Safety and Efficiency of the YEARS Algorithm Versus Computed Tomography Pulmonary Angiography Alone for Suspected Pulmonary Embolism in Patients With Malignancy

NARecruitingINTERVENTIONAL
Enrollment

1,566

Participants

Timeline

Start Date

June 1, 2019

Primary Completion Date

May 31, 2024

Study Completion Date

May 31, 2024

Conditions
Pulmonary EmbolismEmbolismEmbolism and ThrombosisVascular DiseasesCardiovascular DiseasesLung DiseasesRespiratory Tract DiseasesCancerDiagnosis
Interventions
PROCEDURE

YEARS algorithm

Patients randomized to the YEARS algorithm will be evaluated according to the YEARS algorithm consisting of three items of the original Wells rule (clinical signs of DVT, haemoptysis and 'PE most likely diagnosis') and a D-dimer test. In patients without any of the three items and a D-dimer level \<1.0 μg/mL (\<1000ng/mL), and in patients with ≥1 items and a D-dimer level \<0.5 μg/mL (\<500 ng/mL) a PE is excluded without CTPA. In the other patients a standard contrast enhanced CTPA will be performed according to local practice. PE is defined as at least one filling defect in the pulmonary artery tree on CTPA.

PROCEDURE

CTPA

Patients randomized to the CTPA management group will undergo a contrast enhanced CTPA to rule out PE according to standard local practice.

Trial Locations (28)

29609

RECRUITING

CHU Brest, Brest

42055

RECRUITING

CHU Saint-Etienne, Saint-Etienne

63003

NOT_YET_RECRUITING

CHU Clermont-Ferrand, Clermont-Ferrand

75015

NOT_YET_RECRUITING

HEGP, Paris

92700

NOT_YET_RECRUITING

Hôpital Louis Mourier - APHP, Colombes

Unknown

RECRUITING

Antwerpen University Hospital (UZA), Antwerp

NOT_YET_RECRUITING

Cliniques Universitaires Saint-Luc (CUSL), Brussels

NOT_YET_RECRUITING

Centre Hospitalier Universitaire de Liège (CHU Liège), Liège

RECRUITING

"Policlinico di Milano Ospedale Maggiore , Fondazione IRCCS Ca' Granda"

RECRUITING

Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma

ACTIVE_NOT_RECRUITING

Jeroen Bosch Ziekenhuis, 's-Hertogenbosch

RECRUITING

Flevoziekenhuis, Almere Stad

RECRUITING

Amsterdam UMC, Amsterdam

NOT_YET_RECRUITING

Rijnstate Ziekenhuis, Arnhem

RECRUITING

Amphia Ziekenhuis, Breda

RECRUITING

Reinier de Graaf Gasthuis, Delft

RECRUITING

Groene Hart Ziekenhuis, Gouda

RECRUITING

Tergooi MC, Hilversum

RECRUITING

Leiden University Medical Center, Leiden

RECRUITING

Radboud UMC, Nijmegen

RECRUITING

Maasstad Ziekenhuis, Rotterdam

RECRUITING

Haaglanden Medisch Centrum, The Hague

RECRUITING

Bernhoven Ziekenhuis, Uden

RECRUITING

Diakonessenhuis, Utrecht

RECRUITING

Hospital Universitario Ramón y Cajal, Madrid

RECRUITING

The Inselspital Bern, Bern

RECRUITING

Hôpitaux Universitaires de Genève (HUG), Geneva

RECRUITING

Centre Hospitalier Universitaire Vaudois (CHUV), Lausanne

All Listed Sponsors
collaborator

Leiden University Medical Center

OTHER

collaborator

Insel Gruppe AG, University Hospital Bern

OTHER

collaborator

University Hospital, Antwerp

OTHER

lead

University Hospital, Brest

OTHER