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Rayamajhi S, Shrotriya S, Rai M, Dhakal P, Basnet N, Sharma M, Lupi A, Gardiner J. Venous Thromboembolism Risk Assessment in Hospitalized Cancer Patients: A Single Center Study. Clin Appl Thromb Hemost 2023; 29:10760296231206808. [PMID: 37908071 PMCID: PMC10621296 DOI: 10.1177/10760296231206808] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2023] [Revised: 09/12/2023] [Accepted: 09/25/2023] [Indexed: 11/02/2023] Open
Abstract
This study aimed to identify predictors of venous thromboembolism (VTE) in hospitalized cancer patients and develop a predictive model using demographic, clinical, and laboratory data. Our analysis showed that patient groups categorized under a very high risk, and high risk, patients with low hemoglobin levels and renal disease were at a significantly increased risk of developing VTE. We developed a VTE risk-assessment model (RAM) with moderate discriminatory performance, high specificity, and negative predictive value, indicating its potential utility in identifying patients without VTE risk. However, the model's positive predictive value and sensitivity were low due to the low prevalence of VTE within the analyzed population. Future studies are needed to analyze additional predictive factors, and to validate the effectiveness of our VTE RAM to safely rule out VTE, compare it with other VTE RAMs in hospitalized cancer patients, and address any limitations of our study.
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Affiliation(s)
- Supratik Rayamajhi
- Department of Internal Medicine, Michigan State University, East Lansing, MI, USA
- Department of Internal Medicine, Sparrow/Michigan State University Internal Medicine Residency Program, Lansing, MI, USA
| | - Shiva Shrotriya
- Department of Internal Medicine, Michigan State University, East Lansing, MI, USA
- Department of Internal Medicine, Sparrow/Michigan State University Internal Medicine Residency Program, Lansing, MI, USA
- Department of Hematology and Oncology, Beaumont Health System, Royal Oak, MI, USA
| | - Manoj Rai
- Department of Internal Medicine, Michigan State University, East Lansing, MI, USA
- Department of Hematology and Oncology, Oregon Health and Science University, Hospitalist at the Division of Hematology and Oncology, Portland, OR, USA
| | - Prajwal Dhakal
- Department of Internal Medicine, Michigan State University, East Lansing, MI, USA
- Department of Internal Medicine, Sparrow/Michigan State University Internal Medicine Residency Program, Lansing, MI, USA
- Department of Hematology and Oncology, University of Iowa Hospitals and Clinics, Iowa City, IA, USA
| | - Nishraj Basnet
- Department of Internal Medicine, Michigan State University, East Lansing, MI, USA
| | - Mukta Sharma
- Department of Internal Medicine, Michigan State University, East Lansing, MI, USA
- Department of Internal Medicine, Sparrow/Michigan State University Internal Medicine Residency Program, Lansing, MI, USA
| | - Alexa Lupi
- Department of Epidemiology and Biostatistics, Michigan State University, East Lansing, MI, USA
| | - Joseph Gardiner
- Department of Internal Medicine, Sparrow/Michigan State University Internal Medicine Residency Program, Lansing, MI, USA
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