Epidemiology of venous thromboembolism in hematological cancers: The Scandinavian Thrombosis and Cancer (STAC) cohort. Issue 158 (October 2017)

• Record Type: Journal Article
• Authors: Gade, Inger Lise; Brækkan, Sigrid; Næss, Inger Anne; Hansen, John-Bjarne; Rosendaal, Frits; Cannegieter, Suzanne; Overvad, Kim; Jensvoll, Hilde; Hammerstrøm, Jens; Gran, Olga Vikhammer; Tjønneland, Anne; Kristensen, Søren Risom; Severinsen, Marianne Tang
• Is Part Of: Thrombosis research. Issue 158(2017)
• Page Start: 157
• Page End: 160
• Publication Date: 2017-10
• Subjects: VTE venous thromboembolism -- IR incidence rate -- STAC Scandinavian thrombosis and cancer -- HUNT2 Nord-Trondelag Health Study-2 -- DCH Diet, Cancer and Health Study -- CLL chronic lymphocytic leukemia -- p-y person-years -- IRR incidence rate ratios -- CI confidence interval; Venous thromboembolism -- Epidemiology -- Hematologic neoplasm; Thrombosis -- Periodicals; 616.135
• DOI: 10.1016/j.thromres.2017.09.002
• Languages: English
• ISSNs: 0049-3848

Abstract

Abstract: Introduction: Venous thromboembolism (VTE) is an important cause of morbidity and mortality in cancer patients, however the risk of VTE differs according to cancer type. Hematological cancers have varying phenotypes. Incidence rates (IR) of VTE in different hematological cancer types have not been investigated in a cancer-exposed subset of the general population. Methods: In a population-based cohort, we estimated incidence rates of VTE among patients with six subtypes of hematological cancer and among age and sex matched reference subjects. Results: During a mean follow-up of 4.8 years, 30 objectively confirmed first-time symptomatic VTEs occurred among 838 subjects with hematological cancer. The IR of VTE was higher in all types of cancer except for indolent lymphoma but including chronic lymphocytic leukemia compared with reference subjects both during the first year after cancer diagnosis and 1–5 years after diagnosis. IR of VTE for indolent lymphoma was not higher than controls. Conclusion: The IRs of VTE were increased in all types of hematological cancer (including chronic lymphocytic leukemia) compared with reference subjects except indolent lymphomas. Highlights: Incidence of venous thromboembolism (VTE) differed by type of hematological cancer. Incidence rate (IR) of VTE in CLL was higher than matched referene subjects. IR of VTE in follicular lymphoma was not higher compared with references. In myeloma and CLL, IR of VTE remained higher for years after cancer diagnosis.