The incidence of early recurrent venous thromboembolism : a systematic review and meta-analysis

Eischer, Lisbeth (avtor), Kyrle, Paul A. (avtor), Kaider, Alexandra (avtor), Schmidt, Anton (avtor), Wildner, Brigitte (avtor), Boc, Anja (avtor)

Background: Patients with venous thromboembolism (VTE) receive anticoagulation for at least 3 months. To evaluate recurrence risk thereafter, some strategies include D-dimer testing after discontinuing anticoagulation, which raises concern about early recurrence. Objectives: To assess the incidence of recurrent VTE within 30 days after stopping anticoagulation. Methods: We conducted a systematic review of EMBASE, CENTRAL, and MEDLINE to identify controlled trials and cohort studies of adult noncancer patients with deep vein thrombosis of the leg and/or pulmonary embolism treated with anticoagulants for ≥3 months. The primary outcome was symptomatic VTE within 30 days. The risk of bias was assessed using a modified version of the Newcastle-Ottawa Scale. Pooled recurrence rates were calculated using fixed random-effects meta-analyses. Results: Of 42 studies, 24 (57%) provided data, encompassing 11,407 patients. Early recurrence occurred in 115 patients (1.01%), with a pooled incidence of 1.04% (95% CI, 0.8%-1.4%). Men had a risk similar to that of women (risk ratio, 1.2; 95% CI, 0.6-2.3; P = .7). Unprovoked VTE was associated with a 2.6-fold increase in risk (95% CI, 1.4-4.6; P < .001) compared with provoked VTE. Patients with deep vein thrombosis at presentation had a similar risk of recurrence compared with those with an incident pulmonary embolism (risk ratio, 0.6; 95% CI: 0.3-1.2; P = .1). Findings regarding age were inconsistent. None of the recurrences was fatal. The overall risk of bias was low. Conclusion: The incidence of early VTE recurrence after stopping anticoagulation is low. Temporarily discontinuing therapy to assess recurrence risk, therefore, appears safe and may aid in guiding treatment duration.

• Jezik: Angleški jezik
• Ključne besede: anticoagulation, early recurrence, incidence, meta-analysis, venous thromboembolism
• Vrsta gradiva: Članek v reviji
• Tipologija: 1.01 - Izvirni znanstveni članek
• Organizacija: MF - Medicinska fakulteta
• Status publikacije: Objavljeno
• Različica publikacije: Objavljena publikacija
• Leto izida: 2026
• Št. strani: 9 str.
• Številčenje: Vol. 9, iss. 1, art. 103317
• PID: 20.500.12556/RUL-181336
• UDK: 616.1
• ISSN pri članku: 2475-0379
• DOI: 10.1016/j.rpth.2025.103317
• COBISS.SI-ID: 273221123
• Datum objave v RUL: 02.04.2026

Gradivo je del revije

• Naslov: Research and Practice in Thrombosis and Haemostasis
• Založnik: Wiley & Sons
• ISSN: 2475-0379
• COBISS.SI-ID: 4091820

Licence

• Licenca: CC BY 4.0, Creative Commons Priznanje avtorstva 4.0 Mednarodna
• Povezava: http://creativecommons.org/licenses/by/4.0/deed.sl
• Opis: To je standardna licenca Creative Commons, ki daje uporabnikom največ možnosti za nadaljnjo uporabo dela, pri čemer morajo navesti avtorja.

Sekundarni jezik

• Jezik: Slovenski jezik
• Ključne besede: antikoagulacija, zgodnja ponovitev, incidenca, meta-analiza, venska trombembolija

Projekti

• Financer: Austria, Medical University of Vienna