The Prevalence and Associated Variables of Deep Venous Thrombosis in Patients with Advanced Cancer
Identifieur interne : 00AC54 ( Main/Exploration ); précédent : 00AC53; suivant : 00AC55The Prevalence and Associated Variables of Deep Venous Thrombosis in Patients with Advanced Cancer
Auteurs : M. J. Johnson ; M. W. Sproule ; J. Paul [Royaume-Uni]Source :
- Clinical Oncology [ 0936-6555 ] ; 1999.
Descripteurs français
- Wicri :
- topic : Cancer.
English descriptors
- KwdEn :
Abstract
The prevalence of venous thromboembolism (VTE) in cancer patients has been estimated as up to 15% antemortem, and higher (over 50% in pancreatic tumours) postmortem owing to the asymptomatic nature of many episodes of VTE. We investigated the prevalence of deep venous thrombosis (DVT) in a population of 298 hospice inpatients with advanced cancer. They were screened for the presence of DVT using light reflection rheography; 258 (86.6%) patients were evaluable for DVT, which was found in 135 (52%; 95% confidence interval 46–58). Factors associated (multivariate analysis) with the presence of DVT were: poor mobility, reduced serum albumin level and higher serum urea. A DVT risk assessment index was calculated using these variables. The three highest categories all had significant rates of DVT and, although the lowest category had a low rate of DVT, it accounted for less than 10% of all patients tested. DVT is common in patients with advanced cancer. It was found to be significantly associated with the above variables, but a combined index was of limited clinical application. In view of the number of patients identified with DVT, repeated small pulmonary emboli may be responsible for more symptoms than previously recognized in cancer patients.
Url:
DOI: 10.1053/clon.1999.9023
Affiliations:
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J." last="Johnson">M. J. Johnson</name><affiliation><wicri:noCountry code="no comma">St Margaret's Hospice</wicri:noCountry></affiliation></author><author><name sortKey="Sproule, M W" sort="Sproule, M W" uniqKey="Sproule M" first="M. W." last="Sproule">M. W. Sproule</name><affiliation><wicri:noCountry code="no comma">Glasgow Royal Infirmary</wicri:noCountry></affiliation></author><author><name sortKey="Paul, J" sort="Paul, J" uniqKey="Paul J" first="J." last="Paul">J. Paul</name><affiliation wicri:level="1"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Beatson Oncology Centre, Western Infirmary, Glasgow</wicri:regionArea><wicri:noRegion>Glasgow</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j">Clinical Oncology</title><title level="j" type="abbrev">YCLON</title><idno type="ISSN">0936-6555</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1999">1999</date><biblScope unit="volume">11</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="105">105</biblScope><biblScope unit="page" to="110">110</biblScope></imprint><idno type="ISSN">0936-6555</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0936-6555</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Cancer</term><term>Deep venous thrombosis</term><term>Prevalence</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Cancer</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The prevalence of venous thromboembolism (VTE) in cancer patients has been estimated as up to 15% antemortem, and higher (over 50% in pancreatic tumours) postmortem owing to the asymptomatic nature of many episodes of VTE. We investigated the prevalence of deep venous thrombosis (DVT) in a population of 298 hospice inpatients with advanced cancer. They were screened for the presence of DVT using light reflection rheography; 258 (86.6%) patients were evaluable for DVT, which was found in 135 (52%; 95% confidence interval 46–58). Factors associated (multivariate analysis) with the presence of DVT were: poor mobility, reduced serum albumin level and higher serum urea. A DVT risk assessment index was calculated using these variables. The three highest categories all had significant rates of DVT and, although the lowest category had a low rate of DVT, it accounted for less than 10% of all patients tested. DVT is common in patients with advanced cancer. It was found to be significantly associated with the above variables, but a combined index was of limited clinical application. In view of the number of patients identified with DVT, repeated small pulmonary emboli may be responsible for more symptoms than previously recognized in cancer patients.</div></front></TEI><affiliations><list><country><li>Royaume-Uni</li></country></list><tree><noCountry><name sortKey="Johnson, M J" sort="Johnson, M J" uniqKey="Johnson M" first="M. J." last="Johnson">M. J. Johnson</name><name sortKey="Sproule, M W" sort="Sproule, M W" uniqKey="Sproule M" first="M. W." last="Sproule">M. W. Sproule</name></noCountry><country name="Royaume-Uni"><noRegion><name sortKey="Paul, J" sort="Paul, J" uniqKey="Paul J" first="J." last="Paul">J. Paul</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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