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The challenges of managing cancer related venous thromboembolism in the palliative care setting

Identifieur interne : 007580 ( Main/Merge ); précédent : 007579; suivant : 007581

The challenges of managing cancer related venous thromboembolism in the palliative care setting

Auteurs : S. Noble

Source :

RBID : ISTEX:5FBFE9DA139920903C2B63356C42E1312105B53C

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.

Url:
DOI: 10.1136/pgmj.2007.061622

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ISTEX:5FBFE9DA139920903C2B63356C42E1312105B53C

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