Characteristics and Risk Factors of Cancer Associated Venous Thromboembolism

Ambarina S. Faiz, Imran Khan, Michele G. Beckman, Paula Bockenstedt, John A. Heit, Roshni Kulkarni, Marilyn Manco-Johnson, Stephan Moll, Thomas L. Ortel, Claire S. Philipp

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Abstract

Introduction The objective of this study was to examine the differences in commonly associated characteristics and risk factors of venous thromboembolism (VTE) between patients with and without cancer in a VTE population. Materials and Methods Uniform data were collected for patients with a diagnosis of VTE obtaining care at CDC funded Thrombosis Network Centers. Patient characteristics and risk factors were compared in VTE patients with and without cancer. Logistic regression was used to calculate the unadjusted and adjusted odds ratios (ORs) and 95% confidence intervals (CIs) to assess patient characteristics and thrombotic risk factors more frequently identified among VTE patients with cancer compared to those without cancer. Results Between August 2003 and April 2011, 3,115 adult patients with a diagnosis of VTE including 189 (6.1%) patients with active cancer participated in the multi-site thrombosis registry. VTE patients with cancer had a higher prevalence of PE and DVT in unusual sites compared to those without cancer. Thrombophilia was more common among VTE patients without cancer than those with cancer (25.1% vs 10.6%, p < 0.001). In adjusted analysis, age group ≥ 45 years (OR = 5.20, 95% CI, 3.30, 8.18), surgery (OR = 1.86, 95% CI, 1.19, 2.91), and hypertension (OR = 1.66, 95% CI, 1.15, 2.40) were the VTE risk factors more commonly found among VTE patients with cancer. Conclusion The study identified several thrombotic risk factors more likely to be found with cancer associated VTE, which may help to characterize at risk cancer patients and to develop prevention and management strategies in this population.

Original languageEnglish (US)
Pages (from-to)535-541
Number of pages7
JournalThrombosis Research
Volume136
Issue number3
DOIs
StatePublished - Sep 1 2015

Fingerprint

Venous Thromboembolism
Neoplasms
Odds Ratio
Confidence Intervals
Thrombosis
Thrombophilia
Centers for Disease Control and Prevention (U.S.)
Population
Registries
Age Groups
Logistic Models
Hypertension

Keywords

  • Cancer
  • Deep Vein Thrombosis
  • Malignancy
  • Pulmonary Embolism
  • Thrombophilia
  • Venous Thromboembolism

ASJC Scopus subject areas

  • Hematology

Cite this

Faiz, A. S., Khan, I., Beckman, M. G., Bockenstedt, P., Heit, J. A., Kulkarni, R., ... Philipp, C. S. (2015). Characteristics and Risk Factors of Cancer Associated Venous Thromboembolism. Thrombosis Research, 136(3), 535-541. https://doi.org/10.1016/j.thromres.2015.06.036

Characteristics and Risk Factors of Cancer Associated Venous Thromboembolism. / Faiz, Ambarina S.; Khan, Imran; Beckman, Michele G.; Bockenstedt, Paula; Heit, John A.; Kulkarni, Roshni; Manco-Johnson, Marilyn; Moll, Stephan; Ortel, Thomas L.; Philipp, Claire S.

In: Thrombosis Research, Vol. 136, No. 3, 01.09.2015, p. 535-541.

Research output: Contribution to journalArticle

Faiz, AS, Khan, I, Beckman, MG, Bockenstedt, P, Heit, JA, Kulkarni, R, Manco-Johnson, M, Moll, S, Ortel, TL & Philipp, CS 2015, 'Characteristics and Risk Factors of Cancer Associated Venous Thromboembolism', Thrombosis Research, vol. 136, no. 3, pp. 535-541. https://doi.org/10.1016/j.thromres.2015.06.036
Faiz AS, Khan I, Beckman MG, Bockenstedt P, Heit JA, Kulkarni R et al. Characteristics and Risk Factors of Cancer Associated Venous Thromboembolism. Thrombosis Research. 2015 Sep 1;136(3):535-541. https://doi.org/10.1016/j.thromres.2015.06.036
Faiz, Ambarina S. ; Khan, Imran ; Beckman, Michele G. ; Bockenstedt, Paula ; Heit, John A. ; Kulkarni, Roshni ; Manco-Johnson, Marilyn ; Moll, Stephan ; Ortel, Thomas L. ; Philipp, Claire S. / Characteristics and Risk Factors of Cancer Associated Venous Thromboembolism. In: Thrombosis Research. 2015 ; Vol. 136, No. 3. pp. 535-541.
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abstract = "Introduction The objective of this study was to examine the differences in commonly associated characteristics and risk factors of venous thromboembolism (VTE) between patients with and without cancer in a VTE population. Materials and Methods Uniform data were collected for patients with a diagnosis of VTE obtaining care at CDC funded Thrombosis Network Centers. Patient characteristics and risk factors were compared in VTE patients with and without cancer. Logistic regression was used to calculate the unadjusted and adjusted odds ratios (ORs) and 95{\%} confidence intervals (CIs) to assess patient characteristics and thrombotic risk factors more frequently identified among VTE patients with cancer compared to those without cancer. Results Between August 2003 and April 2011, 3,115 adult patients with a diagnosis of VTE including 189 (6.1{\%}) patients with active cancer participated in the multi-site thrombosis registry. VTE patients with cancer had a higher prevalence of PE and DVT in unusual sites compared to those without cancer. Thrombophilia was more common among VTE patients without cancer than those with cancer (25.1{\%} vs 10.6{\%}, p < 0.001). In adjusted analysis, age group ≥ 45 years (OR = 5.20, 95{\%} CI, 3.30, 8.18), surgery (OR = 1.86, 95{\%} CI, 1.19, 2.91), and hypertension (OR = 1.66, 95{\%} CI, 1.15, 2.40) were the VTE risk factors more commonly found among VTE patients with cancer. Conclusion The study identified several thrombotic risk factors more likely to be found with cancer associated VTE, which may help to characterize at risk cancer patients and to develop prevention and management strategies in this population.",
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T1 - Characteristics and Risk Factors of Cancer Associated Venous Thromboembolism

AU - Faiz, Ambarina S.

AU - Khan, Imran

AU - Beckman, Michele G.

AU - Bockenstedt, Paula

AU - Heit, John A.

AU - Kulkarni, Roshni

AU - Manco-Johnson, Marilyn

AU - Moll, Stephan

AU - Ortel, Thomas L.

AU - Philipp, Claire S.

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N2 - Introduction The objective of this study was to examine the differences in commonly associated characteristics and risk factors of venous thromboembolism (VTE) between patients with and without cancer in a VTE population. Materials and Methods Uniform data were collected for patients with a diagnosis of VTE obtaining care at CDC funded Thrombosis Network Centers. Patient characteristics and risk factors were compared in VTE patients with and without cancer. Logistic regression was used to calculate the unadjusted and adjusted odds ratios (ORs) and 95% confidence intervals (CIs) to assess patient characteristics and thrombotic risk factors more frequently identified among VTE patients with cancer compared to those without cancer. Results Between August 2003 and April 2011, 3,115 adult patients with a diagnosis of VTE including 189 (6.1%) patients with active cancer participated in the multi-site thrombosis registry. VTE patients with cancer had a higher prevalence of PE and DVT in unusual sites compared to those without cancer. Thrombophilia was more common among VTE patients without cancer than those with cancer (25.1% vs 10.6%, p < 0.001). In adjusted analysis, age group ≥ 45 years (OR = 5.20, 95% CI, 3.30, 8.18), surgery (OR = 1.86, 95% CI, 1.19, 2.91), and hypertension (OR = 1.66, 95% CI, 1.15, 2.40) were the VTE risk factors more commonly found among VTE patients with cancer. Conclusion The study identified several thrombotic risk factors more likely to be found with cancer associated VTE, which may help to characterize at risk cancer patients and to develop prevention and management strategies in this population.

AB - Introduction The objective of this study was to examine the differences in commonly associated characteristics and risk factors of venous thromboembolism (VTE) between patients with and without cancer in a VTE population. Materials and Methods Uniform data were collected for patients with a diagnosis of VTE obtaining care at CDC funded Thrombosis Network Centers. Patient characteristics and risk factors were compared in VTE patients with and without cancer. Logistic regression was used to calculate the unadjusted and adjusted odds ratios (ORs) and 95% confidence intervals (CIs) to assess patient characteristics and thrombotic risk factors more frequently identified among VTE patients with cancer compared to those without cancer. Results Between August 2003 and April 2011, 3,115 adult patients with a diagnosis of VTE including 189 (6.1%) patients with active cancer participated in the multi-site thrombosis registry. VTE patients with cancer had a higher prevalence of PE and DVT in unusual sites compared to those without cancer. Thrombophilia was more common among VTE patients without cancer than those with cancer (25.1% vs 10.6%, p < 0.001). In adjusted analysis, age group ≥ 45 years (OR = 5.20, 95% CI, 3.30, 8.18), surgery (OR = 1.86, 95% CI, 1.19, 2.91), and hypertension (OR = 1.66, 95% CI, 1.15, 2.40) were the VTE risk factors more commonly found among VTE patients with cancer. Conclusion The study identified several thrombotic risk factors more likely to be found with cancer associated VTE, which may help to characterize at risk cancer patients and to develop prevention and management strategies in this population.

KW - Cancer

KW - Deep Vein Thrombosis

KW - Malignancy

KW - Pulmonary Embolism

KW - Thrombophilia

KW - Venous Thromboembolism

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