Risk stratification strategies for cancer-associated thrombosis: an update

Thromb Res. 2014 May:133 Suppl 2:S35-8. doi: 10.1016/S0049-3848(14)50006-0.

Abstract

Rates of venous thromboembolism (VTE) vary substantially between cancer patients. Multiple clinical risk factors including primary site of cancer and systemic therapy, and biomarkers including leukocyte and platelet counts and tissue factor are associated with increased risk of VTE. However, risk cannot be reliably predicted based on single risk factors or biomarkers. New American Society of Clinical Guidelines recommend that patients with cancer be assessed for VTE risk at the time of chemotherapy initiation and periodically thereafter. This narrative review provides an update on risk stratification approaches including a validated Risk Score. Potential applications of risk assessment including targeted thromboprophylaxis are outlined. © 2014 Elsevier Ltd. All rights reserved.

Keywords: Cancer; Prevention; Risk factors; Venous thromboembolism.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Humans
  • Medical Oncology / standards*
  • Neoplasms / epidemiology*
  • Neoplasms / therapy*
  • Practice Guidelines as Topic
  • Risk Factors
  • Venous Thromboembolism / epidemiology*
  • Venous Thromboembolism / prevention & control*