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Updated: May 19, 2026

Venous Thrombosis Assay in a Mouse Model of Cancer
Published on: January 5, 2024
Risk of venous thromboembolism in patients with cancer: a systematic review and meta-analysis
Freesia Horsted1, Joe West, Matthew J Grainge
1Division of Epidemiology and Public Health, University of Nottingham, Nottingham, United Kingdom.
Cancer patients face a higher risk of venous thromboembolism (VTE). This risk varies significantly by cancer type and treatment, with brain, pancreatic, and lung cancers showing the highest incidence.
Area of Science:
- Oncology
- Hematology
- Epidemiology
Background:
- Cancer patients have an elevated risk of venous thromboembolism (VTE).
- VTE risk in cancer is influenced by cancer type, stage, and treatment.
- Existing literature requires synthesis to accurately quantify VTE risk in cancer patients.
Purpose of the Study:
- To systematically review and quantify the absolute risk of VTE in cancer patients.
- To stratify VTE risk by malignancy site and patient background risk.
- To provide precise data for clinical decision-making regarding VTE prophylaxis.
Main Methods:
- Searched Medline and Embase databases (1966-2011).
- Included cohort studies of specific cancer types or representative cancer populations.
- Pooled VTE incidence rates using generic inverse variance method across 38 studies.
Main Results:
- Overall VTE risk in average-risk patients: 13 per 1,000 person-years.
- Highest VTE risk in average-risk patients: pancreas, brain, and lung cancers.
- High-risk patients (metastatic/high-risk treatment) had a VTE risk of 68 per 1,000 person-years, with brain cancer patients at 200 per 1,000 person-years.
Conclusions:
- Venous thromboembolism (VTE) affects over 1% of cancer patients annually.
- VTE risk is highly variable, dependent on cancer type and time since diagnosis.
- Quantified absolute VTE risks can inform anticoagulant prophylaxis decisions in cancer care.
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