Psoriasis and risk of venous thromboembolism: a systematic review and meta-analysis

QJM. 2014 Oct;107(10):793-7. doi: 10.1093/qjmed/hcu073. Epub 2014 Apr 8.

Abstract

Background: Several chronic inflammatory disorders, such as rheumatoid arthritis and systemic lupus erythematosus, have been shown to increase venous thromboembolism (VTE) risk but the data on psoriasis is unclear.

Methods: We conducted a systematic review and meta-analysis of observational studies that reported odds ratio, relative risk, hazard ratio or standardized incidence ratio comparing VTE risk in patients with psoriasis vs. non-psoriasis participants. Pooled risk ratio and 95% confidence intervals were calculated using a random effect, generic inverse variance method.

Result: Four studies were identified and included in our data analysis. The pooled risk ratio of VTE in patients with psoriasis was 1.46 (95% CI, 1.29-1.66). The statistical heterogeneity of this meta-analysis was high with an I(2) of 86%.

Conclusion: Our study demonstrated a statistically significant increased VTE risk among patients with psoriasis.

Publication types

  • Meta-Analysis
  • Review
  • Systematic Review

MeSH terms

  • Data Collection / standards*
  • Humans
  • Observational Studies as Topic
  • Odds Ratio
  • Psoriasis / complications*
  • Venous Thromboembolism / epidemiology*