diagnosis* / Q000628:therapy; D012955:Societies, Medical; D013924:Thrombophlebitis / Q000097:blood / Q000175:diagnosis / Q000628:therapy; D020246:Venous Thrombosis / Q000097:blood / Q000175:diagnosis* / Q000628:therapy
chemical_list: D000925:Anticoagulants; D005338:Fibrin Fibrinogen Degradation Products; C036309:fibrin fragment D