Screening for Occult Malignancy in Idiopathic Venous Thromboembolism
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Purpose
Prospective controlled randomized study. Aim of this study is to assess the feasibility and sensitivity of CT scanning of the thorax, abdomen and pelvis for the detection of occult cancer in patients with idiopathic venous thromboembolism. Patients presenting with acute idiopathic venous thromboembolism, free from already known cancer and in whom a routine battery screening has excluded the presence of cancer, are randomized to receive either a CT scanning of the thorax, abdomen and pelvis (completed by mammography if not already performed in the past year, and by gastroscopy and/or colonoscopy in patients with positive hemoccult) or a diagnostic programme freely decided by attending physicians. Patients of either group in whom the search for cancer is negative are followed-up for two years to register the development of clinically symptomatic malignant disease. The rate of cancer detection and that of cancer development are compared between the two study groups.
| Condition | Intervention |
|---|---|
|
Venous Thromboembolism |
Procedure: Diagnostic screening for occult malignancy |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Diagnostic |
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
Inclusion Criteria:
- idiopathic venous thromboembolism
Exclusion Criteria:
- cancer already known or shown by routine battery tests
- previous venous thromboembolism
- geographic inaccessibility for long-term follow-up
- allergy to contrast medium
- refusal of informed consensus
Contacts and Locations| Italy | |
| Department of Medical and Surgical Sciences, 2nd Chair of Internal Medicine, University of Padua | |
| Padua, Italy, 35128 | |
| Principal Investigator: | Paolo Prandoni, MD, PhD | Department of Medical and Surgical Sciences, University of Padua, Italy |
More Information
No publications provided
| Responsible Party: | Paolo Prandoni, Department of Medical and Surgical Sciences, University of Padua |
| ClinicalTrials.gov Identifier: | NCT00361647 History of Changes |
| Other Study ID Numbers: | 719P |
| Study First Received: | August 7, 2006 |
| Last Updated: | June 10, 2008 |
| Health Authority: | Italy: Ethics Committee |
Additional relevant MeSH terms:
|
Thromboembolism Venous Thromboembolism Venous Thrombosis Embolism and Thrombosis |
Vascular Diseases Cardiovascular Diseases Thrombosis |
ClinicalTrials.gov processed this record on May 21, 2013