Venous thrombosis associated with pancreatic cancer

Introduction. Cancer-associated thrombosis is a significant prognostic marker in pancreatic neoplasia, with a venous thromboembolism incidence of 17-34%. This study focuses on cancer-associated thrombosis risk factors, screening scores, and treatment options. Materials and Methods. Comprehensive dat...

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Main Authors: Vlad Buică, Camelia Cristina Diaconu, Octavian Andronic
Format: Article
Language:English
Published: MDPI AG 2024-04-01
Series:Journal of Mind and Medical Sciences
Subjects:
Online Access:https://scholar.valpo.edu/cgi/viewcontent.cgi?article=1457&context=jmms
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author Vlad Buică
Camelia Cristina Diaconu
Octavian Andronic
author_facet Vlad Buică
Camelia Cristina Diaconu
Octavian Andronic
author_sort Vlad Buică
collection DOAJ
description Introduction. Cancer-associated thrombosis is a significant prognostic marker in pancreatic neoplasia, with a venous thromboembolism incidence of 17-34%. This study focuses on cancer-associated thrombosis risk factors, screening scores, and treatment options. Materials and Methods. Comprehensive database searches were conducted across Web of Science, PubMed, Reaxys, ScienceDirect, and Scopus. Results. Of the 37 articles reviewed, findings include splanchnic vein thrombosis correlating with pancreatic complications and survival rates. Gender differences in cancer-associated thrombosis risk were inconclusive, while African Americans showed a higher incidence of pulmonary embolism. Various cancer-associated thrombosis staging scores were evaluated, with ONKOTEV score outperforming Khorana. Direct oral anticoagulants were suggested as viable alternatives to low molecular weight heparins. Non-anticoagulant sulfated low molecular weight heparin emerged as a future option, offering reduced bleeding risks with similar efficacy. Conclusions. Managing cancer-associated thrombosis in pancreatic cancer is challenging, highlighting the need for improved understanding, better screening methods, and more effective treatments.
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spelling doaj-art-1044de4c09324335b16e1a10320eca912025-08-20T03:17:27ZengMDPI AGJournal of Mind and Medical Sciences2392-76742024-04-01111424810.22543/2392-7674.1457Venous thrombosis associated with pancreatic cancerVlad Buică0Camelia Cristina Diaconu1Octavian Andronic2Carol Davila University of Medicine and Pharmacy, Faculty of General Medicine, Bucharest, RomaniaCarol Davila University of Medicine and Pharmacy, Faculty of General Medicine, Bucharest, RomaniaCarol Davila University of Medicine and Pharmacy, Faculty of General Medicine, Bucharest, RomaniaIntroduction. Cancer-associated thrombosis is a significant prognostic marker in pancreatic neoplasia, with a venous thromboembolism incidence of 17-34%. This study focuses on cancer-associated thrombosis risk factors, screening scores, and treatment options. Materials and Methods. Comprehensive database searches were conducted across Web of Science, PubMed, Reaxys, ScienceDirect, and Scopus. Results. Of the 37 articles reviewed, findings include splanchnic vein thrombosis correlating with pancreatic complications and survival rates. Gender differences in cancer-associated thrombosis risk were inconclusive, while African Americans showed a higher incidence of pulmonary embolism. Various cancer-associated thrombosis staging scores were evaluated, with ONKOTEV score outperforming Khorana. Direct oral anticoagulants were suggested as viable alternatives to low molecular weight heparins. Non-anticoagulant sulfated low molecular weight heparin emerged as a future option, offering reduced bleeding risks with similar efficacy. Conclusions. Managing cancer-associated thrombosis in pancreatic cancer is challenging, highlighting the need for improved understanding, better screening methods, and more effective treatments.https://scholar.valpo.edu/cgi/viewcontent.cgi?article=1457&context=jmmspancreatic cancervenous thromboembolismonkotev scorelow molecular weight heparin
spellingShingle Vlad Buică
Camelia Cristina Diaconu
Octavian Andronic
Venous thrombosis associated with pancreatic cancer
Journal of Mind and Medical Sciences
pancreatic cancer
venous thromboembolism
onkotev score
low molecular weight heparin
title Venous thrombosis associated with pancreatic cancer
title_full Venous thrombosis associated with pancreatic cancer
title_fullStr Venous thrombosis associated with pancreatic cancer
title_full_unstemmed Venous thrombosis associated with pancreatic cancer
title_short Venous thrombosis associated with pancreatic cancer
title_sort venous thrombosis associated with pancreatic cancer
topic pancreatic cancer
venous thromboembolism
onkotev score
low molecular weight heparin
url https://scholar.valpo.edu/cgi/viewcontent.cgi?article=1457&context=jmms
work_keys_str_mv AT vladbuica venousthrombosisassociatedwithpancreaticcancer
AT cameliacristinadiaconu venousthrombosisassociatedwithpancreaticcancer
AT octavianandronic venousthrombosisassociatedwithpancreaticcancer