Incidence and risk factors for venous thromboembolism in the Cancer-VTE Registry pancreatic cancer subcohort

Q: What was the purpose of this pancreatic cancer substudy?

It estimated the incidence of VTE and evaluated risk factors in pancreatic cancer patients using the Cancer-VTE Registry data.

Q: How were outcomes measured during the study?

Baseline VTE prevalence was assessed, and at 1-year follow-up the study measured cumulative incidence of symptomatic and composite VTE, bleeding, cerebral infarction/TIA/SEE, and all-cause death.

Q: Which patients showed higher event rates at 1-year follow-up?

Cumulative incidence of events was higher for pancreatic cancer versus other cancer types, and pancreatic cancer patients with VTE had higher incidences of bleeding, cerebral infarction/TIA/SEE, and all-cause death.

Sep 24, 2026

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Background This substudy of the Cancer-VTE Registry quantified venous thromboembolism (VTE) incidence and identified risk factors in pancreatic cancer patients. Methods An observational multicenter registry collected VTE data from solid-tumor patients across Japan; baseline VTE prevalence was assessed and, at 1-year follow-up, cumulative incidence was measured for symptomatic and composite VTE, bleeding, cerebral infarction/TIA/SEE, and all-cause death. Results Baseline VTE occurred in 8.5% and symptomatic VTE in 0.7%; certain clinical factors were associated with baseline VTE.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages11

Reading Time28 min

AccessFree to download

Abstract

Background

Methods

Results

Conclusions

Introduction

Cancer-associated thrombosis and VTE

Clinical context in Japan and pancreatic cancer

Trial registration

Abbreviations

J Gastroenterol (2023) 58:1261–1271 [https://doi.org/10.1007/s00535-023-02033-3](https://doi.org/10.1007/s00535-023-02033-3) ORIGINAL ARTICLE―LIVER, PANCREAS, AND BILIARY TRACT Incidence and risk factors for venous thromboembolism in the Cancer‑VTE Registry pancreatic cancer subcohort Takuji Okusaka1 · Akio Saiura2 · Kazuaki Shimada1 · Masafumi Ikeda3 · Tatsuya Ioka4 · Tetsuya Kimura5 · Jun Hosokawa5 · Atsushi Takita6 · Mari S. Oba7,8 Received: 23 March 2023 / Accepted: 7 August 2023 / Published online: 7 September 2023 © The Author(s) 2023 Abstract Background This substudy of the Cancer-VTE Registry estimated venous thromboembolism (VTE) incidence and risk factors in pancreatic cancer patients. Methods The Cancer-VTE Registry was an observational study that collected VTE data from patients with solid tumors across Japan. We measured baseline VTE prevalence, and at 1-year follow-up, the cumulative incidence of symptomatic and composite VTE (symptomatic VTE and incidental VTE requiring treatment), bleeding, cerebral infarction/transient ischemic attack (TIA)/systemic embolicevent (SEE), and all-cause death. Results Of 1006 pancreatic cancer patients, 86 (8.5%) had VTE at baseline, and seven (0.7%) had symptomatic VTE. Significant risk factors of baseline VTE were Eastern | The data have been previously presented as an abstract atthe joint congress of The 26th International Association of Pancreatology and The 53rd Annual Meeting of the Japan Pancreas Society, 7–9 July 2022. | | --- | | Supplementary Information The online version contains supplementary material available at [https://doi.org/10.1007/](https://doi.org/10.1007/)[ ](https://doi.org/10.1007/)s00535-023-02033-3. | * Takuji Okusaka [tokusaka@ncc.go.jp](tokusaka@ncc.go.jp) 1 Department of Hepatobiliary and Pancreatic Oncology, National Cancer Center Hospital, 5-1-1 Tsukiji, Chuo-ku, Tokyo 104-0045, Japan 2 Department of Hepatobiliary-Pancreatic Surgery, Juntendo University Graduate School of Medicine, Bunkyo-ku, Tokyo, Japan 3 Department of Hepatobiliary and Pancreatic Oncology, National Cancer Center Hospital East, Kashiwa, Japan 4 Oncology Center, Yamaguchi University Hospital, Ube, Japan Cooperative Oncology Group performance status (ECOGPS) of 1, body mass index (BMI) ≥ 25 kg/m2, history of VTE, D-dimer > 1.2 µg/mL, and hemoglobin < 10 g/dL. At 1-year follow-up, the cumulative incidence of events was higher for pancreatic cancer vs other cancers. Pancreatic cancer patients with VTE vs those without VTE had significantly higher incidences of bleeding, cerebral infarction/ TIA/SEE, and all-cause death. No significant risk factors for composite VTE were identified. Conclusions The cumulative incidence of composite VTE during cancer treatment was higher in pancreatic cancer than in other cancer types. Some risk factors for VTE prevalence at cancer diagnosis were identified. Although VTE prevalence at cancer diagnosis did not predict the subsequent 1-year incidence of composite VTE, it was a significant predictor of other events such as all-cause death in pancreatic cancer patients. Trial registration UMIN Clinical Trials Registry; UMIN000024942 Keywords Incidence · Risk factors · Venous thromboembolism · Pancreatic cancer · Mortality 5 Primary Medical Science Department, Daiichi Sankyo Co., Ltd., Chuo-ku, Tokyo, Japan 6 Data Intelligence Department, Daiichi Sankyo Co., Ltd., Shinagawa-ku, Tokyo, Japan 7 Department of Medical Statistics, Toho University, Ota-ku, Tokyo, Japan 8 Department of Clinical Data Science, Clinical Research & Education Promotion Division, National Center of Neurology and Psychiatry, Kodaira, Japan Abbreviations BMI CI CrCL CT DOAC DVT ECOG PS Hb HR OR PE SEE TF TIA VTE Body mass index Confidence interval Creatinine clearance Computed tomography Direct oral anticoagulant Deep vein thrombosis Eastern Cooperative Oncology Group perfor mance status Hemoglobin Hazard

FAQs

What was the purpose of this pancreatic cancer substudy?

It estimated the incidence of VTE and evaluated risk factors in pancreatic cancer patients using the Cancer-VTE Registry data.

How were outcomes measured during the study?

Baseline VTE prevalence was assessed, and at 1-year follow-up the study measured cumulative incidence of symptomatic and composite VTE, bleeding, cerebral infarction/TIA/SEE, and all-cause death.

Which patients showed higher event rates at 1-year follow-up?

Cumulative incidence of events was higher for pancreatic cancer versus other cancer types, and pancreatic cancer patients with VTE had higher incidences of bleeding, cerebral infarction/TIA/SEE, and all-cause death.

Sep 24, 2026

Uploaded by Franzy