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

  • Mi-hyeong Kim
  • Kang-woong Jun
  • Jeong-kye Hwang
  • Sang-dong Kim
  • Jang-yong Kim
  • Sun-cheol Park
  • Yong-sung Won
  • Sang-seop Yun
  • In-sung Moon
  • Ji-il KimEmail author
Gastrointestinal Oncology
  • 44 Downloads

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.

Notes

Acknowledgment

The authors thank Kyung-Hye Kwon for assistance with the data collection.

Funding

None.

Disclosure

Mi-hyeong Kim, Kang-woong Jun, Jeong-kye Hwang, Sang-dong Kim, Jang-yong Kim, Sun-cheol Park, Yong-sung Won, Sang-seop Yun, In-sung Moon, and Ji-il Kim have no conflicts of interest to declare.

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Copyright information

© Society of Surgical Oncology 2019

Authors and Affiliations

  • Mi-hyeong Kim
    • 1
  • Kang-woong Jun
    • 1
  • Jeong-kye Hwang
    • 1
  • Sang-dong Kim
    • 1
  • Jang-yong Kim
    • 1
  • Sun-cheol Park
    • 1
  • Yong-sung Won
    • 1
  • Sang-seop Yun
    • 1
  • In-sung Moon
    • 1
  • Ji-il Kim
    • 2
    Email author
  1. 1.Division of Vascular and Transplant Surgery, Department of Surgery, College of MedicineThe Catholic University of KoreaSeoulKorea
  2. 2.Division of Vascular and Transplant Surgery, Department of Surgery, Uijeongbu St. Mary’s Hospital, College of MedicineThe Catholic University of KoreaUijeongbu-siKorea

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