**12. Cancer patients**


Approaching Venous Thrombosis in General Surgery Patients 191

[1] Geerts WH, Pineo GF, Heit JA, et al. Prevention of venous thromboembolism: the

[2] National Institute for Health and Clinical Excellence. Reducing the risk of venous

[3] Geerts WH, Bergqvist D, Pineo GF, Heit JA, Samama CM, Lassen MR, Colwell CW.

[4] Selby R, Geerts W. Prevention of venous thromboembolism: consensus, controversies,

[5] Serin K, Yanar H, Ozdenkaya Y, Tuğrul S, Kurtoğlu M. Venous thromboembolism

[7] Khorana AA: Malignancy, thrombosis and Trousseau: The case for an eponym. J Thromb

[8] Falanga A: The incidence and risk of venous thromboembolism associated with cancer

[9] Khorana AA, Francis CW, Culakova E, et al: Frequency, risk factors, and trends for

[10] Khorana AA, Francis CW, Culakova E, et al: Thromboembolism is a leading cause of

[11] Sorensen HT, Mellemkjaer L, Olsen JH, et al: Prognosis of cancers associated with

[12] Chew HK, Wun T, Harvey D, et al: Incidence of venous thromboembolism and its

venous thromboembolism among hospitalized cancer patients. Cancer 110:2339-

death in cancer patients receiving outpatient chemotherapy. J Thromb Haemost

effect on survival among patients with common cancers. Arch Intern Med 166:458-

and nonsurgical cancer treatment. Cancer Invest 27:105-115, 2009

venous thromboembolism. N Engl J Med 343:1846-1850, 2000

Seventh ACCP Conference on Antithrombotic and Thrombolytic Therapy. Chest

thromboembolism (deep vein thrombosis and pulmonary embolism) in inpatients undergoing surgery. NICE clinical guideline No. 46:1–160. Available at:

Prevention of venous thromboembolism: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). Chest. 2008 Jun;133(6

and challenges. Hematology Am Soc Hematol Educ Program. 2009:286-92.

prophylaxis methods in trauma and emergency surgery intensive care unit patients: low molecular weight heparin versus elastic stockings + intermittent pneumatic compression]. Ulus Travma Acil Cerrahi Derg 2010;16 (2):130-134 [6] Kurtoglu M, Yanar H, Bilsel Y, Guloglu R, Kizilirmak S, Buyukkurt D, Granit V, Ulus

Travma Acil Cerrahi Derg. 2010 Mar;16(2):130-4. Venous thromboembolism prophylaxis after head and spinal trauma: intermittent pneumatic compression devices versus low molecular weight heparin. World J Surg. 2004 Aug;28(8):807-

LMWH or a VKA (target INK, 2.5; range, 2.0 to 3.0) (Grade 2C).

**15. References** 

2004; 126: 338S–400S

Suppl):381S-453S.

Haemost 1:2463-2465, 2003

Review.

11.

2346, 2007

464, 2006

5:632-634, 2007

http://www.nice.org.uk/CG046.

undergo inpatient rehabilitation, ACCP suggest continuing thromboprophylaxis with

recommendations in the relevant surgical subsections. 7.0.2. For cancer patients who are bedridden with an acute medical illness, ACCP recommend routine thromboprophylaxis as for other high-risk medical patients (Grade 1A). Refer to the recommendations in Section 6.0. 7.0.3. For cancer patients with indwelling central venous catheters, ACCP recommend that clinicians not use either prophylactic doses of LMWH (Grade IB), or minidose warfarin (Grade IB) to try to prevent catheter-related thrombosis.

