Table 3.

VTE risk by condition type and COC use

Condition typeBaseline VTE incidence (95% CI)RR with COC (95% CI)aAbsolute risk with COC (95% CI)
Low-risk thrombophilia 
 Heterozygous FVL 0.5% (0.1-1.3%)/y50
By age 45: 12%64  
RR 5.89 (4.21-8.23)45  0.49 (0.18-1.07) to 2.0
(0.07-0.41) per 100 pill-years45  
 Heterozygous PGM 0.4% (0.1-1.1%)/y RR 5.24 (2.69-10.20)45  
High-risk thrombophilia 
 Homozygosity of FVL or PGM or double heterozygosityb FVL: 1.8% (0.1-4.0%)/y50  RR 7.15 (2.93-17.45)45  0.86 (0.10-3.11) per 100 pill-years45  
 AT, PC, or PS deficiency 1.5% (0.7-2.8%)/y50
By age 45: AT: 41%, PC: 26%, PS: 21%64  
4.3 (1.4-9.7) to 4.62 (2.5-7.9) per 100 pill-years45  
Antiphospholipid antibodies Overall: 0.8-1.02 per 100 PY65,66
LAC: 1.3% per year; 5.9% (1.2-10.6%) at 10 y67
Triple positivec: 9.8% at 2 y; 37.1% at 10 y68  
Sickle cell trait Overall: 0.438 (0.324-0.720)/100 PY
<70 y: 0.265 (0.139-0.469)/100 PY69  
OR 6.7 (1.0-43)60  
Sickle cell disease 3.58 (0.04-25.4)/100 PY69;
11.3% (8.3-15.3%) by age 4070  
Condition typeBaseline VTE incidence (95% CI)RR with COC (95% CI)aAbsolute risk with COC (95% CI)
Low-risk thrombophilia 
 Heterozygous FVL 0.5% (0.1-1.3%)/y50
By age 45: 12%64  
RR 5.89 (4.21-8.23)45  0.49 (0.18-1.07) to 2.0
(0.07-0.41) per 100 pill-years45  
 Heterozygous PGM 0.4% (0.1-1.1%)/y RR 5.24 (2.69-10.20)45  
High-risk thrombophilia 
 Homozygosity of FVL or PGM or double heterozygosityb FVL: 1.8% (0.1-4.0%)/y50  RR 7.15 (2.93-17.45)45  0.86 (0.10-3.11) per 100 pill-years45  
 AT, PC, or PS deficiency 1.5% (0.7-2.8%)/y50
By age 45: AT: 41%, PC: 26%, PS: 21%64  
4.3 (1.4-9.7) to 4.62 (2.5-7.9) per 100 pill-years45  
Antiphospholipid antibodies Overall: 0.8-1.02 per 100 PY65,66
LAC: 1.3% per year; 5.9% (1.2-10.6%) at 10 y67
Triple positivec: 9.8% at 2 y; 37.1% at 10 y68  
Sickle cell trait Overall: 0.438 (0.324-0.720)/100 PY
<70 y: 0.265 (0.139-0.469)/100 PY69  
OR 6.7 (1.0-43)60  
Sickle cell disease 3.58 (0.04-25.4)/100 PY69;
11.3% (8.3-15.3%) by age 4070  
a

RR estimates derived from case-control studies without a family history of VTE.

b

The majority of the data in this group comes from patients with homozygous FVL.

c

Triple positive: LAC, anticardiolipin antibody, and beta-2 glycoprotein antibody positivity.

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