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Effectiveness of a multidisciplinary care program for the management of venous thromboembolism in cancer patients: a pilot study
- Source :
- Journal of thrombosis and thrombolysis. 53(2)
- Publication Year :
- 2021
-
Abstract
- Treatment of Venous thromboembolism (VTE) in cancer patients is challenging due to higher risk of VTE recurrence or bleeding under anticoagulants. We assessed the effectiveness of a dedicated "Allo-Thrombosis Cancer" multidisciplinary care program (AlloTC-MCP) that incorporated individualized care, regular follow-ups, telephone counselling, and a patient education program.From September 2017 to October 2019, 100 consecutive cancer patients with new VTE onset were enrolled in this observational single-center prospective pilot study and received standard (control group, n = first 50 patients enrolled) or AlloTC-MCP care (n = next 50 patients enrolled) over a 6-month VTE treatment follow-up period. Primary end-point was the percentage of adherence to the International Clinical Practice Guidelines (ITAC-CPGs) at 6 (M6) month follow-up.Among the 100 patients with different cancer types (22% genitourinary, 19% breast, 16% gastrointestinal, 15% lymphoma, 11% lung and 17% others), 51 patients (61%) had metastatic disease and 31 (31%) received chemotherapy alone. Main baseline cancer and VTE clinical characteristics did not differ between the 2 groups. Adherence rates to ITAC-CPGs was significantly higher in the AlloTC-MCP group (100% (M0), 72% (M3) and 68% (M6)) compared with the control group (84% (M0), 8% (M3) and 16% (M6)). Quality of Life (QoL) was significantly improved in the AlloTC-MCP group 6 months after inclusion.The "AlloTC-MCP" was associated with improved adherence to ITAC-CPGs and merits further expansion.
Details
- ISSN :
- 1573742X
- Volume :
- 53
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Journal of thrombosis and thrombolysis
- Accession number :
- edsair.pmid..........3835b6c5c763a09645d29c25b5c7d6f4