Venous thrombotic events in psoriasis patients: a systematic review with meta-analysis.
Tom M HillaryJolien ClijmansSeverine VermeireJo LambertMarjan GarmynMaya ImbrechtsThomas VanasschePublished in: Annals of medicine (2021)
Published data adjusted for key confounders demonstrate in general a significantly increased prevalence of VTE in psoriasis patients. Both psoriasis severity and number of confounders assessed seem to have an impact on this correlation. In this review, we pooled unadjusted data of the studies and we found a non-significant increased risk for VTE in psoriasis patients compared to healthy controls. This discrepancy suggests that psoriasis severity, age, gender or comorbidities may influence the risk of VTE in subgroups of the psoriasis population. Future research to identify subgroups at risk for VTE is warranted.Key messagesThe included studies reported an increased risk of VTE, DVT, PE and RVO in psoriasis patients.A meta-analysis was performed on five studies that reported raw data and showed that the pooled risk ratio for VTE in psoriasis patients overall was increased, however not significantly, compared to healthy controls.Further research to pinpoint psoriasis subgroups at risk (e.g. severe psoriasis patients, younger age, associated comorbidities) of developing VTE is warranted.
Keyphrases
- end stage renal disease
- venous thromboembolism
- newly diagnosed
- ejection fraction
- chronic kidney disease
- prognostic factors
- peritoneal dialysis
- randomized controlled trial
- systematic review
- mental health
- electronic health record
- early onset
- machine learning
- clinical trial
- big data
- artificial intelligence
- open label
- data analysis
- drug induced
- phase iii