Reproductive endocrinology

Evaluating the Risk of Venous Thromboembolism in Transfeminine and Gender Diverse People: A Retrospective Analysis

Endocr PractPublished Retrospective cohort study

Authors' conclusion

The prevalence of VTE in our cohort was lower than previously observed. VTE was not associated with any one risk factor, including estrogen use, when controlling for age, race, and the number of comorbidities. Those of advanced age and those with multiple cardiometabolic comorbidities may benefit from increased surveillance and mitigation of modifiable risk factors.

Study context

Population
Transfeminine and gender diverse adults receiving care within a large urban health system
Participants
2,126 participants
Exposure
Patients with vs without a history of venous thromboembolism (VTE); association of VTE with insurer, estrogen use and comorbidities
Outcome
Prevalence of VTE and ORs for association of VTE with insurer, estrogen use and select comorbidities
Methodological detailschart review, single health system
  • Chart review
  • Single health system

Main finding

As reported in the abstract

Prevalence of VTE history
History of VTE documented in cohort
0.8%
Univariate analyses: hyperlipidemia associated with increased odds of VTE
P < .001
Univariate analyses: DM associated with increased odds of VTE
P < .05
Univariate analyses: insurer associated with increased odds of VTE
P < .05

Observational data: associations, not effects.

Further findings

Characteristics of VTE vs no VTE

VTE: older
P < 0.001
VTE: more often Hispanic or Black vs White or Asian
P < 0.05
VTE: more likely Medicaid or Medicare
P < 0.01
VTE: greater prevalence of hyperlipidemia
P < 0.001
VTE: greater prevalence of DM
P < 0.05
VTE: greater prevalence of hypercoagulable conditions
P < 0.001

Original publication

Evaluating the Risk of Venous Thromboembolism in Transfeminine and Gender Diverse People: A Retrospective Analysis. Endocr Pract. Published 2 September 2024. doi:10.1016/j.eprac.2024.08.014

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