Sabine Eichinger: Is Recurrence Risk After Provoked VTE Really Low?
Sabine Eichinger, Professor at Wien Medicine University, shared on LinkedIn about a recent article she and her colleagues co-authored, published in Blood, adding:
”Is recurrence risk after provoked VTE really low?
Our new study in Blood Blood Journal challenges this long-standing assumption.
In a prospective cohort of 242 patients with VTE provoked by transient risk factors, we found substantial differences in recurrence risk after discontinuation of anticoagulation.
At 2 years, recurrence risk was:
9.5 percent overall
- 19.7 percent after major transient risk factors, particularly major surgery
- 5.0 percent after minor transient risk factors
- 0 recurrences among 81 women with VTE associated exclusively with combined hormonal contraceptive use
These findings challenge the traditional view that transiently provoked VTE uniformly carries a low recurrence risk.
The key message: ‘Provoked’ is not one risk category.
Decisions on anticoagulation duration should consider the specific provoking factor rather than relying solely on the distinction between provoked and unprovoked VTE.
Pleased to share our latest research from the Medical University of Vienna, published in Blood.”
Title: Risk of recurrence in patients with provoked venous thromboembolism: a prospective cohort study
Authors: Sabine Eichinger, Lisbeth Eischer, Alexandra Kaider, Georg Heinze, Peter Quehenberger, Paul A. Kyrle
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