Retinal vascular events and relationship to CANCER development

Central retinal vein occlusion (CRVO) is a frequent and clinically relevant vascular pathology. The main risk factors are the same as systemic cardiovascular risk factors, but recently other significant risk factors have been studied. The aim of this study is to analyse the risk factors for retinal...

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Veröffentlicht in:Thrombosis research 2024-12, Vol.244, p.109207, Article 109207
Hauptverfasser: Ortega-Toledo, Paula, Rodríguez-Gaspar, Melchor Ángel, Barrios-Padilla, Irene Chaxiraxi, Mantolán-Sarmiento, Cristina, de La Paz-Estrello, Alejandro Mario, Fernández-Alonso, Paula, Pérez-Hernández, Onán, Martín-González, Candelaria
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container_start_page 109207
container_title Thrombosis research
container_volume 244
creator Ortega-Toledo, Paula
Rodríguez-Gaspar, Melchor Ángel
Barrios-Padilla, Irene Chaxiraxi
Mantolán-Sarmiento, Cristina
de La Paz-Estrello, Alejandro Mario
Fernández-Alonso, Paula
Pérez-Hernández, Onán
Martín-González, Candelaria
description Central retinal vein occlusion (CRVO) is a frequent and clinically relevant vascular pathology. The main risk factors are the same as systemic cardiovascular risk factors, but recently other significant risk factors have been studied. The aim of this study is to analyse the risk factors for retinal venous thrombosis and their relationship with the development of cancer. 710 patients with retinal vascular pathology were included, of whom 527 had suffered retinal venous thrombosis. Patients were followed up in internal medicine outpatient clinics between September 24, 1999, and April 30, 2022. The incidence of cancer during that time was collected. Of 527 patients evaluated, 448 (86.7 %) presented cardiovascular risk factors, and 89 (17.2 %) developed some neoplasm, being the most frequent: prostate (19.1 %), colon (16.9 %), skin (12.4 %), breast (9.0 %). Retinal venous thrombosis was related to the development of neoplasms during follow-up time (Log Rank = 5.28, p = 0.022; Breslow = 4.84, p = 0.028). Other significant factors were age above the median, smoking, HbA1c levels, and homocysteine levels higher than the median, and cholesterol and LDL-Cholesterol lower than the median. Age above the median (p 
doi_str_mv 10.1016/j.thromres.2024.109207
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The main risk factors are the same as systemic cardiovascular risk factors, but recently other significant risk factors have been studied. The aim of this study is to analyse the risk factors for retinal venous thrombosis and their relationship with the development of cancer. 710 patients with retinal vascular pathology were included, of whom 527 had suffered retinal venous thrombosis. Patients were followed up in internal medicine outpatient clinics between September 24, 1999, and April 30, 2022. The incidence of cancer during that time was collected. Of 527 patients evaluated, 448 (86.7 %) presented cardiovascular risk factors, and 89 (17.2 %) developed some neoplasm, being the most frequent: prostate (19.1 %), colon (16.9 %), skin (12.4 %), breast (9.0 %). Retinal venous thrombosis was related to the development of neoplasms during follow-up time (Log Rank = 5.28, p = 0.022; Breslow = 4.84, p = 0.028). Other significant factors were age above the median, smoking, HbA1c levels, and homocysteine levels higher than the median, and cholesterol and LDL-Cholesterol lower than the median. Age above the median (p &lt; 0.001), smoking (p = 0.003) and levels of cholesterol below the median (p = 0.026) were independently related to the development of neoplasms. Retinal venous thrombosis is associated with the development of cancer. Other factors related to its development have been identified. If this is confirmed, the implications for the diagnosis, control, and treatment of these patients should be evaluated. •Central retinal venous thrombosis is a frequent and clinically relevant vascular pathology.•Retinal venous thrombosis was related to the development of neoplasms.•Age, tobacco and low colesterol levels were independently related to the development of neoplasms.</description><identifier>ISSN: 0049-3848</identifier><identifier>ISSN: 1879-2472</identifier><identifier>EISSN: 1879-2472</identifier><identifier>DOI: 10.1016/j.thromres.2024.109207</identifier><identifier>PMID: 39531890</identifier><language>eng</language><publisher>United States: Elsevier Ltd</publisher><subject>Adult ; Aged ; cancer-associated thrombosis ; Central retinal vein occlusion ; Female ; Humans ; Male ; Middle Aged ; Neoplasms - blood ; Neoplasms - complications ; Neoplasms - epidemiology ; Retinal vascular disease ; Retinal Vein Occlusion - epidemiology ; Retinal Vein Occlusion - etiology ; Risk Factors ; Vascular risk factors</subject><ispartof>Thrombosis research, 2024-12, Vol.244, p.109207, Article 109207</ispartof><rights>2024 The Authors</rights><rights>Copyright © 2024 The Authors. 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Other significant factors were age above the median, smoking, HbA1c levels, and homocysteine levels higher than the median, and cholesterol and LDL-Cholesterol lower than the median. Age above the median (p &lt; 0.001), smoking (p = 0.003) and levels of cholesterol below the median (p = 0.026) were independently related to the development of neoplasms. Retinal venous thrombosis is associated with the development of cancer. Other factors related to its development have been identified. If this is confirmed, the implications for the diagnosis, control, and treatment of these patients should be evaluated. •Central retinal venous thrombosis is a frequent and clinically relevant vascular pathology.•Retinal venous thrombosis was related to the development of neoplasms.•Age, tobacco and low colesterol levels were independently related to the development of neoplasms.</description><subject>Adult</subject><subject>Aged</subject><subject>cancer-associated thrombosis</subject><subject>Central retinal vein occlusion</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neoplasms - blood</subject><subject>Neoplasms - complications</subject><subject>Neoplasms - epidemiology</subject><subject>Retinal vascular disease</subject><subject>Retinal Vein Occlusion - epidemiology</subject><subject>Retinal Vein Occlusion - etiology</subject><subject>Risk Factors</subject><subject>Vascular risk factors</subject><issn>0049-3848</issn><issn>1879-2472</issn><issn>1879-2472</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1LAzEQhoMotlb_Qtmjl62TbNJNLmIp9QOKQtFzyCazNGU_arIt-O_d0tarp4HheedlHkLGFCYU6PRhM-nWoa0DxgkDxvulYpBfkCGVuUoZz9klGQJwlWaSywG5iXEDQHOqxDUZZEpkVCoYkscVdr4xVbI30e4qExLcY9PFxDQuCViZzrdNXPtt0rXJfPY-X6wS1yNVu6177pZclaaKeHeaI_L1vPicv6bLj5e3-WyZWsZFl06BZxmWUuQMC2TGGKeAl8YogMyVprClEwpLUYJwxoHFnBcCCiolF6BkNiL3x7vb0H7vMHa69tFiVZkG213UGWUyn1IqaI9Oj6gNbYwBS70NvjbhR1PQB3d6o8_u9MGdPrrrg-NTx66o0f3FzrJ64OkIYP_p3mPQ0XpsLDof0Hbatf6_jl_wCIPY</recordid><startdate>202412</startdate><enddate>202412</enddate><creator>Ortega-Toledo, Paula</creator><creator>Rodríguez-Gaspar, Melchor Ángel</creator><creator>Barrios-Padilla, Irene Chaxiraxi</creator><creator>Mantolán-Sarmiento, Cristina</creator><creator>de La Paz-Estrello, Alejandro Mario</creator><creator>Fernández-Alonso, Paula</creator><creator>Pérez-Hernández, Onán</creator><creator>Martín-González, Candelaria</creator><general>Elsevier Ltd</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202412</creationdate><title>Retinal vascular events and relationship to CANCER development</title><author>Ortega-Toledo, Paula ; 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If this is confirmed, the implications for the diagnosis, control, and treatment of these patients should be evaluated. •Central retinal venous thrombosis is a frequent and clinically relevant vascular pathology.•Retinal venous thrombosis was related to the development of neoplasms.•Age, tobacco and low colesterol levels were independently related to the development of neoplasms.</abstract><cop>United States</cop><pub>Elsevier Ltd</pub><pmid>39531890</pmid><doi>10.1016/j.thromres.2024.109207</doi><oa>free_for_read</oa></addata></record>
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subjects Adult
Aged
cancer-associated thrombosis
Central retinal vein occlusion
Female
Humans
Male
Middle Aged
Neoplasms - blood
Neoplasms - complications
Neoplasms - epidemiology
Retinal vascular disease
Retinal Vein Occlusion - epidemiology
Retinal Vein Occlusion - etiology
Risk Factors
Vascular risk factors
title Retinal vascular events and relationship to CANCER development
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