The challenges of managing cancer related venous thromboembolism in the palliative care setting
Identifieur interne : 001C90 ( Pmc/Corpus ); précédent : 001C89; suivant : 001C91The challenges of managing cancer related venous thromboembolism in the palliative care setting
Auteurs : S. NobleSource :
- Postgraduate Medical Journal [ 0032-5473 ] ; 2007.
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
PubMed: 17989265
PubMed Central: 2659959
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<front><journal-meta><journal-id journal-id-type="nlm-ta">Postgrad Med J</journal-id><journal-title>Postgraduate Medical Journal</journal-title><issn pub-type="ppub">0032-5473</issn><issn pub-type="epub">1469-0756</issn><publisher><publisher-name>BMJ Group</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">17989265</article-id><article-id pub-id-type="pmc">2659959</article-id><article-id pub-id-type="publisher-id">pj61622</article-id><article-id pub-id-type="doi">10.1136/pgmj.2007.061622</article-id><article-categories><subj-group subj-group-type="heading"><subject>Palliative Care</subject></subj-group></article-categories><title-group><article-title>The challenges of managing cancer related venous thromboembolism in the palliative care setting</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Noble</surname><given-names>S</given-names></name></contrib></contrib-group><author-notes><corresp>Correspondence to: Dr S Noble<break></break>Department of Palliative Medicine, Ward B6N, Royal Gwent Hospital, Cardiff Rd, Newport, NP20 2UB, UK; simon.noble@gwent.wales.nhs.uk</corresp></author-notes><pub-date pub-type="ppub"><month>11</month><year>2007</year></pub-date><volume>83</volume><issue>985</issue><fpage>671</fpage><lpage>674</lpage><history><date date-type="received"><day>14</day><month>5</month><year>2007</year></date><date date-type="accepted"><day>18</day><month>7</month><year>2007</year></date></history><permissions><copyright-statement>Copyright © 2007 The Fellowship of Postgraduate Medicine</copyright-statement></permissions><abstract><p>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.</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></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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