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Venous Thromboembolism and Risk of Cancer in Patients with Diverticular Disease: A Danish Population-Based Cohort Study

PURPOSE: Venous thromboembolism may be a harbinger of cancer. Patients with diverticular disease are suggested to have an increased risk of developing venous thromboembolism compared with the general population, but it remains unclear whether venous thromboembolism is also a marker of occult cancer...

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Autores principales: Thomsen, Louise, Troelsen, Frederikke Schønfeldt, Nagy, David, Skajaa, Nils, Körmendiné Farkas, Dóra, Erichsen, Rune
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8384426/
https://www.ncbi.nlm.nih.gov/pubmed/34447274
http://dx.doi.org/10.2147/CLEP.S314350
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author Thomsen, Louise
Troelsen, Frederikke Schønfeldt
Nagy, David
Skajaa, Nils
Körmendiné Farkas, Dóra
Erichsen, Rune
author_facet Thomsen, Louise
Troelsen, Frederikke Schønfeldt
Nagy, David
Skajaa, Nils
Körmendiné Farkas, Dóra
Erichsen, Rune
author_sort Thomsen, Louise
collection PubMed
description PURPOSE: Venous thromboembolism may be a harbinger of cancer. Patients with diverticular disease are suggested to have an increased risk of developing venous thromboembolism compared with the general population, but it remains unclear whether venous thromboembolism is also a marker of occult cancer in these patients. We investigated the risk of cancer after venous thromboembolism among patients with diverticular disease. PATIENTS AND METHODS: We used Danish health registries to conduct a nationwide, population-based cohort study during 1996–2017. We identified all venous thromboembolism patients with a diagnosis of diverticular disease and calculated absolute risks of cancer and standardized incidence ratios (SIRs) by comparing observed and expected cancer incidence based on national cancer incidence in the Danish population. RESULTS: We followed 3406 patients with venous thromboembolism and diverticular disease for a median of 3.0 years (interquartile range: 1.0–6.0). During the first year of follow-up, we observed 212 cancer cases. The corresponding one-year risk of cancer was 6.2% (95% confidence interval [CI]: 5.5–7.1) with a SIR of 2.9 (95% CI: 2.5–3.3). The SIRs were particularly elevated for cancers of the stomach, pancreas, ovary, and kidney. During the second and subsequent years of follow-up, 337 cancers were diagnosed with a SIR of 1.1 (95% CI: 1.0–1.3). CONCLUSION: Venous thromboembolism is a harbinger of occult cancer in patients with diverticular disease.
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spelling pubmed-83844262021-08-25 Venous Thromboembolism and Risk of Cancer in Patients with Diverticular Disease: A Danish Population-Based Cohort Study Thomsen, Louise Troelsen, Frederikke Schønfeldt Nagy, David Skajaa, Nils Körmendiné Farkas, Dóra Erichsen, Rune Clin Epidemiol Original Research PURPOSE: Venous thromboembolism may be a harbinger of cancer. Patients with diverticular disease are suggested to have an increased risk of developing venous thromboembolism compared with the general population, but it remains unclear whether venous thromboembolism is also a marker of occult cancer in these patients. We investigated the risk of cancer after venous thromboembolism among patients with diverticular disease. PATIENTS AND METHODS: We used Danish health registries to conduct a nationwide, population-based cohort study during 1996–2017. We identified all venous thromboembolism patients with a diagnosis of diverticular disease and calculated absolute risks of cancer and standardized incidence ratios (SIRs) by comparing observed and expected cancer incidence based on national cancer incidence in the Danish population. RESULTS: We followed 3406 patients with venous thromboembolism and diverticular disease for a median of 3.0 years (interquartile range: 1.0–6.0). During the first year of follow-up, we observed 212 cancer cases. The corresponding one-year risk of cancer was 6.2% (95% confidence interval [CI]: 5.5–7.1) with a SIR of 2.9 (95% CI: 2.5–3.3). The SIRs were particularly elevated for cancers of the stomach, pancreas, ovary, and kidney. During the second and subsequent years of follow-up, 337 cancers were diagnosed with a SIR of 1.1 (95% CI: 1.0–1.3). CONCLUSION: Venous thromboembolism is a harbinger of occult cancer in patients with diverticular disease. Dove 2021-08-20 /pmc/articles/PMC8384426/ /pubmed/34447274 http://dx.doi.org/10.2147/CLEP.S314350 Text en © 2021 Thomsen et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Original Research
Thomsen, Louise
Troelsen, Frederikke Schønfeldt
Nagy, David
Skajaa, Nils
Körmendiné Farkas, Dóra
Erichsen, Rune
Venous Thromboembolism and Risk of Cancer in Patients with Diverticular Disease: A Danish Population-Based Cohort Study
title Venous Thromboembolism and Risk of Cancer in Patients with Diverticular Disease: A Danish Population-Based Cohort Study
title_full Venous Thromboembolism and Risk of Cancer in Patients with Diverticular Disease: A Danish Population-Based Cohort Study
title_fullStr Venous Thromboembolism and Risk of Cancer in Patients with Diverticular Disease: A Danish Population-Based Cohort Study
title_full_unstemmed Venous Thromboembolism and Risk of Cancer in Patients with Diverticular Disease: A Danish Population-Based Cohort Study
title_short Venous Thromboembolism and Risk of Cancer in Patients with Diverticular Disease: A Danish Population-Based Cohort Study
title_sort venous thromboembolism and risk of cancer in patients with diverticular disease: a danish population-based cohort study
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8384426/
https://www.ncbi.nlm.nih.gov/pubmed/34447274
http://dx.doi.org/10.2147/CLEP.S314350
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