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Guidelines & Consensus

Published guidelines, clinical pathways, Delphi statements and position papers, with the consensus projects that are currently in progress.

Published documents

Position paperPublic2026

Reporting standards for neurogenic TOS

Agreed terminology, inclusion criteria and the minimum information a published series should report.

Download PDF PDF, 1.4 MB
Clinical pathwayPublic2026

Diagnostic pathway for suspected TOS

A step-by-step pathway from first presentation through imaging and electrodiagnostics to subtype assignment.

Download PDF PDF, 820 KB
GuidelinePublic2026

Management of effort thrombosis

Consensus on anticoagulation, thrombolysis and the timing of decompression in venous TOS.

Download PDF PDF, 2.1 MB
Delphi statementPublic2025

Core outcome set for thoracic outlet syndrome

The measures and follow-up intervals agreed for collaborative studies and for the registry.

Download PDF PDF, 640 KB
Clinical pathwayMembers only2025

Peri-operative protocol for first rib resection

Preparation, intra-operative checklist, complication definitions and discharge criteria.

Download PDF PDF, 1.1 MB
GuidelineMembers only2025

Rehabilitation after decompression

Phase-based rehabilitation with milestones, load progression and return-to-sport criteria.

Download PDF PDF, 1.8 MB

Consensus projects in progress

Delphi projects currently running

Consensus is developed through anonymous, multi-round rating by an invited panel. Panellists rate each statement on a fixed scale, may add comments, and see aggregated results between rounds.

ProjectSubtypePanellistsRoundStatus
Imaging criteria for venous TOS
Positional duplex and CT/MR reporting thresholds
Venous52Round 1 of 3Open
Indications for surgical decompression in neurogenic TOS
Thresholds after failed conservative treatment
Neurogenic64Round 2 of 3Open
Core outcome set, revision 2
Patient-reported measures and follow-up intervals
All71PreparingNot yet open
Taking part

Panel invitations are issued by the collaborative. Invited members vote inside the members’ area, are notified when a round opens, and receive a reminder before it closes.