The Risk of Haematoma and Venous Thrombosis Associated With Thromboprophylaxis Use in Breast Cancer Surgery: A Meta-Analysis and Systematic Review

IF 1.9 4区 医学 Q3 OBSTETRICS & GYNECOLOGY
Breast Journal Pub Date : 2025-02-04 DOI:10.1155/tbj/9898596
Amenah Dhannoon, Ishwarya Balasubramanian, Ali A. Dhannoon, Abeeda Butt, Arnold D. K. Hill
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引用次数: 0

Abstract

Background: The routine use of venous thromboembolism (VTE) prophylaxis in breast cancer surgery has caused substantial polarity among breast cancer surgeons across the globe. The aim of this study is to assess the use of VTE prophylaxis in breast cancer surgery outcomes.

Methods: A comprehensive electronic search was undertaken of all comparative studies that described the role of VTE prophylaxis in breast cancer surgery. Studies that reported on postoperative outcomes between patients who received VTE prophylaxis (prophylaxis) and those who did not (no prophylaxis) were included in the review. A meta-analysis using random-effect model was used to analyse key outcomes, with data presented as odd ratio (OR).

Results: A total of 2470 patients from 6 studies were included in this study. Among these patients, 60.9% (n: 1504) received prophylaxis. The haematoma rate in this study is 0.05% (n: 133). The incidence of haematoma was significantly associated with the use of prophylaxis (6.85% versus 3.11%, p : 0.001). Surgical intervention for haematomas was also significantly associated in this group (3.15% versus 0.83%, p : 0.004). However, there was no difference in VTE events between both groups (0.26% versus 0.36%, p : 0.88).

Conclusions: The use of VTE prophylaxis in breast cancer surgery is associated with increased haematomas without any benefit in preventing VTE events. Future studies that examine the use of risk assessment tools for VTE prophylaxis in high risk patients may be beneficial.

Abstract Image

血肿和静脉血栓形成的风险与血栓预防在乳腺癌手术中的应用:荟萃分析和系统评价
背景:在乳腺癌手术中常规使用静脉血栓栓塞(VTE)预防在全球乳腺癌外科医生中引起了实质性的分歧。本研究的目的是评估静脉血栓栓塞预防在乳腺癌手术结果中的应用。方法:对所有描述静脉血栓栓塞预防在乳腺癌手术中的作用的比较研究进行全面的电子检索。研究报告了接受静脉血栓栓塞预防(预防)和未接受静脉血栓栓塞预防(无预防)的患者之间的术后结果。采用随机效应模型进行荟萃分析,分析关键结果,数据以奇数比(OR)表示。结果:6项研究共纳入2470例患者。在这些患者中,60.9% (n: 1504)接受了预防。本研究中血肿率为0.05%(133例)。血肿的发生率与预防用药显著相关(6.85%对3.11%,p: 0.001)。血肿的手术干预在该组中也显著相关(3.15%对0.83%,p: 0.004)。然而,两组之间静脉血栓栓塞事件没有差异(0.26%对0.36%,p: 0.88)。结论:在乳腺癌手术中使用静脉血栓栓塞预防与血肿增加有关,但在预防静脉血栓栓塞事件方面没有任何益处。在高风险患者中使用风险评估工具进行静脉血栓栓塞预防的未来研究可能是有益的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Breast Journal
Breast Journal 医学-妇产科学
CiteScore
4.00
自引率
0.00%
发文量
47
审稿时长
4-8 weeks
期刊介绍: The Breast Journal is the first comprehensive, multidisciplinary source devoted exclusively to all facets of research, diagnosis, and treatment of breast disease. The Breast Journal encompasses the latest news and technologies from the many medical specialties concerned with breast disease care in order to address the disease within the context of an integrated breast health care. This editorial philosophy recognizes the special social, sexual, and psychological considerations that distinguish cancer, and breast cancer in particular, from other serious diseases. Topics specifically within the scope of The Breast Journal include: Risk Factors Prevention Early Detection Diagnosis and Therapy Psychological Issues Quality of Life Biology of Breast Cancer.
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