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Risk Factors for Gastric Cancer-Associated Thrombotic Diseases in a Han Chinese Population
Bo Song1, Yamei Wang2, Xiuzhi Zhu3
1Department of Gastroenterology, Yantaishan Hospital, Yantai 264001, China.
Insights
Age, diabetes, surgery, and peripherally inserted central venous catheter (PICC) use are key risk factors for thrombotic diseases in gastric cancer patients. Identifying these factors aids in early detection and prevention strategies for gastric cancer-associated thrombophilia.
Area of Science:
- Oncology
- Hematology
- Epidemiology
Background:
- Gastric cancer (GC) is a significant global health concern.
- Thrombotic diseases are a serious complication in GC patients.
- Identifying risk factors for GC-associated thrombotic diseases is crucial for patient management.
Purpose of the Study:
- To investigate the independent risk factors for thrombotic diseases in a Han Chinese population with gastric cancer.
- To identify potential targets for early detection and preventive strategies in GC patients.
Main Methods:
- A case-control study involving 333 GC patients, with 68 in the case group (thrombotic diseases) and 265 in the control group.
- Data collection included general information, comorbidities, tumor characteristics, and treatment details.
- Univariate and multivariate logistic regression analyses were performed to identify significant risk factors.
Main Results:
- Age, diabetes, hypertension, histology, surgery, chemotherapy, and PICC use showed statistically significant differences between groups (P < 0.05).
- Independent risk factors for GC-associated thrombotic diseases were identified as age, diabetes, surgery, and PICC use (P < 0.05).
Conclusions:
- Thrombotic diseases in gastric cancer patients are significantly associated with age, diabetes, surgery, and PICC use.
- These findings suggest that age, diabetes, surgical intervention, and PICC placement are important considerations for preventing thrombophilia in GC patients.
Abstract:
The aim of the present work was to investigate the risk factors for gastric cancer- (GC-) associated thrombotic diseases in a Han Chinese population. A total of 333 patients diagnosed with GC, 68 with thrombotic diseases included in the case group and the remaining 265 in the control group, were enrolled. The relevant data for the participants, including general information (gender, age, smoking, and drinking), comorbidities (diabetes, hypertension, and anemia), tumor-related data (tumor site, histology, degree of differentiation, and clinical stage), and treatment-related data (surgery, chemotherapy, hormones, transfusion, and peripherally inserted central venous catheter (PICC)), were collected. Statistically significant factors derived from univariate analyses were then subjected to multivariate logistic regression analyses. The results demonstrate a statistically significant difference in age, diabetes, hypertension, histology, surgery, chemotherapy, and PICC (P < 0.05), compared with control. Age, diabetes, surgery, and PICC serve as independent risk factors for GC-associated thrombotic diseases (P < 0.05). The present work demonstrates that GC-associated thrombotic diseases are significantly associated with age, diabetes, surgery, and PICC, suggesting a potential target for early detection and preventive strategy for GC patients with thrombophilia.
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