**7.5 Guidelines for VTE prophylaxis in cancer patients**

The recommendation of the American College of Chest Physicians (ACCP) guidelines on prevention of VTE recommends prophylaxis for acutely ill hospitalized medical/surgical patients with cancer (215). However, the compliance of oncologists with the recommendations remains low (216) and this may be due to lack of awareness or unfounded fear of bleeding within the oncology community. Institution-based VTE prophylaxis guidelines with risk for VTE stratification followed by effective monitoring and auditing policy by the institution and sustained awareness campaigns could have a significant positive impact.
