title: Venous thromboembolism and use of prophylaxis among women undergoing laparoscopic hysterectomy.
abstract: OBJECTIVE
  To examine the risk of venous thromboembolism and the use of venous thromboembolism prophylaxis in women undergoing laparoscopic hysterectomy.
  
  
  METHODS
  Results of women recorded in a health outcomes, resource utilization, and quality database from 2003 to 2007 who underwent laparoscopic hysterectomy were analyzed. The rate and predictors of venous thromboembolism as well as patterns of venous thromboembolism prophylaxis were examined. Multivariable logistic regression models were developed to determine the incidence of venous thromboembolism and use of any prophylaxis, as well as pharmacologic prophylaxis.
  
  
  RESULTS
  Among 60,013 women, a total of 579 (1.0%) venous thromboembolism events were noted. Venous thromboembolism was diagnosed in 2.1% of women aged 60 years or older and in 2.3% of those with cancer. Women older than 60 years (OR 1.64, 95% CI 1.19-2.26) and with more medical comorbidities (OR 3.07, 95% CI 2.23-4.23) were most likely to have a venous thromboembolism develop. A total of 23,562 (39.3%) patients received no venous thromboembolism prophylaxis, 29,288 (48.8%) received mechanical prophylaxis, and 7,163 (11.9%) received pharmacologic prophylaxis. Women aged 60 years or older (OR 1.56, 95% CI 1.41-1.73), women with more medical comorbidities (OR 1.93, 95% CI 1.71-2.17), those with cancer (OR 3.08, 95% CI 2.75-3.45), and patients treated by high-volume surgeons (OR 1.42, 95% CI 1.33-1.52) were more likely to receive pharmacologic prophylaxis.
  
  
  CONCLUSIONS
  Whereas patients undergoing laparoscopic hysterectomy are overall at low risk for venous thromboembolism, older women, those with medical comorbidities, and women with cancer are at substantial risk. Venous thromboembolism prophylaxis is highly variable and often not utilized.
authors: From the Divisions of Gynecologic Oncology and Gynecologic Surgery, Department of Obstetrics and Gynecology, Columbia University College of Physicians and Surgeons, New York, New York; and the Herbert Irving Comprehensive Cancer Center, New York, New York.
authors: Jessica M B
authors: JMB
authors: Ritch
authors: Jin Hee
authors: JH
authors: Kim
authors: Sharyn N
authors: SN
authors: Lewin
authors: William M
authors: WM
authors: Burke
authors: Xuming
authors: X
authors: Sun
authors: Thomas J
authors: TJ
authors: Herzog
authors: Jason D
authors: JD
authors: Wright
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