Cardiothoracic & vascular anesthesia
Venous Thromboembolism Chemoprophylaxis Adherence Rates After Major Cancer Surgery
Authors' conclusion
These findings indicate the overall VTE rate after cancer surgery within the VHA is low, VHA inpatient chemoprophylaxis rates are high, and postdischarge VTE chemoprophylaxis prescribing is similar to that of non-VHA health systems.
Study context
- Population
- Veterans aged 41 years or older without preexisting bleeding disorders or anticoagulation who underwent inpatient cancer surgery (general surgery, thoracic surgery or urology), 101 Veterans Health Administration (VHA) hospitals, 2015–2022
- Participants
- 30,039 veterans · 101 VHA hospitals
- Exposure
- General surgery vs Urology
- General surgeryn = 10,301
- Urologyn = 17,089
- Outcome
- Postoperative VTE events and VTE chemoprophylaxis adherence
- Follow-up
- 30 days
Methodological detailsmulticentre
- Multicentre
Main finding
As reported in the abstract
Postoperative VTE
- Overall postoperative venous thromboembolism (VTE) (385 patients)
- 1.3%
- VTE diagnosed during inpatient hospitalization (199 patients)
- 0.7%
- VTE diagnosed postdischarge (186 patients)
- 0.6%
- Inpatient chemoprophylaxis ordered (24 139 patients)
- 80.4%
- Postdischarge chemoprophylaxis received (3142 patients), with notable variation by specialty
- 10.5%
Observational data: associations, not effects.
Further findings
Inpatient chemoprophylaxis ordering by specialty · highest for general surgery, lowest for urology
Original publication
Venous Thromboembolism Chemoprophylaxis Adherence Rates After Major Cancer Surgery. JAMA Netw Open. Published 5 September 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →