The DOI matches its Crossref record; 17 of the 17 references it cites were found in a registry or an index.
Incidence, Risk Factors, and Outcomes of Catheter-Related Thrombosis in Adult Patients With Cancer
Abstract
Purpose: Thrombosis of long-term central venous catheters (CVC) is a serious complication that causes morbidity and interrupts the infusion of chemotherapy, intravenous medication, and blood products. We performed a prospective study to examine the incidence, risk factors, and long-term complications of symptomatic catheter-related thrombosis (CRT) in adults with cancer. Patients and Methods: Consecutive patients with cancer, undergoing insertion of a CVC, were enrolled and prospectively followed while their catheter remained in place plus 4 subsequent weeks or a maximum of 52 weeks, whichever came first. Patients with symptomatic CRT were followed for an additional 52 weeks from the date of CRT diagnosis. The end points were symptomatic CRT, symptomatic pulmonary embolism (PE), postphlebitic syndrome, and catheter life span. Results: Over 76,713 patient-days of follow-up, 19 of 444 patients (4.3%) had symptomatic CRT in 19 of 500 catheters (0.3 per 1,000 catheter-days). The median time to CRT was 30 days and the median catheter life span was 88 days. Significant baseline risk factors for CRT were: more than one insertion attempt (odds ratio [OR] = 5.5; 95% CI, 1.2 to 24.6; P = .03); ovarian cancer (OR = 4.8; 95% CI, 1.5 to 15.1; P = .01); and previous CVC insertion (OR = 3.8; 95% CI, 1.4 to 10.4; P = .01). Nine of the 19 CRT patients were treated with anticoagulants alone, eight patients were treated with anticoagulants and catheter removal, while two patients did not receive anticoagulation. None had recurrent CRT or symptomatic PE. Postphlebitic symptoms were infrequent. Conclusion: In adults with cancer, the incidence of symptomatic CRT is low and long-term complications are uncommon.
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Prevention of Venous Thromboembolism
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Prevention of Venous Thromboembolism
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Venous Thromboembolism Associated With Long-Term Use of Central Venous Catheters in Cancer Patients
Verso, M., & Agnelli, G. (2003) · Journal of Clinical Oncology · doi:10.1200/jco.2003.08.008 · Cited by 605
Upper-extremity deep vein thrombosis. Risk factors, diagnosis, and complications
Prandoni, P. (1997) · Archives of Internal Medicine · doi:10.1001/archinte.157.1.57 · Cited by 494
Upper-Extremity Deep Vein Thrombosis: Risk Factors, Diagnosis, and Complications
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Complication Rates Among Cancer Patients With Peripherally Inserted Central Catheters
Walshe, L. J., Malak, S. F., Eagan, J., & Sepkowitz, K. A. (2002) · Journal of Clinical Oncology · doi:10.1200/jco.2002.11.135 · Cited by 251
Cited by
Kahn (2012) · doi:10.1378/chest.11-2296 · Cited by 2,693
Cancer-Associated Thrombosis: An Overview of Mechanisms, Risk Factors, and Treatment
Abdol Razak, N., Jones, G., Bhandari, M., Berndt, M., & Metharom, P. (2018) · Cancers · doi:10.3390/cancers10100380 · Cited by 631
Chopra, V., Flanders, S. A., Saint, S., Woller, S. C., O'Grady, N. P., Safdar, N., Trerotola, S. O., Saran, R., Moureau, N., Wiseman, S., et al. (2015) · Annals of Internal Medicine · doi:10.7326/m15-0744 · Cited by 599
Self-citationDeep-Vein Thrombosis of the Upper Extremities
Kucher, N. (2011) · New England Journal of Medicine · doi:10.1056/nejmcp1008740 · Cited by 373
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Metadata
- Authors
- Lee, A. Y. Y., Levine, M. N., Butler, G., Webb, C., Costantini, L., Gu, C., & Julian, J. A.
- Venue
- Journal of Clinical Oncology
- Published
- 2006-03-20
- Volume
- 24
- Issue
- 9
- Pages
- 1404-1408
- ISSN
- 0732-183X (ISSN-L)
- 1527-7755
- OpenAlex
- W2111631254
- Cited by
- 286
- References
- 17
- FWCI
- 25.59
- Type
- journal article
- Language
- en
- Open access
- closed
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