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Risk of thromboembolism in 14,000 individuals with coeliac disease
Örebro University, School of Health and Medical Sciences.ORCID iD: 0000-0003-1024-5602
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2007 (English)In: British Journal of Haematology, ISSN 0007-1048, E-ISSN 1365-2141, Vol. 139, no 1, p. 121-127Article in journal (Refereed) Published
Abstract [en]

The risk of venous thromboembolism (VTE) was examined in individuals with coeliac disease (CD). The Swedish national inpatient register was used to identify 14 207 individuals with a diagnosis of CD (1964–2003). These individuals were matched for age, sex, calendar year and county with 69 048 reference individuals. Cox regression was used to estimate hazard ratios (HRs) for subsequent thromboembolism in individuals with more than 1 year of follow-up and no prior VTE. CD was associated with an increased risk of subsequent VTE (HR = 1·86; 95% confidence interval (CI) 1·54–2·24). The risk increase was restricted to individuals with CD diagnosed in adulthood. Risk estimates were not affected by the presence of diabetes mellitus or concomitant surgery. Compared with inpatients as reference individuals, CD individuals remained at increased risk of subsequent VTE (adjusted HR = 1·27; 95% CI = 1·06–1·52). In conclusion, this study found a statistically significantly positive association between CD and VTE. This modest association might be explained by a combination of surveillance bias and chronic inflammation

Place, publisher, year, edition, pages
2007. Vol. 139, no 1, p. 121-127
Keywords [en]
Adolescent, Adult, Age Factors, Case-Control Studies, Celiac Disease/*complications, Child, Child; Preschool, Female, Follow-Up Studies, Humans, Male, Middle Aged, Proportional Hazards Models, Registries, Risk Assessment/methods, Risk Factors, Sex Factors, Sweden, Thromboembolism/*etiology
National Category
Medical and Health Sciences Cardiac and Cardiovascular Systems Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Epidemiology
Identifiers
URN: urn:nbn:se:oru:diva-3487DOI: 10.1111/j.1365-2141.2007.06766.xPubMedID: 17854316OAI: oai:DiVA.org:oru-3487DiVA, id: diva2:137784
Available from: 2008-12-08 Created: 2008-12-08 Last updated: 2017-12-14Bibliographically approved

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Ludvigsson, Jonas F.Montgomery, Scott M.

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