Table 4
Author, date and countryPatient groupStudy type (level of evidence)OutcomesKey resultsStudy weaknesses
Decousus H, et al, 1998, France400 patients with proximal vein thrombosis. 200 randomised to receive an IVCF and 200 to receive no IVCF. Patients also randomised to receive LMWH or unfractionated heparinPRCT (two by two factorial design)Multicentre (44 sites)Rate of recurrent VTE at 12 days: filter group/no filter group2 (1.1%) had had symptomatic or asymptomatic PE/9(4.8%) had had symptomatic or asymptomatic PE/6 (3.4%) had symptomatic PE/12 (6.3%) had symptomatic PEOverall 6 patients died of PE, no breakdown in the paper of filter compared with no filter
Follow up data recorded day 12 and two yearsRecurrent VTE at two years: filter group/no filter group37 (20.8%) at 2y had had recurrent DVT (95% CI, pā€Š=ā€Š 0.03). (16 had thrombosis at the filter site)/21 (11.6%) at 2y had had recurrent DVTThe study was powered for 400 patients per group (800), however a steering committee interrupted the study because of slow recruitment rate
Death at 12 days: filter group/no filter group5 (2.5%), no PE/5 (2.5%), 4 PE
Death at two years: filter group/no filter group43 (21.6%)/40 (20.1%)
Major bleeding: filter group/no filter group/LMWH/UFH17 (8.8%)/22 (11.8%)/16 (8.5%)/23 (12%)