Risk of venous thromboembolism in hospitalised cancer patients in England – A cohort study

Background: Venous thromboembolism (VTE) is a well-recognised and life-threatening complication in patients with cancer. However, the precise risk of VTE in hospitalised cancer patients in England has not been previously reported. Methods: We conducted a cohort study using linked Hospital Episod...

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Main Authors: Ratib, Sonia, Walker, Alex J., Card, Timothy R., Grainge, Matthew J.
Format: Article
Published: BioMed Central 2016
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Online Access:https://eprints.nottingham.ac.uk/35455/
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author Ratib, Sonia
Walker, Alex J.
Card, Timothy R.
Grainge, Matthew J.
author_facet Ratib, Sonia
Walker, Alex J.
Card, Timothy R.
Grainge, Matthew J.
author_sort Ratib, Sonia
building Nottingham Research Data Repository
collection Online Access
description Background: Venous thromboembolism (VTE) is a well-recognised and life-threatening complication in patients with cancer. However, the precise risk of VTE in hospitalised cancer patients in England has not been previously reported. Methods: We conducted a cohort study using linked Hospital Episodes Statistics and Office for National Statistics mortality data. We determined the risk of VTE separately for 24 cancer sites following first hospitalisation for cancer (index date) and how this varied by age, proximity from hospital admission, administration of chemotherapy and calendar time. Results: 3,558,660 patients were hospitalised for cancer between 1998 and 2012. The cancer sites with the highest risk of VTE during initial hospitalisation for cancer were pancreatic (4.9%), ovarian (4%) and liver (3.8%). The three cancer sites with the highest risk of first VTE event within 6 months from discharge, were pancreatic (3.7%), oesophagus (3%) and stomach (2.8%). For most cancers, the risk of VTE within 6 months from discharge was higher amongst patients who underwent chemotherapy compared to those who did not. The impact of age on risk of VTE varied considerably between cancer sites. Conclusion: The risk of VTE amongst patients hospitalised for cancer varies greatly by cancer site, age, proximity from hospital admission and chemotherapy administration.
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spelling nottingham-354552020-05-04T18:01:21Z https://eprints.nottingham.ac.uk/35455/ Risk of venous thromboembolism in hospitalised cancer patients in England – A cohort study Ratib, Sonia Walker, Alex J. Card, Timothy R. Grainge, Matthew J. Background: Venous thromboembolism (VTE) is a well-recognised and life-threatening complication in patients with cancer. However, the precise risk of VTE in hospitalised cancer patients in England has not been previously reported. Methods: We conducted a cohort study using linked Hospital Episodes Statistics and Office for National Statistics mortality data. We determined the risk of VTE separately for 24 cancer sites following first hospitalisation for cancer (index date) and how this varied by age, proximity from hospital admission, administration of chemotherapy and calendar time. Results: 3,558,660 patients were hospitalised for cancer between 1998 and 2012. The cancer sites with the highest risk of VTE during initial hospitalisation for cancer were pancreatic (4.9%), ovarian (4%) and liver (3.8%). The three cancer sites with the highest risk of first VTE event within 6 months from discharge, were pancreatic (3.7%), oesophagus (3%) and stomach (2.8%). For most cancers, the risk of VTE within 6 months from discharge was higher amongst patients who underwent chemotherapy compared to those who did not. The impact of age on risk of VTE varied considerably between cancer sites. Conclusion: The risk of VTE amongst patients hospitalised for cancer varies greatly by cancer site, age, proximity from hospital admission and chemotherapy administration. BioMed Central 2016-07-15 Article PeerReviewed Ratib, Sonia, Walker, Alex J., Card, Timothy R. and Grainge, Matthew J. (2016) Risk of venous thromboembolism in hospitalised cancer patients in England – A cohort study. Journal of Hematology and Oncology . ISSN 1756-8722 (In Press) Cancer; Venous thrombosis; Hospitalisation; Epidemiology; Chemotherapy
spellingShingle Cancer; Venous thrombosis; Hospitalisation; Epidemiology; Chemotherapy
Ratib, Sonia
Walker, Alex J.
Card, Timothy R.
Grainge, Matthew J.
Risk of venous thromboembolism in hospitalised cancer patients in England – A cohort study
title Risk of venous thromboembolism in hospitalised cancer patients in England – A cohort study
title_full Risk of venous thromboembolism in hospitalised cancer patients in England – A cohort study
title_fullStr Risk of venous thromboembolism in hospitalised cancer patients in England – A cohort study
title_full_unstemmed Risk of venous thromboembolism in hospitalised cancer patients in England – A cohort study
title_short Risk of venous thromboembolism in hospitalised cancer patients in England – A cohort study
title_sort risk of venous thromboembolism in hospitalised cancer patients in england – a cohort study
topic Cancer; Venous thrombosis; Hospitalisation; Epidemiology; Chemotherapy
url https://eprints.nottingham.ac.uk/35455/