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01-11-2019 | Gastrointestinal Oncology

Venous Thromboembolism Following Abdominal Cancer Surgery in the Korean Population: Incidence and Validation of a Risk Assessment Model

Authors: Mi-hyeong Kim, MD, PhD, Kang-woong Jun, MD, Jeong-kye Hwang, MD, PhD, Sang-dong Kim, MD, PhD, Jang-yong Kim, MD, PhD, Sun-cheol Park, MD, PhD, Yong-sung Won, MD, PhD, Sang-seop Yun, MD, PhD, In-sung Moon, MD, PhD, Ji-il Kim, MD, PhD

Published in: Annals of Surgical Oncology | Issue 12/2019

Abstract

Background

A cancer patient slated for abdominal surgery is considered to be at moderate to high risk for developing venous thromboembolism (VTE), but the incidence is quite low in Korean patients. Most risk assessment models and recommendations for VTE management are from Western reports, however they possibly overestimate the risk of VTE in the Korean population.

Methods

We retrospectively reviewed the medical records of 1966 patients who were diagnosed with abdominal organ cancer and required surgical treatment.

Results

Each patient was rated using the Caprini risk scoring model. The mean score was 7.5 ± 0.7 points; 98.4% of patients were classified as high risk for VTE. Symptomatic VTE occurred in eight patients, and the overall incidence was 0.4%. The mean Caprini score for VTE patients was 8.8 ± 1.9 points. In the group with scores between 5 and 9 points, the incidence was 0.3–0.5%, while in patients with scores > 10 points, the incidence of VTE was found to be 1.12%.

Conclusions

The risk stratification system in the Caprini scoring model needs to be modified based on the actual incidence in the Korean population.

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Title: Venous Thromboembolism Following Abdominal Cancer Surgery in the Korean Population: Incidence and Validation of a Risk Assessment Model
Authors: Mi-hyeong Kim, MD, PhD
Kang-woong Jun, MD
Jeong-kye Hwang, MD, PhD
Sang-dong Kim, MD, PhD
Jang-yong Kim, MD, PhD
Sun-cheol Park, MD, PhD
Yong-sung Won, MD, PhD
Sang-seop Yun, MD, PhD
In-sung Moon, MD, PhD
Ji-il Kim, MD, PhD
Publication date: 01-11-2019
Publisher: Springer International Publishing
Published in: Annals of Surgical Oncology / Issue 12/2019
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI: https://doi.org/10.1245/s10434-019-07633-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Venous Thromboembolism Following Abdominal Cancer Surgery in the Korean Population: Incidence and Validation of a Risk Assessment Model

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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