The challenges of managing cancer related venous thromboembolism in the palliative care setting
Identifieur interne : 002C81 ( Istex/Corpus ); précédent : 002C80; suivant : 002C82The challenges of managing cancer related venous thromboembolism in the palliative care setting
Auteurs : S. NobleSource :
- Postgraduate Medical Journal [ 0032-5473 ] ; 2007-11.
Abstract
Cancer patients with venous thromboembolism VTE pose particular management challenges since they have an increased risk of bleeding and recurrent thrombosis compared to the non-cancer population. Also, as the disease progresses so do the hazards of anticoagulation, and patients in the palliative stages of their cancer could be viewed as a separate disease group with respect to diagnosis and management. As the focus from curative treatment moves towards symptom control, physicians face several challenges in providing the most appropriate care. Palliative care patients have rarely been included in research on VTE and the supporting evidence needs to be extrapolated cautiously. Quality of life aspects of VTE and their management may be a more appropriate outcome measure in this stage of disease than radiological end points. This paper looks at the challenges facing professionals in the management of VTE in the advanced cancer patient.
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DOI: 10.1136/pgmj.2007.061622
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Also, as the disease progresses so do the hazards of anticoagulation, and patients in the palliative stages of their cancer could be viewed as a separate disease group with respect to diagnosis and management. As the focus from curative treatment moves towards symptom control, physicians face several challenges in providing the most appropriate care. Palliative care patients have rarely been included in research on VTE and the supporting evidence needs to be extrapolated cautiously. Quality of life aspects of VTE and their management may be a more appropriate outcome measure in this stage of disease than radiological end points. This paper looks at the challenges facing professionals in the management of VTE in the advanced cancer patient.</p></abstract><kwd-group><kwd>cancer</kwd><kwd>hospice</kwd><kwd>low molecular weight heparin</kwd><kwd>LMWH</kwd><kwd>palliative care</kwd><kwd>venous thromboembolism</kwd></kwd-group></article-meta></front></article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>The challenges of managing cancer related venous thromboembolism in the palliative care setting</title></titleInfo><titleInfo type="alternative" lang="en" contentType="CDATA"><title>The challenges of managing cancer related venous thromboembolism in the palliative care setting</title></titleInfo><name type="personal"><namePart type="given">S</namePart><namePart type="family">Noble</namePart></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="research-article"></genre><subject><genre>hwp-journal-coll</genre><topic>Editor's choice</topic></subject><originInfo><publisher>The Fellowship of Postgraduate Medicine</publisher><dateIssued encoding="w3cdtf">2007-11</dateIssued><dateCreated encoding="w3cdtf">2007-11-07</dateCreated><copyrightDate encoding="w3cdtf">2007</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType></physicalDescription><abstract lang="en">Cancer patients with venous thromboembolism VTE pose particular management challenges since they have an increased risk of bleeding and recurrent thrombosis compared to the non-cancer population. Also, as the disease progresses so do the hazards of anticoagulation, and patients in the palliative stages of their cancer could be viewed as a separate disease group with respect to diagnosis and management. As the focus from curative treatment moves towards symptom control, physicians face several challenges in providing the most appropriate care. Palliative care patients have rarely been included in research on VTE and the supporting evidence needs to be extrapolated cautiously. Quality of life aspects of VTE and their management may be a more appropriate outcome measure in this stage of disease than radiological end points. This paper looks at the challenges facing professionals in the management of VTE in the advanced cancer patient.</abstract><subject><genre>keywords</genre><topic>cancer</topic><topic>hospice</topic><topic>low molecular weight heparin</topic><topic>LMWH</topic><topic>palliative care</topic><topic>venous thromboembolism</topic></subject><relatedItem type="host"><titleInfo><title>Postgraduate Medical Journal</title></titleInfo><titleInfo type="abbreviated"><title>Postgrad Med J</title></titleInfo><genre type="journal">journal</genre><identifier type="ISSN">0032-5473</identifier><identifier type="eISSN">1469-0756</identifier><identifier type="PublisherID">pmj</identifier><identifier type="PublisherID-hwp">postgradmedj</identifier><identifier type="PublisherID-nlm-ta">Postgrad Med J</identifier><part><date>2007</date><detail type="volume"><caption>vol.</caption><number>83</number></detail><detail type="issue"><caption>no.</caption><number>985</number></detail><extent unit="pages"><start>671</start></extent></part></relatedItem><identifier type="istex">5FBFE9DA139920903C2B63356C42E1312105B53C</identifier><identifier type="DOI">10.1136/pgmj.2007.061622</identifier><identifier type="href">postgradmedj-83-671.pdf</identifier><identifier type="ArticleID">pj61622</identifier><identifier type="PMID">17989265</identifier><identifier type="local">postgradmedj;83/985/671</identifier><accessCondition type="use and reproduction" contentType="copyright">2007 The Fellowship of Postgraduate Medicine</accessCondition><recordInfo><recordContentSource>BMJ</recordContentSource></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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