Objective: To describe the incidence, timing, and risk factors of venous
thromboembolism (VTE) after surgery for gynecological cancer and to evaluate its
effects of these events on survival. Methods: This was a retrospective analysis from January 2008 through December
2016 at a single center. Data were recorded on surgical procedures, patient
demographic characteristics, type of malignancy and VTE, and mortality outcomes
within 30 days after surgery. Significant variables related to VTE were evaluated
using bivariate analysis, and Logistic regression models were used to assess risk factors for VTE. Results: The overall rate of postoperative VTE was 0.899% (36/4005) within 30
days after surgery. Of these rates, the rate in abdominal surgery was 1.56%
(19/1220), and the rate in minimally invasive surgery (MIS) was 0.6% (17/2785).
The median time from surgery to diagnosis was 8.5 days. In univariate analysis,
VTE was statistically significantly associated with ovarian and fallopian cancer
(P
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Original Research
Incidence and predictors of venous thromboembolism after surgery for gynecologic cancer
Xiao-Juan Wang1, Ke-Qin Hua1,*
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Department of Gynecology, Obstetrics and Gynecology Hospital, Fudan University, 128 Shenyang Road, 200090 Shanghai, China
Eur. J. Gynaecol. Oncol. 2021, 42(3), 477–481;
https://doi.org/10.31083/j.ejgo.2021.03.2240
Submitted: 7 September 2020 | Revised: 24 December 2020 | Accepted: 28 December 2020 | Published: 15 June 2021
Abstract
Keywords
Venous thromboembolism
Gynecologic cancer
Surgery
Pulmonary embolism
Incidence