RT Journal Article
SR Electronic
T1 Venous thromboembolism and palliative care
JF Clinical Medicine
JO Clin Med
FD Royal College of Physicians
SP 315
OP 318
DO 10.7861/clinmedicine.19-4-315
VO 19
IS 4
A1 Simon Noble
YR 2019
UL http://www.rcpjournals.org/content/19/4/315.abstract
AB The management of cancer-associated thrombosis (CAT) is largely informed by data from adequately powered randomised control trials. However, their exclusion criteria have invariably rendered the study populations unrepresentative of those seen day-to-day by palliative care practitioners.Recent observational data has given insights into the unique challenges of CAT management within the palliative care setting including the natural history of thrombosis in advanced cancer and end-of-life decision making around anticoagulationDespite developments and some on-going uncertainties, one constant remains; the patient and their experiences. We should, wherever possible, involve them in the decision-making process particularly where the evidence is lacking. By appreciating the values and concerns of our patients, we shall be able to plan care that most meets their needs.