Predictors of Interventional Treatment Use for Venous Thromboembolism in Cancer Patients.
Venous thromboembolic disease is a major cause of morbidity in cancer patients. The Perspective database was used to identify patients with solid tumors and a diagnosis of VTE from 2006 to 2012. We examined use of IVC filters, thrombolysis, and thrombectomy. Among 32,545 patients, 23.1% received an IVC filter, 1.9% thrombolytic therapy, and 0.4% underwent thrombectomy. Use of IVC filters decreased between 2006 and 2012 (23.4% to 21.2%, p = 0.012). Older patients, uninsured patients, Hispanics, and those with more comorbidities were more likely to undergo filter placement while patients at rural hospitals were less likely to receive an IVC filter (p < 0.05 for all).
a Department of Epidemiology , Mailman School of Public Health, Columbia University , New York , New York , USA.
Lara
L
Yoon
a Department of Epidemiology , Mailman School of Public Health, Columbia University , New York , New York , USA.|b Herbert Irving Comprehensive Cancer Center, Columbia University Medical Center , New York , New York , USA.
Grace
G
Clarke Hillyer
c College of Physicians and Surgeons, Columbia University , New York , New York , USA.
Ling
L
Chen
d Department of Urology , Weill Cornell Medical College , New York , New York , USA.|e New York Presbyterian Hospital , New York , New York , USA.
Jim C
JC
Hu
a Department of Epidemiology , Mailman School of Public Health, Columbia University , New York , New York , USA.|b Herbert Irving Comprehensive Cancer Center, Columbia University Medical Center , New York , New York , USA.|c College of Physicians and Surgeons, Columbia University , New York , New York , USA.|e New York Presbyterian Hospital , New York , New York , USA.
Alfred I
AI
Neugut
a Department of Epidemiology , Mailman School of Public Health, Columbia University , New York , New York , USA.|b Herbert Irving Comprehensive Cancer Center, Columbia University Medical Center , New York , New York , USA.|c College of Physicians and Surgeons, Columbia University , New York , New York , USA.|e New York Presbyterian Hospital , New York , New York , USA.
Dawn L
DL
Hershman
b Herbert Irving Comprehensive Cancer Center, Columbia University Medical Center , New York , New York , USA.|c College of Physicians and Surgeons, Columbia University , New York , New York , USA.|e New York Presbyterian Hospital , New York , New York , USA.
Jason D
JD
Wright
D000328:Adult; D000368:Aged; D015897:Comorbidity; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000150:complications* / Q000175:diagnosis; D016017:Odds Ratio; D011159:Population Surveillance; D011379:Prognosis; D012307:Risk Factors; D015912:Thrombolytic Therapy; D016896:Treatment Outcome; D054556:Venous Thromboembolism / Q000175:diagnosis* / Q000453:epidemiology / Q000209:etiology* / Q000628:therapy
Venous thromboembolism; inferior vena cava filter; thrombectomy; thrombolysis