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April 28, 2016The OncologistOpen Access

A Validated Risk Score for Venous Thromboembolism Is Predictive of Cancer Progression and Mortality

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Key result

A high VTE Clinical Risk Score predicted higher 120-day mortality (12.7% vs 1.4%; aHR 3.00, 95% CI 1.4-6.3) and cancer progression compared to a low score in adults initiating chemotherapy.

Why the study?

Does a validated VTE Clinical Risk Score predict early mortality and cancer progression in adults with solid tumors or lymphoma initiating chemotherapy?

Population

4,405 adults with solid tumors or lymphoma initiating chemotherapy at 115 U.S. practice sites

Comparison

High or intermediate risk classification by a… vs Low risk classification by the VTE Clinical Risk…

Design

Cohort

Follow-up

median 75 days

Authors

NKNicole M. KudererECEva CulakovaGLGary H. Lyman

Discussion

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Member takes

Overview

May aid VTE risk stratification at chemotherapy start; hypothesis-generating for prospective validation before practice change.

Study Design

Type

Cohort (n=4,405)

Multicenter

Yes

Structured PICO

Does a validated VTE Clinical Risk Score predict early mortality and cancer progression in adults with solid tumors or lymphoma initiating chemotherapy?

P
Population
4,405 adults with solid tumors or lymphoma initiating chemotherapy across 115 U.S. sites, followed for a median of 75 days.
E
Exposure
High or intermediate risk classification by a validated VTE Clinical Risk Score
C
Comparator
Low risk classification by the VTE Clinical Risk Score
O
Outcome
Early mortality and cancer progression during the first 4 months of therapyhard clinical

Main Result

Hazard Ratio: 3 (95% CI 1.4–6.3)

Absolute Event Rate: 12.7% vs 1.4%

A validated VTE Clinical Risk Score independently predicts early mortality and cancer progression in patients receiving outpatient chemotherapy.

Cite This Study

Kuderer et al. (2016) conducted a cohort in Solid tumors or lymphoma (n=4,405). High VTE Clinical Risk Score vs. Low VTE Clinical Risk Score was evaluated on 120-day mortality (aHR 3.00, 95% CI 1.4-6.3). A high VTE Clinical Risk Score predicted higher 120-day mortality (12.7% vs 1.4%; aHR 3.00, 95% CI 1.4-6.3) and cancer progression compared to a low score in adults initiating chemotherapy.

synapsesocial.com/papers/6a71cb2cc1a24a6142dbc049https://doi.org/10.1634/theoncologist.2015-0361
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Venous Thromboembolism Risk Model Predicts Early Progression and Overall Mortality in Cancer Patients Receiving Chemotherapy2008 · 15 citations
  2. 2Risk Assessment Scores for Cancer-Associated Venous Thromboembolic Disease2017 · 25 citations
  3. 3Predictive score for estimating cancer after venous thromboembolism: a cohort study2013 · 11 citations
  4. 4Venous Thromboembolism (VTE) and Survival in a Cancer Chemotherapy Outpatient Clinic: A Retrospective Chart Review Validation of a VTE Predictive Model.2009 · 21 citations
  5. 5Prediction of venous thromboembolism in cancer patients2010 · 781 citations