The risk of venous thromboembolism in adult patients with diffuse glioma: a nationwide population-based study
Background and purpose: Venous thromboembolism (VTE) is a cause of increased morbidity and risk of death. Studies report VTE in up to 30% of glioma patients but the results vary. The VTE risk is relevant when evaluating prophylaxis to avoid unnecessary bleeding or overdiagnosis. This study examines...
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Medical Journals Sweden
2024-11-01
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| Series: | Acta Oncologica |
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| Online Access: | https://medicaljournalssweden.se/actaoncologica/article/view/40137 |
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| author | Frederik R. Hovman Frantz R. Poulsen Steinbjørn Hansen Rikke H. Dahlrot |
| author_facet | Frederik R. Hovman Frantz R. Poulsen Steinbjørn Hansen Rikke H. Dahlrot |
| author_sort | Frederik R. Hovman |
| collection | DOAJ |
| description | Background and purpose: Venous thromboembolism (VTE) is a cause of increased morbidity and risk of death. Studies report VTE in up to 30% of glioma patients but the results vary. The VTE risk is relevant when evaluating prophylaxis to avoid unnecessary bleeding or overdiagnosis. This study examines the VTE incidence in patients with glioma WHO grade 2–4, and when VTE occurred, risk factors, and overall survival (OS) for patients with WHO grade 4.
Materials and methods: In total 3,630 patients with WHO grade 2 (n = 230), grade 3 (n = 317), and grade 4 (n = 3,083) gliomas from 2010 to 2018 were identified using the Danish Neuro-Oncology Registry. VTE diagnoses and time of death were obtained from Statistics Denmark.
Results and interpretation: The VTE incidence was 5.2, 6.3, and 6.8% in patients with WHO grade 2, 3, and 4 gliomas, respectively. The VTE incidence rate was highest during the first 3 months after the diagnosis with 53 events. Increasing age (HR 1.03, 95%CI 1.01–1.04), male sex (HR 1.47, 95%CI 1.09–1.99), poor performance status (HR 1.57, 95%CI 1.10–2.25), and post-operative long-course radiochemotherapy (HR 2.10, 95%CI 1.19–3.72) were predictors of VTE in patients with glioma WHO grade 4. There was no difference in OS comparing patients having VTE to those without (p = 0.068). In conclusion, patients with glioma WHO grade 2–4 were at high risk of VTE, especially the first 3 months after diagnosis. Increasing age, male sex, poor performance status, and long-course radiochemotherapy were associated with increased risk of VTE in patients with glioma WHO grade 4.
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| format | Article |
| id | doaj-art-4efa69de921543388fda5cd0bea019d7 |
| institution | Kabale University |
| issn | 1651-226X |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Medical Journals Sweden |
| record_format | Article |
| series | Acta Oncologica |
| spelling | doaj-art-4efa69de921543388fda5cd0bea019d72024-11-15T05:44:17ZengMedical Journals SwedenActa Oncologica1651-226X2024-11-0163110.2340/1651-226X.2024.40137The risk of venous thromboembolism in adult patients with diffuse glioma: a nationwide population-based studyFrederik R. Hovman0https://orcid.org/0009-0002-0899-1462Frantz R. Poulsen1https://orcid.org/0000-0001-5715-6901Steinbjørn Hansen2https://orcid.org/0000-0001-5651-6493Rikke H. Dahlrot3https://orcid.org/0000-0003-1538-4361Department of Oncology, Odense University Hospital, Odense, Denmark; Department of Clinical Research, University of Southern Denmark, Odense, DenmarkDepartment of Neurosurgery, Odense University Hospital, Odense, Denmark; Department of Clinical Research, and BRIDGE (Brain Research – Inter Disciplinary Guided Excellence), University of Southern Denmark, Odense, DenmarkDepartment of Oncology, Odense University Hospital, Odense, Denmark; Department of Clinical Research, University of Southern Denmark, Odense, DenmarkDepartment of Oncology, Odense University Hospital, Odense, Denmark; Department of Clinical Research, University of Southern Denmark, Odense, DenmarkBackground and purpose: Venous thromboembolism (VTE) is a cause of increased morbidity and risk of death. Studies report VTE in up to 30% of glioma patients but the results vary. The VTE risk is relevant when evaluating prophylaxis to avoid unnecessary bleeding or overdiagnosis. This study examines the VTE incidence in patients with glioma WHO grade 2–4, and when VTE occurred, risk factors, and overall survival (OS) for patients with WHO grade 4. Materials and methods: In total 3,630 patients with WHO grade 2 (n = 230), grade 3 (n = 317), and grade 4 (n = 3,083) gliomas from 2010 to 2018 were identified using the Danish Neuro-Oncology Registry. VTE diagnoses and time of death were obtained from Statistics Denmark. Results and interpretation: The VTE incidence was 5.2, 6.3, and 6.8% in patients with WHO grade 2, 3, and 4 gliomas, respectively. The VTE incidence rate was highest during the first 3 months after the diagnosis with 53 events. Increasing age (HR 1.03, 95%CI 1.01–1.04), male sex (HR 1.47, 95%CI 1.09–1.99), poor performance status (HR 1.57, 95%CI 1.10–2.25), and post-operative long-course radiochemotherapy (HR 2.10, 95%CI 1.19–3.72) were predictors of VTE in patients with glioma WHO grade 4. There was no difference in OS comparing patients having VTE to those without (p = 0.068). In conclusion, patients with glioma WHO grade 2–4 were at high risk of VTE, especially the first 3 months after diagnosis. Increasing age, male sex, poor performance status, and long-course radiochemotherapy were associated with increased risk of VTE in patients with glioma WHO grade 4. https://medicaljournalssweden.se/actaoncologica/article/view/40137Cancer-associated thrombosisbrain tumorglioblastomaepidemiologyrisk factors |
| spellingShingle | Frederik R. Hovman Frantz R. Poulsen Steinbjørn Hansen Rikke H. Dahlrot The risk of venous thromboembolism in adult patients with diffuse glioma: a nationwide population-based study Acta Oncologica Cancer-associated thrombosis brain tumor glioblastoma epidemiology risk factors |
| title | The risk of venous thromboembolism in adult patients with diffuse glioma: a nationwide population-based study |
| title_full | The risk of venous thromboembolism in adult patients with diffuse glioma: a nationwide population-based study |
| title_fullStr | The risk of venous thromboembolism in adult patients with diffuse glioma: a nationwide population-based study |
| title_full_unstemmed | The risk of venous thromboembolism in adult patients with diffuse glioma: a nationwide population-based study |
| title_short | The risk of venous thromboembolism in adult patients with diffuse glioma: a nationwide population-based study |
| title_sort | risk of venous thromboembolism in adult patients with diffuse glioma a nationwide population based study |
| topic | Cancer-associated thrombosis brain tumor glioblastoma epidemiology risk factors |
| url | https://medicaljournalssweden.se/actaoncologica/article/view/40137 |
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