Inpatient primary prophylaxis of cancer-associated thromboembolism (CAT).


Journal

Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer
ISSN: 1433-7339
Titre abrégé: Support Care Cancer
Pays: Germany
ID NLM: 9302957

Informations de publication

Date de publication:
Oct 2022
Historique:
received: 01 02 2022
accepted: 09 05 2022
pubmed: 3 6 2022
medline: 28 9 2022
entrez: 2 6 2022
Statut: ppublish

Résumé

Cancer-associated thrombosis (CAT) increases morbidity and mortality in oncology patients. The risk of CAT is increased with hospitalization for acute medical illness. The goal of this review will be to examine the available evidence for (1) risk assessment and (2) primary thromboprophylaxis, (3) international published guideline recommendations, and (4) future directions to manage oncology patients admitted for an acute medical illness. A review was performed for each subject to gather information on the available evidence and recommendations available for oncology patients hospitalized for an acute medical illness. Risk assessments for thrombosis are primarily developed and validated in the general population. There is not a risk assessment that has specifically been developed and validated in oncology patients hospitalized for an acute medical illness. Most evidence for thromboprophylaxis of oncology patients is from sub-group analysis of larger randomized-controlled trials in the general population. Evidence is conflicting and suggests an individualized approach evaluating the risk-benefit of thromboprophylaxis. The strength of recommendations of international guidelines is limited because of the available evidence. Guidelines usually recommend utilizing and/or offering thromboprophylaxis to oncology patients hospitalized for an acute medical illness barring contraindications. Future evidence needs to improve risk assessments and knowledge of the appropriate agent, dose, and duration of thromboprophylaxis if indicated. Evidence for risk assessments and primary prophylaxis for oncology patients hospitalized for acute medical illness appears limited, with many research opportunities available to improve understanding on management of this patient population.

Identifiants

pubmed: 35655046
doi: 10.1007/s00520-022-07137-9
pii: 10.1007/s00520-022-07137-9
doi:

Substances chimiques

Anticoagulants 0

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

8501-8509

Informations de copyright

© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

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Auteurs

Taylor W Butler (TW)

Department of Pharmaceutical Sciences, Vanderbilt University Medical Center, Nashville, TN, USA. Taylor.w.butler@vumc.org.

Nadeen T Ali (NT)

Department of Pharmacology, Faculty of Pharmacy, University of Khartoum, Alyarmouk College, Khartoum, Sudan.

Mateusz J Spalek (MJ)

Department of Soft Tissue/Bone Sarcoma and Melanoma, Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland.

Sara Scott (S)

Department of Pharmaceutical Sciences, University of Kansas Medical Center, Kansas City, KS, USA.

Nikolaos Tsoukalas (N)

Medical Oncology Department, 401 General Military Hospital, Athens, Greece.

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