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• W2769778099 abstract "232 Background: Thromboprophylaxis for oncologic patients represents a huge challenge. The existence of more specific guidelines for anti-thrombotic therapy in hospitalized and ambulatory oncologic patients is an unmet need. Methods: We present an observational, descriptive, retrospective and transversal study, from January 2012 to December 2016, all the oncologic patients hospitalized for any cause in the Hospital Español de México were included. We reviewed clinical files and obtained demographic and disease characteristics necessary to stratify the risk of thromboembolism using the Khorana score. A bivariate analysis was done between the risk of thromboembolism and the use of thromboprophylaxis and a multivariate analysis to identify the reproducibility of Khorana score in Mexican patients. Results: Of the 1048 patients included in the study, 65.6% (688 patients) were categorized by the Khorana score with intermediate risk of thromboembolism, 26% (273 patients) with low risk and 8.4% (87 patients) with high risk. In the low risk group 80.6% used some kind of prophylaxis, in the intermediate risk group 83.2% and in the high risk group 87%, nevertheless only 19.7% met the recommendations published by international guidelines (ASCO, ESMO) and the Khorana score and also this data confirmed the reproducibility of Khorana score in Mexican patients. Conclusions: The 80.3% of all the patients didn’t obey the recommendations stablished by the American and European guidelines. We propose a digital tool to monitor and manage the risk of thrombosis as a health condition associated with cancer. This could be use in an easy way of each member of the multidisciplinary team, to stratify cancer patients by risk to receive the correct prophylactic anti-thrombotic therapy. This is nowadays an unmet need for oncologic patients, and in our country this type of tool, will help to save resources and re-direct them to patients who will actually benefit from the prophylactic treatment." @default.
• W2769778099 created "2017-12-04" @default.
• W2769778099 creator A5080486841 @default.
• W2769778099 date "2017-11-01" @default.
• W2769778099 modified "2023-09-27" @default.
• W2769778099 title "Development of a digital tool to assess the risk of thromboembolic disease and prescription of prophylactic anti-thrombotic therapy in oncologic patients." @default.
• W2769778099 doi "https://doi.org/10.1200/jco.2017.35.31_suppl.232" @default.
• W2769778099 hasPublicationYear "2017" @default.
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