Do you follow children and adolescents after venous thromboembolism (VTE) for post-thrombotic sequelae?
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Yes
No
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What country do you practice in?
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Which center do you practice in?
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How long have you been managing patients with post-thrombotic sequelae?
Post-thrombotic sequelae refers to long-term consequences of venous thrombosis of extremity and non-extremity locations; including the pulmonary, cerebral, renal, and portal venous systems.
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0-5 years
6-10 years
11-15 years
16-20 years
>20 years
How many children and adolescents with a new VTE are diagnosed at your center each year?
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0-50
51-100
101-150
151-200
>200
For non-neonatal patients with EXTREMITY VTE your practice is to monitor which of the following for post-thrombotic syndrome (PTS):
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Follow all patients
Follow on a case-by-case basis
Which of the following do you take into account to determine which patients to follow for non-neonates ?
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What other factors do you take into account?
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For non-neonatal patients with NON-EXTREMITY VTE your practice is to monitor which of the following for post-thrombotic sequelae:
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Follow all patients
Follow on a case-by-case basis
I do not follow non-extremity VTE for post-thrombotic sequelae
Which of the following do you take into account to determine which patients to follow for non-neonates ?
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What other factors do you take into account?
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In non-neonates, during the FIRST YEAR after VTE diagnosis in the below sites, at what time points do you see patients in follow up (select all that apply)?
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Extremity
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The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
PE = pulmonary embolism; RVT = renal vein thrombosis; PVT = portal vein thrombosis; CSVT = cerebral sinovenous thrombosis
In non-neonates, BEYOND THE FIRST YEAR after VTE diagnosis in the below sites, at what time points do you see patients for follow up (select all that apply)?
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Extremity
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The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
Do you follow neonates at a different frequency that non-neonates to evaluate for post-thrombotic sequelae?
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Yes
No
For neonatal patients with EXTREMITY VTE your practice is to monitor which of the following for PTS:
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Follow all patients
Follow on a case-by-case basis
Which of the following do you take into account to determine which patients to follow for neonates ?
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What other factors do you take into account?
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For neonatal patients with NON-EXTREMITY VTE your practice is to monitor which of the following for post-thrombotic sequelae:
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Follow all patients
Follow on a case-by-case basis
I do not follow non-extremity VTE for post-thrombotic sequelae
Which of the following do you take into account to determine which patients to follow for neonates ?
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What other factors do you take into account?
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In NEONATES, during the FIRST YEAR after VTE diagnosis in the below sites, at what time points do you see patients for follow up (select all that apply)?
The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
Extremity
* must provide value
The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
In NEONATES, BEYOND THE FIRST YEAR after VTE diagnosis in the below sites, at what time points do you see patients for follow up (select all that apply)?
The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
Extremity
* must provide value
The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
Do you have a dedicated clinic where you follow patients with or at-risk for post-thrombotic sequelae?
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Yes
No
What year did your clinic start?
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Which of the following subspecialists participate in the care for post-thrombotic sequelae patients at your institution (select all that apply)?
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Is vascular surgery care:
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Incorporated into a post-thrombotic sequelae clinic
Accessed through the institution
Is interventional radiology care:
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Incorporated into a post-thrombotic sequelae clinic
Accessed through the institution
Is pulmonology care:
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Incorporated into a post-thrombotic sequelae clinic
Accessed through the institution
Is cardiology care:
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Incorporated into a post-thrombotic sequelae clinic
Accessed through the institution
Is nephrology care:
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Incorporated into a post-thrombotic sequelae clinic
Accessed through the institution
Is neurology care:
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Incorporated into a post-thrombotic sequelae clinic
Accessed through the institution
Is physical therapy:
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Incorporated into a post-thrombotic sequelae clinic
Accessed through the institution
Is the compression garment technician:
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Incorporated into a post-thrombotic sequelae clinic
Accessed through the institution
Is psychology:
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Incorporated into a post-thrombotic sequelae clinic
Accessed through the institution
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Which PTS diagnostic tool do you use (select all that apply)?
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Which other PTS diagnostic tool do you use?
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If you do not use a diagnostic tool, how do you diagnose PTS?
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Do you follow biomarkers for an individual at risk for PTS?
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Yes
No
What biomarkers do you follow an individual's risk for developing PTS?
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What other biomarkers do you follow for an individual at risk for PTS?
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Do you longitudinally monitor these biomarkers at the end of therapeutic anticoagulation or only use values from VTE diagnosis?
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Time of VTE diagnosis only
Longitudinally monitor the values (please provide details below)
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Which measures do you use to prevent PTS?
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How long after VTE diagnosis do you prescribe compression garments to prevent PTS (months)?
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What pressure do you initially prescribe to prevent PTS?
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15-20 mm Hg
20-30 mm Hg
30-40 mm Hg
Other
What pressure do you initially prescribe to prevent PTS?
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Do you typically prescribe knee or thigh-high compression garments in lower extremity VTE to prevent PTS?
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Knee-high
Thigh-high
The physical activity you prescribe to prevent PTS:
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How long after VTE diagnosis do you prescribe physical activity to prevent PTS?
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Describe Other:
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For how long do you prescribe physical activity to prevent PTS?
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How long do you prescribe physical activity?
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What venoactive drugs do you use?
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How long after VTE diagnosis do you prescribe venoactive drugs to prevent PTS?
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For how long do you prescribe venoactive drugs to prevent PTS?
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Please describe when thrombolysis is used to prevent PTS
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What other measure do you use to prevent PTS?
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Do you use any of the following to treat PTS (choose all that apply)?
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Which PTS severity do you prescribe compression garments (select all that apply)?
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Which PTS severity do you prescribe compression garments?
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What pressure do you initially prescribe to treat PTS?
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15-20 mm Hg
20-30 mm Hg
30-40 mm Hg
Other
What pressure do you initially prescribe to treat PTS?
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Do you typically prescribe knee or thigh-high compression garments in lower extremity PTS?
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Knee-high
Thigh-high
The physical activity you prescribe to treat PTS:
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What venoactive drugs do you use to treat PTS?
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Describe what patients with PTS you refer for venous intervention
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What do you use to treat PTS?
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Which of the following do you monitor long-term for post-thrombotic sequelae (select all that apply)?
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POST-PULMONARY EMBOLISM SYNDROME
Which of the following post-PE syndrome do you screen for (select all that apply)?
Post-PE syndrome comprises right ventricular dysfunction, chronic thrombotic remains in the pulmonary arteries, worsened quality of life and/or chronic functional limitations, such as dyspnea and exercise intolerance or chronic thromboembolic pulmonary hypertension
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What other long-term post-PE syndrome do you monitor for?
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Which of the following diagnostic tools to evaluate patients for post-PE syndrome following PE do you use (select all that apply)?
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What other diagnostic tool do you use?
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RENAL VEIN THROMBOSIS POST-THROMBOTIC SEQUELAE
Which of the following post-RVT sequelae do you screen for?
Post-RVT sequelae comprises hypertension, renal atrophy, chronic kidney disease or kidney failure
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What other long-term sequelae do you monitor for?
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Which of the following diagnostic tools to evaluate patients for post-thrombotic sequelae following RVT do you use (select all that apply)?
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What other diagnostic tools do you use?
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PORTAL VEIN THROMBOSIS POST-THROMBOTIC SEQUELAE
Which of the following post-PVT sequelae do you screen for?
Post-PVT sequelae comprises portal hypertension, hepatopulmonary syndrome and portopulmonary hypertension
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What other post-PVT sequelae do you screen for?
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Which of the following diagnostic tools to evaluate patients for post-thrombotic sequelae following PVT do you use (select all that apply)?
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What other diagnostic tools do you use?
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CEREBRAL SINOVENOUS THROMBOSIS POST-THROMBOTIC SEQUELAE
Which of the following post-CSVT sequelae do you screen for (select all that apply)?
Post-CSVT sequelae comprises motor deficits, visual deficits, cognitive deficits, epilepsy, impaired speech, behavior problems or headache
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What other post-CSVT sequelae do you screen for?
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Which of the following diagnostic tools to evaluate patients for post-thrombotic sequelae following CSVT do you use (select all that apply)?
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What other diagnostic tools do you use?
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What other site do you monitor long-term for post-thrombotic sequelae?
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