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. 2020 Jul 19;12(7):1958. doi: 10.3390/cancers12071958

Table 1.

Risk stratification models for venous thromboembolism (VTE) risk in cancer patients. Adapted with permission from Song et al. [13].

Score Incorporated Risk Factors
Khorana score (KS) [14] Tumor site of origin:
Very high risk: stomach, pancreas
High risk: lung, lymphoma, gynecologic, bladder, testicular
Prechemotherapy platelet count ≥350 × 109/L
Hemoglobin level < 10 g/dL or use of erythropoiesis-stimulating agents
Prechemotherapy leukocyte count > 11 × 109/L
Body mass index ≥35 kg/m2
Vienna CATS score [7] KS plus the following:
Soluble P-selectin >53.1 ng/L
D-dimer ≥1.44 µg/L
PROTECHT score [8] KS plus the following:
Use of platinum-based therapy
Use of gemcitabine
CONKO score [9] Tumor site of origin:
Very high risk: stomach, pancreas
High risk: lung, lymphoma, gynecologic, bladder, testicular
Prechemotherapy platelet count ≥350 × 109/L
Hemoglobin level < 10 g/dL or use of erythropoiesis-stimulating agents
Prechemotherapy leukocyte count > 11 × 109/L
WHO performance status ≥2
Tic-ONCO score [10] Tumor site of origin:
Very high risk: stomach, pancreas
High risk: lung, lymphoma, gynecologic, bladder, testicular
Genetic risk score (germline polymorphisms in F5, F13 or SERPINA10)
Body mass index > 25 kg/m2
Family history of VTE
ONKOTEV score [15] KS > 2
Metastatic cancer
Personal history of VTE
Macroscopic vascular or lymphatic compression
COMPASS-CAT score [16] Breast, lung, ovarian or colorectal cancer only
Cancer-related risk factors:
Anthracycline or anti-hormonal therapy in women with breast cancer
Time since cancer diagnosis ≤6 months
Central venous catheter
Advanced cancer stage
Predisposing risk factors:
Cardiovascular risk factors (≥2 of peripheral artery disease, ischemic stroke, coronary
artery disease, hypertension, hyperlipidemia, diabetes, obesity)
Recent hospitalization for acute medical illness
Personal history of VTE
Prechemotherapy platelet count ≥350 × 109/L