Jara-Palomares et al reported a model for identifying a patient with a venous thromboembolism (VTE) who may have an occult cancer. This can help to identify a patient who should be screened for cancer. The authors are from multiple institutions in Spain, Canada, and Israel.
RIETE = RegistroInformatizado de EnfermedadTromboEmbolica
Patient selection:
Parameters
(1) sex
(2) age in years
(3) chronic lung disease
(4) anemia (hemoglobin < 13 g/dL for a male and < 12 g/dL for a female)
(5) platelet count per microliter
(6) postoperative status
(7) history of previous venous thromboembolism
Parameter
Finding
Points
sex
male
1
female
0
age in years
<= 70 years
0
> 70 years
2
chronic lung disease
no
0
yes
1
anemia
no
0
yes
2
platelet count
>= 350,000 per µL
1
< 350,000 per µL
0
postoperative status
no
0
yes
-2
past history of VTE
no
0
yes
-1
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: -3
• maximum score: 7
• A patient with a score >= 3 may have an occult tumor.
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