Uncovering Clinical Gaps in Cad: A Clinical Practice Assessment

Spyropoulos, Jelena; Padbury, Caroline; Anderson, David

doi:10.1016/s0735-1097(19)33653-8

Cited by 1 publication

(2 citation statements)

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“…In line with our observations, a survey assessing attitudes and barriers in CAT treatment among cardiologists, hematologists, and oncologists, presented at the ISTH 2020 Congress, indicated a substantial lack of knowledge regarding the existence of designated cancer thrombosis guidelines, despite these being available for over a decade. 16 In addition to lack of knowledge, organizational constraints and strengths of habits play an important role in nonadherence to guidelines. 17 Indeed, our findings indicated that the treating physicians were aware that thromboprophylaxis was suboptimal and not distributed according to guidelines.…”

Section: Discussionmentioning

confidence: 99%

“…In another contemporary survey distributed among both cardiologists, oncologists and hematologists, only 21% of physicians felt confident in selecting an appropriate anticoagulant strategy for cancer patients. 16 This underlines an alarming lack of clinical ownership of the topic of cancer-associated thrombosis. Patients with cancer-associated thrombosis have also frequently reported that they feel ill-informed about their thrombotic event and the associated treatment.…”

Section: Discussionmentioning

confidence: 99%

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Management of Cancer-Associated Venous Thrombosis: A Nationwide Survey among Danish Oncologists

Højen

Overvad

Nybo

et al. 2021

TH Open

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Background Treatment patterns for cancer-associated venous thrombosis (CAT) has been shown to be nonconsistent with contemporary guideline recommendations, resulting in poor patient outcomes. Objectives The study aimed to describe contemporary CAT management in Danish oncology departments and identify knowledge gaps and inconsistencies between guidelines and clinical practice. Patients and Methods A survey questionnaire in Danish was developed based on contemporary national guidelines. Using an open recruitment strategy, invitations to participate in the electronic survey were sent to physicians employed at oncology departments in Denmark in winter of 2018/2019. The questionnaire was based on current national guidelines and included 10 items with multiple choices and a free-text option to specify or comment. The questionnaire was pilot-tested by a junior and senior oncologist. Results A total of 142 physicians completed the survey, representing all Danish geographical regions and various seniority. The majority reported that CAT was treated and followed up in oncology departments. However, 36.6% of the physicians were unaware of the existence of designated cancer thrombosis guidelines. Risk of venous thrombosis was generally assessed without diagnostic scores. Almost all (98.6%) reported low-molecular-weight heparin to be first-line treatment for CAT. Treatment duration seemed wrongly influenced by subtype of venous thrombosis, and 44.5% responded that thromboprophylaxis among hospitalized patients was substantially underused. Conclusion The variability in the daily clinical management of CAT demonstrated through this survey indicates a potential to increase awareness of available guidelines, standardized use of inpatient thromboprophylaxis, and organized treatment and follow-up in a multidisciplinary setting, which would potentially improve management of CAT in Denmark.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%