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Optimal Strategies for the Diagnosis of Acute Pulmonary Embolism: A Health Technology Assessment — Project Protocol [Internet]. Ottawa (ON): Canadian Agency for Drugs and Technologies in Health; 2016 Sep 29. (CADTH Optimal Use Report, No. 6.3a.)

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Optimal Strategies for the Diagnosis of Acute Pulmonary Embolism: A Health Technology Assessment — Project Protocol [Internet].

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APPENDIX 3CLINICAL DATA EXTRACTION FORM FOR PRIMARY STUDIES

Reviewer: ________________________________
Date: ________________________

STUDY CHARACTERISTICS
Ref ID:
Author(s):
Publication title
Publication year:
Country (where the study was conducted):
Funding:


METHODOLOGY
Study design:▢ RCT
▢ NRS
▢ CS
Details of study design
Number of included participants:
Study eligibility criteria:
Period of conduct:


Setting of conduct:▢ Emergency room
▢ Secondary or tertiary in-patient care
▢ Primary care
▢ Rural
▢ Remote
▢ Urban
Subgroup analyses
Multivariate analyses

CS = case series; NRS = non-randomized study; RCT = randomized controlled trial.

POPULATION
Age
Clinical condition or subgroup▢ Trauma or ICU
▢ Pregnancy
▢ Cancer
▢ Hemodynamically unstable
▢ Oral contraceptive or HRT
▢ Obesity
▢ Renal insufficiency
▢ Allergy to contrast dye
▢ Patients with COPD or pneumonia
▢ Elderly patients
▢ Patients with inherited or acquired thrombophilias
Sex

COPD = chronic obstructive pulmonary disease; HRT = hormone replacement therapy; ICU = intensive care unit.


COMPARISON
Intervention (specify disease threshold and cut-off values,a
manufacturer, technological specifications):
Comparator (specify disease threshold and cut-off values,a
manufacturer, technological specifications):
Duration between index and reference test:
Occupation or expertise of practitioner administering and
interpreting test

a Including any information about age-specific cut-offs (e.g., for D-dimer)


REPORTED OUTCOMES
Primary (including definition):
Secondary (including definition):
Length of follow-up:


RESULTS (TO BE COMPLETED FOR EACH COMPARISON AND OUTCOME)
Comparison
Intervention:
Comparator:
Outcome
Subgroup analysis
Variable 1
Variable 2
(Add variables as needed)
Multivariate analysis
Variable1
Variable 2
(Add variables as needed)
Main conclusions:

Did the study report any data relevant to another research question (RQ)? ▢ Yes: RQ# __________ ▢ No
Copyright © 2016 CADTH.

The copyright and other intellectual property rights in this document are owned by CADTH and its licensors. These rights are protected by the Canadian Copyright Act and other national and international laws and agreements. Users are permitted to make copies of this document for non-commercial purposes only, provided it is not modified when reproduced and appropriate credit is given to CADTH and its licensors.

Except where otherwise noted, this work is distributed under the terms of a Creative Commons Attribution-NonCommercial- NoDerivatives 4.0 International licence (CC BY-NC-ND), a copy of which is available at http://creativecommons.org/licenses/by-nc-nd/4.0/

Bookshelf ID: NBK395895
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