Article ; Online: Growth Differentiation Factor-15, High-Sensitivity Cardiac Troponin T, and N-Terminal pro-B-type Natriuretic Peptide for Predicting Risk of Venous Thromboembolism in Ambulatory Cancer Patients Receiving Chemotherapy.
2022 Volume 122, Issue 7, Page(s) 1169–1176
Abstract: Growth differentiation factor-15 (GDF-15), high-sensitivity cardiac troponin T (hs-TnT), and N ...
Abstract | Growth differentiation factor-15 (GDF-15), high-sensitivity cardiac troponin T (hs-TnT), and N-terminal pro-B-type natriuretic peptide (NT-proBNP) are associated with increased risk of venous thromboembolism (VTE) in noncancer patients. However, the performance of these biomarkers in cancer patients is unknown. Our objective was to assess performance of these biomarkers in predicting VTE in cancer patients at intermediate to high risk for VTE (Khorana Score ≥ 2). We used 1-month plasma samples from AVERT trial patients to determine if GDF-15, NT-proBNP, and hs-TnT levels are associated with VTE incidence between 1 and 7 months from the start of chemotherapy. The minimal Euclidean distance of the receiver operating characteristic curve was used to derive optimal cut-offs for GDF-15 and NT-proBNP given there was no evidence of a commonly used cut-off. Logistic and Fine and Gray competing risk regression analyses were used to calculate odds ratios (ORs) and subdistribution hazard ratios, respectively, while adjusting for age, sex, anticoagulation, and antiplatelet therapy. We tested in two groups: all patients ( |
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MeSH term(s) | Biomarkers ; Clinical Trials as Topic ; Growth Differentiation Factor 15 ; Humans ; Natriuretic Peptide, Brain ; Neoplasms/drug therapy ; Peptide Fragments ; Troponin T ; Venous Thromboembolism/epidemiology |
Chemical Substances | Biomarkers ; Growth Differentiation Factor 15 ; Peptide Fragments ; Troponin T ; pro-brain natriuretic peptide (1-76) ; Natriuretic Peptide, Brain (114471-18-0) |
Language | English |
Publishing date | 2022-03-09 |
Publishing country | Germany |
Document type | Journal Article |
ZDB-ID | 518294-3 |
ISSN | 2567-689X ; 0340-6245 |
ISSN (online) | 2567-689X |
ISSN | 0340-6245 |
DOI | 10.1055/a-1792-7720 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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