- Highlights
• In acute isolated SVT, the prevalence of cancer is almost 7 %.
• Cancer increases the SVT-associated VTE risk at 3 and 12 months.
• Cancer patients with isolated SVT may benefit from prolonged anticoagulation.
Abstract
Background: Despite significant progress in the understanding of paraneoplastic deep vein thrombosis (DVT) and pulmonary embolism (PE), little is known about the outcomes of cancer-associated superficial vein thrombosis (SVT) in daily practice.
Methods: INSIGHTS-SVT was a prospective observational study on patients with acute isolated SVT. Primary outcome measure was symptomatic venous thromboembolism (VTE), a composite of DVT, PE, and SVT extension/recurrence, at 3 months. Clinically relevant bleeding was also assessed.
Results: Of 1151 patients included, 6.7 % either had active cancer at baseline or were diagnosed with cancer during 12 months of follow-up. At 3 months, symptomatic VTE had occurred in 13.0 % and 5.4 % of cancer and non-cancer patients, respectively (HR 2.6, 95 % CI 1.3–5.0). Regarding secondary outcomes, cancer patients had increased risks of DVT and PE (HR 3.9, 95 % CI 1.3–11.8) and hospitalization due to VTE (HR 11.0, 95 % CI 2.5–49.0). The rate of clinically relevant bleeding was numerically higher in the cancer cohort (3.9 % vs 1.3 %, HR 3.1, 95 % CI 0.9–10.7). At 12 months, the primary composite outcome had occurred in 15.6 % and 11.9 % of cancer and non-cancer patients, respectively (HR 1.9, 95 % CI 1.0–3.5). After adjusting for additional risk factors, including age, history of DVT/PE and cardiovascular risk factors/diseases, the association of cancer with the primary outcome remained statistically significant.
Conclusion: Cancer patients with isolated SVT are at significant risk of symptomatic VTE. While most events occur within 3 months, the VTE risk remains elevated up to one year of follow-up.
ClinicalTrials.gov identifier: NCT02699151.
MetadatenVerfasserangaben: | Florian LangerGND, Horst E. Gerlach, Alexandra Schimke, Andreas HeinkenORCiD, Ulrich Hoffmann, Thomas NoppeneyORCiDGND, David PittrowORCiDGND, Jens KlotscheORCiDGND, Eberhard RabeORCiDGND, Rupert BauersachsORCiDGND |
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URN: | urn:nbn:de:hebis:30:3-786201 |
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DOI: | https://doi.org/10.1016/j.thromres.2022.10.022 |
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ISSN: | 0049-3848 |
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Pubmed-Id: | https://pubmed.ncbi.nlm.nih.gov/36370650 |
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Titel des übergeordneten Werkes (Englisch): | Thrombosis research |
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Verlag: | Elsevier |
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Verlagsort: | Amsterdam [u.a.] |
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Dokumentart: | Wissenschaftlicher Artikel |
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Sprache: | Englisch |
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Datum der Veröffentlichung (online): | 09.11.2022 |
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Datum der Erstveröffentlichung: | 05.11.2022 |
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Veröffentlichende Institution: | Universitätsbibliothek Johann Christian Senckenberg |
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Urhebende Körperschaft: | INSIGHTS-SVT study group |
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Datum der Freischaltung: | 21.03.2024 |
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Freies Schlagwort / Tag: | Cancer; Fondaparinux; Low-molecular-weight heparin; Malignancy; Observational; Risk assessment; Superficial vein thrombosis; Treatment; Venous thrombosis |
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Jahrgang: | 220 |
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Seitenzahl: | 8 |
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Erste Seite: | 145 |
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Letzte Seite: | 152 |
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Institute: | Medizin |
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DDC-Klassifikation: | 6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit |
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Sammlungen: | Universitätspublikationen |
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Lizenz (Deutsch): | Creative Commons - Namensnennung-Nicht kommerziell - Keine Bearbeitung 4.0 |
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