Clinical Study

Predictors of Venous Thromboembolic Events Associated with Central Venous Port Insertion in Cancer Patients

Table 1

Clinical characteristics of the cohort including 1097 consecutive patients receiving their first implantable central venous catheter (catheter port) for antitumoral chemotherapy. values are for patients with VTE ( ) versus patients without event ( ).

Clinical characteristicsAll patients
( )
Patients without VTE ( )Patients with any VTE ( )Patients with catheter-related VTE ( ) value

Age (median, range)62 (18 to 89)63 (18 to 89)62 (29 to 84)63 (31 to 84)NS
Age > 70 y299 (27.3%)261 (28%)38 (23.2%)26 (21.5%)NS
Male617 (56.2%)527 (56.5%)90 (54.9%)65 (53.3%)NS
BMI (median, range)25.0 (14.9 to 57.8)24.4 (14.9 to 51.4)24.3 (16.1 to 38.1)24.2 (16.1 to 38.1)NS
BMI > 3551 (4.6%)41 (4.4%)11 (6.7%)10 (8.3%)0.05
Major comorbidities
 Coronary heart disease117 (10.7%)108 (11.6%)9 (5.4%)7 (5.8%)0.06
 Diabetes138 (12.6%)122 (13.1%)16 (9.8%)15 (12.3%)NS
 Respiratory failure306 (27.9%)252 (27%)54 (32.9%)48 (39.7%)0.002
 Renal failure63 (5.7%)58 (6.2%)5 (3%)3 (2.5%)NS
 Previous VTE118 (10.8%)99 (10.6%)19 (11.6%)16 (13.2%)NS
Cancer
 Lung260 (23.7%)207 (22.2%)53 (32.3%)47 (38.5%)<0.001
 Colorectal206 (18.8%)176 (18.9%)30 (18.3%)17 (13.9%)0.09
 Oesogastic146 (13.3%)128 (13.8%)18 (11%)14 (11.5%)NS
 Breast120 (10.9%)106 (11.3%)14 (8.5%)10 (8.2%)NS
 ORL84 (7.7%)76 (8.1%)8 (4.9%)7 (5.7%)NS
 Hepatocholangiopancreas76 (6.9%)64 (6.9%)12 (7.3%)5 (4.1%)NS
 Lymphomas75 (6.8%)69 (7.4%)6 (3.7%)5 (4.1%)NS
 Other130 (11.8%)107 (11.5%)23 (14%)17 (13.9%)NS
Stage IV396 (36.1%)327 (35%)69 (42.1%)49 (40.2%)NS
Performance status 2–4629 (57.3%)527 (56.5%)111 (67.6%)83 (67.7%)0.01
CVP placed on left side86 (7.8%)64 (6.9%)21 (12.8%)17 (14.1%)0.01
Surgery during 30 days before CVC placement146 (13.3%)125 (13.4%)22 (13.3%)15 (12.4%)NS
Major surgery during follow-up217 (19.8%)180 (19.3%)37 (22.6%)27 (22.3%)NS
Therapeutic antithrombotic treatment at time of CVP placement90 (8.2%)78 (8.3%)12 (7.3%)10 (8.3%)NS
Chemotherapy, first cycle
 Platin based510 (46.5%)425 (45.5%)85 (51.8%)69 (56.6%)0.08
 Bevacizumab34 (3.1%)23 (3.2%)11 (17.2%)9 (7.3%)0.01
Mean follow-up duration (months)14 (13–15)14 (13–15)16 (13–18)16 (13–18)NS

VTE: venous thromboembolic event.