Familial Clustering of Venous Thromboembolism: A Danish Nationwide Cohort Study
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- Familial Clustering of Venous Thromboembolism – A Danish Nationwide Cohort Study
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BACKGROUND: Identification of risk factors for venous thromboembolism (VTE) is of utmost importance to improve current prophylactic regimes and treatment guidelines. The extent to which a family history contributes to the risk of VTE needs further exploration.
OBJECTIVES: To examine the relative rate of VTE in first-degree relatives compared with the general population.
METHODS: By crosslinking Danish nationwide registries we identified patients with VTE between 1978 and 2012, and their familial relations. The first member in a family to acquire VTE was defined as the proband. All first-degree relatives to probands were followed from the VTE date of the proband and until an event (VTE), death, emigration, 100 year birthday or end of study: 31st of December 2012, whichever came first. The relative rate of VTE was estimated by standardized incidence ratios (SIR) using time-dependent Poisson regression models, with the general population as a fixed reference.
RESULTS: We identified 70,767 children of maternal probands, 66,065 children of paternal probands, and 29,183 siblings to sibling probands. Having a maternal proband or a paternal proband were associated with a significantly increased VTE rate of 2.15 (CI: 2.00-2.30) and 2.06 (CI: 1.92-2.21), respectively. The highest estimate of VTE was observed among siblings (adjusted SIR of 2.60 [CI: 2.38-2.83]). Noteworthy, the rate of VTE increased for all first-degree relatives when the proband was diagnosed with VTE in a young age (≤ 50 years).
CONCLUSION: A family history of VTE was associated with a significantly increased rate of VTE among first-degree relatives compared with the general population.
Originalsprog | Engelsk |
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Artikelnummer | e0169055 |
Tidsskrift | PLOS ONE |
Vol/bind | 11 |
Udgave nummer | 12 |
Antal sider | 13 |
ISSN | 1932-6203 |
DOI | |
Status | Udgivet - 2016 |
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