I've got a feeling : Gestalt versus Wells for ruling out pulmonary embolus
Bottom line: Using Gestalt, or clinical opinion, is a good first step in assessing an outpatient with symptoms possibly consistent with PE. However, a Well's score was as reliable as Gestalt when used with a d-dimer, particularly for stratifying low- and high-risk patients. Use of Gestalt or Well's score without a d-dimer was less useful.Review and summary of: Hendriksen JM, Lucassen WA, Erkens PM, et al. Ruling out pulmonary embolism in primary care: comparison of the diagnostic performance of "Gestalt" and the Well's rule. Ann Fam Med. 2016; 14(3):227-234.
Evidence-based practice 20, no. 4 (2017): E11