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Related Concept Videos

Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
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Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...

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Related Experiment Video

Updated: Jul 12, 2026

New Thrombectomy Technique for Total Portal Vein Thrombosis in Liver Transplantation
08:45

New Thrombectomy Technique for Total Portal Vein Thrombosis in Liver Transplantation

Published on: June 27, 2025

Challenges in Venous Thromboembolism Risk Stratification After Pancreatic and Liver Cancer Surgery Using Claims Data.

Kelly Dong1, Ashlynn Fuccello2, Vanessa Vyas2

  • 1Department of Surgery, McMaster University, Hamilton, Ontario, Canada.

Journal of Surgical Oncology
|July 10, 2026
PubMed
Summary

Existing tools for predicting postoperative venous thromboembolism (VTE) show poor performance in cancer patients undergoing surgery. New models using administrative data offer modest improvements but require further enhancement with diverse data sources for better risk prediction.

Keywords:
VTEadministrative claimscancerpostoperativerisk prediction

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Last Updated: Jul 12, 2026

New Thrombectomy Technique for Total Portal Vein Thrombosis in Liver Transplantation
08:45

New Thrombectomy Technique for Total Portal Vein Thrombosis in Liver Transplantation

Published on: June 27, 2025

Area of Science:

  • Oncology
  • Vascular Surgery
  • Health Services Research

Background:

  • Postoperative venous thromboembolism (VTE) is a significant cause of morbidity and mortality.
  • Accurate, real-time risk stratification is crucial for effective thromboprophylaxis strategies.
  • Cancer patients undergoing major surgery face elevated VTE risks.

Purpose of the Study:

  • To compare the predictive performance of three systems for 90-day postoperative VTE in cancer patients.
  • To evaluate the Caprini score, Elixhauser comorbidity score, and a newly developed VTE predictive model.
  • To assess VTE risk stratification using administrative data in pancreas and liver surgery patients.

Main Methods:

  • Retrospective analysis of SEER-Medicare data (2001-2015) for pancreatic or liver malignancy surgery patients.
  • Development of a new VTE predictive model using multivariable logistic regression (2001-2010 data).
  • Comparison of model discrimination (Caprini, Elixhauser, new model) using 2011-2015 data.

Main Results:

  • The study included 15,479 patients; 90-day VTE incidence was 10.0% (PE 4.5%).
  • The new VTE model incorporated age, race, VTE history, cancer stage, preoperative chemotherapy, and Elixhauser score.
  • All models demonstrated modest discrimination for VTE and PE (c-statistics ranging from 59.4% to 67.8%).

Conclusions:

  • Current VTE predictive tools perform poorly when relying solely on administrative claims data.
  • Enhanced risk prediction requires integrating administrative data with additional data sources.
  • Further research is needed to improve identification of high-risk patients for postoperative VTE.