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Thrombosis in myelofibrosis: prior thrombosis is the only predictive factor and most venous events are provoked.
MedLine Citation:
PMID:  20884719     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
In a retrospective analysis of 205 patients (median age 62 years) with primary myelofibrosis and known JAK2V617F mutational status, 13.2% experienced a vaso-occlusive event at or prior to their diagnosis. After a median follow up of 31 months, post-diagnosis thrombosis occurred in 22 patients (10.7%), including 9 (4.4%) and 16 (7.8%) patients with a total of 9 arterial and 24 venous events, respectively. The majority (71%) of the venous events were temporally associated with other exogenous risk factors for thrombosis such as surgery, line placement or hormonal therapy. On multivariable analysis that included age, JAK2V617F mutation status and leukocyte count as covariates, history of thrombosis was the only predictive variable in general (P=0.04) or when arterial (P=0.007) and venous (P=0.02) thromboses were analyzed separately. The current study demonstrates a higher prevalence of venous, as opposed to arterial, events in PMF, post-diagnosis, and clarifies their nature as being mostly provoked.
Authors:
Michelle Ann Elliott; Animesh Pardanani; Terra L Lasho; Susan M Schwager; Ayalew Tefferi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Haematologica     Volume:  95     ISSN:  1592-8721     ISO Abbreviation:  Haematologica     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-10-04     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0417435     Medline TA:  Haematologica     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  1788-91     Citation Subset:  IM    
Affiliation:
Division of Hematology/Department of Internal Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA. elliott.michelle@mayo.edu
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