Key points to optimizing management and research on cancer-associated thrombosis
-
A. Carmona-Bayonas [4] ; M. Sánchez-Cánovas [4] ; J. M. Plasencia [4] ; A. Custodio [1] ; E. Martínez de Castro [2] ; J. A. Virizuela [5] ; F. Ayala de la Peña [4] ; P. Jiménez-Fonseca [3]
-
[1] Hospital Universitario La Paz
Hospital Universitario La Paz
Madrid, España
-
[2] Hospital Universitario Marqués de Valdecilla
Hospital Universitario Marqués de Valdecilla
Santander, España
-
[3] Hospital Universitario Central de Asturias
Hospital Universitario Central de Asturias
Oviedo, España
-
[4] Hospital Universitario Morales Meseguer, España
-
[5] Hospital Universitario Virgen de Macarena, España
-
- Localización: Clinical & translational oncology, ISSN 1699-048X, Vol. 20, Nº. 2 (February 2018), 2018, págs. 119-126
- Idioma: inglés
- Texto completo no disponible (Saber más ...)
-
Resumen
Despite the fact that thromboembolism is relatively common in oncology patients and that the interrelationship between thrombotic risk and specific mechanisms of tumorigenesis has long been known, many cardinal elements of prevention and treatment remain unresolved. Among the existing knowledge gaps, the need to validate the Ay scale and compare it to the Khorana index, develop, and standardize the use of predictive biomarkers for thrombotic risk, conduct clinical trials in thromboprophylaxis adapted to thrombotic risk, evaluate the efficacy and safety of direct anticoagulants, select patients who can benefit from anticoagulants for antitumor treatment, validate the EPIPHANY study decision tree to choose patients with low-risk pulmonary embolism, and accumulate more practical experience in special situations (rethrombosis, prolonged therapy beyond 6 months, etc.) are especially remarkable. These gray areas surrounding cancer-related thromboembolism explain why it continues to be a relatively common cause of serious events, at times interfering significantly with the development of new tumor-fighting strategies.
