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Validation of the Khorana score for predicting venous thromboembolism in 40 218 patients with cancer initiating chemotherapy.


ABSTRACT: The Khorana score is recommended for guiding primary venous thromboembolism (VTE) prophylaxis in cancer patients, but its clinical utility overall and across cancer types remains debatable. Also, some previous validation studies have ignored the competing risk of death, hereby potentially overestimating VTE risk. We identified ambulatory cancer patients initiating chemotherapy without other indications for anticoagulation using Danish health registries and estimated 6-month cumulative incidence of VTE stratified by Khorana levels. Analyses were conducted with and without considering death as a competing risk using the Kaplan-Meier method vs the cumulative incidence function. Analyses were performed overall and stratified by cancer types. Of 40 218 patients, 35.4% were categorized by Khoran

SUBMITTER: Overvad TF 

PROVIDER: S-EPMC9131922 | biostudies-literature | 2022 May

REPOSITORIES: biostudies-literature