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January 1, 2014Hospital Practice

Venous Thromboembolism in Cancer Patients

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Key result

LMWH is recommended for initial and long-term cancer-related VTE management despite unknown optimal duration.

Why the study?

Venous thromboembolism is a common and serious complication in cancer patients with distinct risk factors and management challenges that require updated synthesis of current knowledge.

Population

Cancer patients with or at risk of venous thromboembolism

Comparison

Various anticoagulation strategies including LMWH, enoxaparin, UFH, fondaparinux, and inferior vena cava filters

Design

Literature review

Authors

ADAileen DengNovant HealthTGTaki GalanisThomas Jefferson UniversityMGMark G. GrahamRoyal Alexandra Hospital

Discussion

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Member takes

Overview

LMWH preferred for cancer VTE; leaves optimal duration open for prospective trials.

Structured PICO

P
Population
Cancer patients with or at risk of venous thromboembolism (VTE)
I
Intervention
Anticoagulation (including low molecular weight heparin [LMWH], enoxaparin, unfractionated heparin [UFH], fondaparinux) and inferior vena cava filters

This review highlights that LMWH is the preferred anticoagulant for initial and long-term management of cancer-associated VTE, and emphasizes the use of risk assessment models like the Khorana Risk Score.

Limitations

  • Optimal duration of anticoagulation in cancer patients with VTE is unknown
  • Insufficient data to determine whether anticoagulation should be held in the setting of thrombocytopenia
  • Management of catheter-associated thrombosis has not been well studied in cancer patients

Cite This Study

Deng et al. (2014) conducted a review in Venous thromboembolism in cancer patients. Anticoagulation was evaluated. Low molecular weight heparin is recommended for both initial and long-term management of cancer-related venous thromboembolism, though optimal duration of anticoagulation remains unknown.

synapsesocial.com/papers/6aabae254541ccb89aca309bhttps://doi.org/10.3810/hp.2014.12.1167
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Epidemiology of cancer-associated venous thrombosis2013 · 1,219 citations
  2. 2Incidence of Venous Thromboembolism and Its Effect on Survival Among Patients With Common Cancers2006 · 1,301 citations
  3. 3Body Height and Risk of Venous Thromboembolism: The Tromso Study2010 · 132 citations
  4. 4Effect of ethnicity and gender on the incidence of venous thromboembolism in a diverse population in California in 19962005 · 301 citations
  5. 5Recombinant Human Erythropoietins and Cancer Patients: Updated Meta-Analysis of 57 Studies Including 9353 Patients2006 · 549 citations