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Thrombosis in the clotting of blood in the cardiovascular system, including in deep veins.1,2 Disrupted blood flow in the vein is the principal cause of DVT.3,4 Fifty percent of patients with DVT present asymptomatically. Mortality rate of DVT is 5-8% due to complications such as pulmonary embolism.5 Cancer is the most predominant risk factor in DVT development. Risk of DVT increases up to six times in cancer patients.6 DVT is found in fifty percent of cancer patients during autopsy. The increased risk is due to chemotherapy and hormonal therapy that may incite the development of DVT. Intravenous line insertion may also play a role in thrombus formation.7 In Europe, colorectal cancer patients have the highest risk of developing DVT compared to other cancer.8 Several scoring systems have been developed to help quickly and easily diagnose DVT. The most widely used scoring systems are Khorana score and Wells’ criteria.6,8 Khorana score is a predictive scoring system.5 This scoring system is utilized in developed countries to determine cancer patients that will receive prophylaxis.9 Wells’ Criteria may help diagnose DVT through clinical examinations. However, a third of DVT patients present without distinctive clinical features.7 The effectiveness of Wells’ criteria application in cancer patients has not been reported.9 There’s currently no study that compares Khorana score and Wells’ criteria in detecting asymptomatic DVT. Therefore, we see it necessary to conduct a study to determine the most optimal scoring system to detect asymptomatic DVT in colorectal patients.

journal of indonesian society for vascular and endovascular surgery

Comparison Between Wells’ Criteria and Khorana Score in Detecting Asymptomatic Deep Vein Thrombosis in Colorectal Cancer Patients in Dr. Hasan Sadikin Hospital