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Venous thromboembolism (VTE) is a common disease complication in cancer patients and the second cause of

 


Abstract

Venous thromboembolism (VTE) is a common disease 


complication in cancer patients and the second cause of 


death after cancer progression. VTE management and 


prophylaxis are critical in cancer patients, but 


effective therapy can be challenging because these 


patients are at higher risk of VTE recurrence and 


bleeding under anticoagulant treatment. Numerous 


published studies report inconsistent implementation of 


existing evidence-based clinical practice guidelines 


(CPG), including underutilization of 


thromboprophylaxis, and wide variability in clinical 


practice patterns across different countries and 


various practitioners. This review aims to summarize 


the 2019 ITAC-CME evidence-based CPGs for treatment and 


prophylaxis of cancer-related VTE, which include 


recommendations on the use of direct oral 


anticoagulants specifically in cancer patients. The 


guidelines underscore the gravity of developing VTE in 


cancer and recommend the best approaches for treating 


and preventing cancer-associated VTE, while minimizing 


unnecessary or over-treatment. Greater adherence to the 


2019 ITAC guidelines could substantially decrease the 


burden of VTE and improve survival of cancer patients.

PMID: 32057323 [PubMed - in process]

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pubmed: caandvteortroorpul

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Authors: Kakkos SK, Arnaoutoglou E, Tsolakis IA, 


Giannoukas A, Papadimitriou CA, Kentepozidis N, 


Boukovinas I, Kalofonos HP, Labropoulos N, Matsagkas M


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