The vision of TREC is to diminish the suffering and burden of venous thrombosis by discovering novel risk factors and disease mechanisms to facilitate personalized prevention and treatment.
TREC is a translational research center which fosters the multidirectional integration of laboratory-, patient-oriented-, and population-based research.
Evaluation of TREC by the Research Council of Norway
27.05.2025
Body height and risk of blood clots in men versus women
01.04.2025
Improved survival in cancer patients with venous thrombosis
Evaluation of TREC by the Research Council of Norway
Evaluation of the Thrombosis Research group (TREC) by international experts commissioned by the Research Council of Norway (EvalMedHelse)
EvalMedHelse, or the Evaluation of Medical and Health Research in Norway, is a nationwide initiative designed to assess the quality, relevance, and societal impact of medical and health research conducted across Norwegian institutions during the years 2012-2022. Commissioned by the Research Council of Norway (RCN), international experts evaluated research institutions, departments and research groups with regards to organization, scientific and public dissemination, and contributions to their specific research fields. The evaluation was based on self-reports and available public information about the institutions, departments and research groups.
TREC Seminar at Sommarøy 2016 Foto: Private
Recently, TREC, a translational research group focusing on the etiology of venous thromboembolism, received the evaluation report from EvalMedHelse 2023-2024. Overall, the research group got a high score, with marks of 4 or 5 on all items (5 is highest). The report highlighted that TREC is a successful and focused translational research group, that TREC during 25 years of research has gained a high international reputation, operating at a very high standard and achieved the position of international opinion leader with a large network of national and international collaborators.
TREC was evaluated as a very well-organized research group with strong leadership. The report further stated that “The research quality in relation to both contribution and leadership in research and outputs are excellent in the specific field of VTE”. “TREC has contributed to the reputation of the institution by substantial international visibility due to publications in high-ranked international peer-reviewed journals as well as many invited and selected oral presentations at important international conferences in the field (e.g., ISTH)”. With regards to societal impact, “TREC has contributed to increase academic competence of medical doctors at hospitals in Norway” and “taken a great focus on dissemination of project results and on increasing the public awareness and knowledge of VTE in the society”.
As a comment to the evaluation report, professor Hansen, the research group leader of TREC, states that “TREC is satisfied by the findings in the evaluation report, and we are encouraged to continue working to improve the organization as well as the scientific and societal relevance and impact of TREC. As the evaluation has been resource-demanding, and a huge effort for everyone involved, it will be exciting to see how the recommendations in the evaluation report will be implemented in the strategies and organization at the institutional- and department levels with goal to improve the framework for research in general and top research in particular”.
Body height and risk of blood clots in men versus women
Is body height a risk factor for venous thromboembolism (VTE) in both men and women, and do men have a higher risk of VTE because they are taller?
Previous studies, including the Tromsø study, have shown a link between body height and risk of VTE in men, but studies in women have shown inconsistent results. Limited study size, and consequently few tall women included in these studies, could potentially explain this inconsistency. We therefore aimed to investigate the risk of VTE according to body height in men and women separately, in a large population-based study. Since men are on average taller than women, we also investigated whether differences in body height could explain differences in VTE risk between men and women in different age groups.
We used a merged cohort of 114,567 individuals from the Tromsø study and the Trøndelag Health Study (HUNT). The participants were followed up over a median of 22 years, and all VTE events during this period were recorded. We found that 10cm increase in body height on average increased the risk of VTE with 34% in men and 23% in women. The risk of VTE was higher in men than in women in the age group 50-74 years, but this difference disappeared after adjustment for differences in body height. In the young (19-49 years) and elderly (≥75 years) there was no difference in VTE risk in men versus women, but the risk was higher in women after adjusting for body height. Our findings indicate that body height mediates the risk of VTE to a larger extent in men than in women in all age groups.
The paper was published in Journal of Thrombosis and Haemostasis in May 2025. You can find the article here:
Improved survival in cancer patients with venous thrombosis
The formation of venous blood clots in the deep veins of the body or in the blood vessels of the lungs, also known as venous thromboembolism (VTE), is a common and potentially fatal condition in cancer. Our recent research data show improved survival in cancer patients with VTE.
Treatment of cancer and VTE has improved in recent decades, but to what extent these improvements have been accompanied by improved survival for cancer patients with VTE remains unclear. Nikolai H. Eide, an MD/PhD student at the Thrombosis Research Group (TREC), and his colleagues at UiT and UNN sought to answer this question by investigating the changes in mortality over the last three decades for cancer patients with VTE.
MD/PhD-student Nikolai Eide in TREC Photo: Private
The researchers analyzed data from two large Norwegian population-based studies, the Tromsø Study and the Trøndelag Health Study (HUNT). A total of 111,119 participants were followed from 1994 to 2019 to explore changes in mortality rates among cancer patients with VTE.
We found that the proportion of patients who died within 1 year after the diagnosis of cancer-related VTE decreased from 62% to 45% in the period 1994 to 2019. The improved survival over time was particularly seen for cancer patients without metastasis, that is, without spread of the cancer cells in the body at the time of cancer diagnosis.
While the study did not pinpoint the exact reasons for the improved survival of cancer-related VTE, several factors might have contributed, especially those related to the major advances in cancer treatment that have been achieved in recent decades. The findings from Eide and colleagues give hope for the future of cancer patients, their families and doctors, and form the basis for further research dedicated to improve the survival in cancer patients with VTE.
Reference: Eide NH, Langholm C, Rinde FB, Van Es N, Hveem K, Brækkan SK, Hansen JB, Morelli VM. Mortality risk after cancer-related venous thromboembolism has decreased over the last three decades: the HUNT and Tromsø studies. Haematologica 2025. Link: https://pubmed.ncbi.nlm.nih.gov/39945012/
Illustration: Cancer patient receiving therapy. Photo: www.mostphotos.com Published: 01.04.2025
Link to this page
Clinical epidemiology and risk factors of venous thromboembolism, Diagnostic and predictive biomarkers of venous thromboembolism, Pathophysiology of venous thromboembolism
Current positions:
Head of Thrombosis Research Group (TREC)
Head of Thrombosis Research Center (TREC), University Hospital of North Norway
Publications
>300 original full papers in peer-reviewed journals listed in PubMed and 22 review articles and 12 book chapters. Contributed to >370 abstracts presented at and published in conjunction with scientific international meetings/conferences. H-index: 51.
Supervision of PhD-students and postdoctors
Completed PhDs: Main supervisor: 35; Co-supervisor: 5
Ongoing PhDs: 7 as main supervisor and 6 as co-supervisor
Mentor for 13 previous and 3 present postdoctors
Other relevant professional experiences
2016-21 Chair of the Subcommittee Diagnostic and predictive variables, ISTH
2015-20 Member of the scientific program committee of the European Haematology Association (EHA)
2015- Member of the organization committee of the European Congress of Thrombosis and Haemostasis (ECTH)
2015 - Associate investigator Centre for Molecular Medicine Norway (NCMM)
2014 -20 Associate editor Journal of Thrombosis and Haemostasis
My main research interest is the epidemiology and pathogenesis of venous thromboembolism (VTE). In order to optimize prevention and treatment of the disease, it is crucial to better understand the mechanisms of venous thrombus formation and how risk factors contribute to or interplay in this process.
I have trained as an epidemiologist within the field of thrombosis and hemostasis, and worked with studies on the relationship between arterial and venous thrombosis, life-style factors and VTE, biomarkers for future VTE, cancer-related VTE, as well as complications after VTE.
Affiliated with TREC in 20% Professor II position, employed by UNN. Full-time Professor at Department of Clinical Medicine, UiO (Research Group: Inflammatory biomarkers in cardiovascular and metabolic disease)
I am a medical doctor and approved specialist in Internal Medicine and Hematology in Brazil. I obtained my first PhD (Hematology) in Brazil in 2000. Given my growing interest in research on the epidemiology of venous thromboembolism (VTE), I moved to the Netherlands in 2014 and started a second PhD at the Department of Clinical Epidemiology (Leiden University Medical Center - LUMC). After obtaining my PhD at LUMC in 2017, I joined the Thrombosis Research Group (TREC) at UiT – The Arctic University of Norway as a researcher.
My main research interest is the epidemiology and pathophysiology of VTE, with a special focus on the investigation of novel VTE biomarkers that could serve as potential targets for VTE prevention and treatment. I have contributed to >65 original full papers in peer-reviewed journals in PUBMED (about 60% of which published from 2019 onwards). I have supervised 3 PhD-students as main supervisor and 4 as co-supervisor to completion of PhD. I am currently main supervisor for 2 and co-supervisor for 4 PhD-students. Since 2022, I have served as Associate Editor in Research and Practice in Thrombosis and Haemostasis (RPTH), the Open Access journal of the International Society on Thrombosis and Haemostasis (ISTH). In 2021 and 2022, I received awards for Outstanding Editorial Board Performance in RPTH.
Department of Clinical Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, 9037 Norway
Pharmacy Building, 4th Floor (F4.210), Universitetsvegen 57, 9019 Tromsø john-bjarne.hansen@uit.no Show map