恶性肿瘤对孕妇静脉血栓栓塞风险的影响:一项系统综述

IF 2.1 Q2 MEDICINE, GENERAL & INTERNAL
Ali Vaezi, Seyyed Kiarash Sadat Rafiei, Bita Amiri, Ali Rezvanimehr, Maryam Naji abhary, Pariya Mahdavi, Mohammad Abbasalizadeh, Ghazale Yavari, Mahsa Shirforoush Sattari, Ali Kheirandish, Gisou Erabi, Foad Vakili Zadeh, Fatemeh Rasekh, Asiyeh Pormehr-yabandeh, Seyede Zohreh Mohagheghi, Hoda Zaraj, Amir Abdi, Parisa alsadat Dadkhah, Niloofar Deravi
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引用次数: 0

摘要

背景和目的静脉血栓栓塞(VTE)是一种独特的恶性肿瘤并发症,可使癌症患者的死亡风险增加三倍。然而,孕妇患静脉血栓栓塞的几率是非孕妇的4-5倍。目前的系统综述旨在阐明恶性肿瘤对妊娠女性静脉血栓栓塞风险的影响。方法系统检索截至2023年1月的PubMed (Medline)、谷歌Scholar、Scopus等多个数据库。最后,从数据库中提取出441篇相关文章。筛选题目、摘要、全文后,共纳入7篇文章。结果纳入7项研究(6个队列和1个横断面),58,854,195名孕妇(22,396名癌症患者)。这些研究是在美国、加拿大、巴西和丹麦进行的。除了一项研究外,所有的研究都表明,怀孕患者患癌症会增加深静脉血栓(DVT)的风险。有恶性肿瘤记录的孕妇患静脉血栓栓塞的风险明显高于无癌组,且aOR最高的与髓系白血病相关。结论本系统综述的证据表明,恶性肿瘤孕妇更容易发生静脉血栓栓塞和其他凝血功能障碍。医生和卫生政策制定者应该对妊娠相关静脉血栓栓塞保持高度警惕,特别是对患有癌症的妇女。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The Impact of Malignancy on the Risk of Venous Thromboembolism in Pregnant Women: A Systematic Review

The Impact of Malignancy on the Risk of Venous Thromboembolism in Pregnant Women: A Systematic Review

Background and Aims

Venous thromboembolism (VTE) is a distinct malignancy complication that raises the risk of demise in cancer patients by up to thrice. However, pregnant females have a 4–5 times greater chance of getting VTE than nonpregnant women. The current systematic review aimed to elucidate the impact of malignancy on the risk of VTE in pregnant females.

Methods

We carried out a systematic search in multiple databases, including PubMed (Medline), Google Scholar, and Scopus, up to January 2023. Finally, 441 related articles were extracted from the databases. After screening the title, abstract, and full text, seven articles were included in the study.

Results

Seven studies (six cohorts and one cross-sectional) with 58,854,195 pregnant females (22,396 cancer patients) were included. These studies were done in the United States of America, Canada, Brazil, and Denmark. All of the studies except one study demonstrated that cancer in pregnant patients increased the risk of deep vein thrombosis (DVT). The risk of VTE prevalence in pregnant females with a record of malignancy was significantly higher than in free cancer groups, and the highest aOR was correlated to myeloid leukemia.

Conclusions

Evidence in this systematic review showed that pregnant women with malignancy are more susceptible to VTE and other coagulation disorders. Physicians and health policymakers should be of high vigilance to pregnancy-associated VTE, especially in women who have cancer.

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来源期刊
Health Science Reports
Health Science Reports Medicine-Medicine (all)
CiteScore
1.80
自引率
0.00%
发文量
458
审稿时长
20 weeks
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