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Journal of Thrombosis and Thrombolysis

, Volume 31, Issue 2, pp 133–138 | Cite as

Venous thromboembolism in the US: does race matter?

  • Steven B. DeitelzweigEmail author
  • Jay Lin
  • Barbara H. Johnson
  • Kathy L. Schulman
Article

Abstract

Studies investigating racial differences in the prevalence of venous thromboembolism (VTE) have generally been conducted on a limited scale. This analysis measured VTE prevalence across racial groups in a population of US Medicaid enrollees from 2002 to 2005. Records for patients aged ≥18 years with VTE between January 1, 2002 and December 31, 2005 were retrieved from the MarketScan® Multi-State Medicaid Database from Thomson Reuters. Patients were classified as having VTE in each calendar year by the presence of a VTE diagnosis on an inpatient claim or ≥1 outpatient claim with VTE diagnosis plus evidence of anticoagulant use. Patients dually eligible for Medicaid and Medicare were excluded. Logistic regression was used to calculate the odds of VTE. An average of 4.5 million Medicaid enrollees were study eligible in each calendar year, 72.2% of which had deep-vein thrombosis, 22.5% pulmonary embolism, and 5.3% had both. Patients were mainly Caucasian (46.8%), African-American (26.0%), and Hispanic (14.1%). VTE prevalence per 100,000 enrollees was highest in African-American males (584 in 2002–784 in 2005), followed by Caucasian males (457–643), Caucasian females (335–446), and African-American females (348–444). Hispanic males (94–149) and females (93–154) had lower prevalence of VTE. African-Americans had a significantly higher probability of having a VTE event than Caucasians (adjusted odds ratio 1.04, 95% confidence interval 1.00–1.07, P = 0.036). VTE prevalence increased over the study period and was highest in African-American males. More coordinated efforts are required to improve VTE awareness and prevention across all racial and ethnic groups.

Keywords

Venous thromboembolism Race/ethnicity Prevalence Gender 

Notes

Acknowledgments

The authors would like to thank Helen Varker for her programming and analysis, and Bevan Kirley for her editorial contribution to this study. This study was funded by Sanofi-Aventis, US Inc. The authors received editorial and writing support in the preparation of this manuscript, funded by Sanofi-Aventis US, Inc. The lead author, however, was fully responsible for all content and editorial decisions, and received no financial support or other form of compensation related to the development of the paper.

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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Steven B. Deitelzweig
    • 1
    Email author
  • Jay Lin
    • 2
  • Barbara H. Johnson
    • 3
  • Kathy L. Schulman
    • 3
  1. 1.Ochsner Clinic FoundationNew OrleansUSA
  2. 2.Sanofi-AventisBridgewaterUSA
  3. 3.Healthcare, Thomson ReutersCambridgeUSA

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