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December 27, 2022Thrombosis and Haemostasis

Survival Implications of Thrombus Recurrence or Bleeding in Cancer Patients Receiving Anticoagulation for Venous Thromboembolism Treatment

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Key result

Recurrent VTE (HR 1.52; 95% CI 1.16-2.00), major bleeding (HR 1.82), and CRNMB (HR 1.38) each significantly increased all-cause mortality in cancer patients receiving anticoagulation for VTE.

Why the study?

The study aimed to determine the impact of VTE recurrence and anticoagulant-related bleeding on all-cause mortality in patients with cancer-associated VTE.

Do VTE recurrence and anticoagulant-related bleeding increase all-cause mortality in cancer patients receiving anticoagulation for acute VTE?

Population

1,812 consecutive cancer patients with acute VTE treated with anticoagulants

Comparison

Impact of VTE recurrence, major bleeding, and CRNMB on all-cause mortality

Design

Cohort analysis of prospectively collected data

Authors

RMRobert D. McBaneDVDanielle T. VlaznyDHDamon E. Houghton

Discussion

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Overview

May increase mortality risk from recurrence or bleeding in cancer VTE; leaves open optimal strategies pending randomized data.

Study Design

Type

Cohort (n=1,812)

Structured PICO

Do VTE recurrence and anticoagulant-related bleeding increase all-cause mortality in cancer patients receiving anticoagulation for acute VTE?

P
Population
1,812 consecutive cancer patients with acute VTE treated with anticoagulants to determine the impact of VTE recurrence and bleeding on mortality.
E
Exposure
Anticoagulant therapy
O
Outcome
All-cause mortalityhard clinical

Main Result

Hazard Ratio: 1.52 (95% CI 1.16–2)

p-value: p=0.0028

In cancer patients receiving anticoagulation for VTE, the occurrence of recurrent VTE, major bleeding, or clinically relevant nonmajor bleeding significantly increases the risk of all-cause mortality by 40% to 80%.

Cite This Study

McBane et al. (2022) conducted a cohort in cancer-associated venous thromboembolism (VTE) (n=1,812). Recurrent VTE, major bleeding, and clinically relevant nonmajor bleeding vs. No recurrence or bleeding was evaluated on all-cause mortality (HR 1.52, 95% CI 1.16-2.00, p=0.0028). Recurrent VTE (HR 1.52; 95% CI 1.16-2.00), major bleeding (HR 1.82), and CRNMB (HR 1.38) each significantly increased all-cause mortality in cancer patients receiving anticoagulation for VTE.

synapsesocial.com/papers/6a916cfd388f32339cd2d058https://doi.org/10.1055/s-0042-1758835
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Also Consider

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

  1. 1Recurrent Thrombosis and Bleeding in Patients with Cancer-Associated Venous Thromboembolism Receiving Anticoagulation: Are These Modifiable Risk Factors for Mortality?2023 · 4 citations
  2. 2Risk factors for recurrence and bleeding in colorectal cancer patients with cancer-associated venous thrombembolism2025 · 3 citations
  3. 3Effectiveness and safety of anticoagulants for the treatment of venous thromboembolism in patients with cancer2018 · 96 citations
  4. 4Fatal Events in Cancer Patients Receiving Anticoagulant Therapy for Venous Thromboembolism2015 · 50 citations
  5. 5Clinical implications of incidental venous thromboembolism in cancer patients2019 · 45 citations