MASCC Hemostasis Study Group
Leadership
Chair: Carmen Escalante, MD - USA Vice-Chair: Thomas Butler, MD - USA Vice-Chair: Carme Font, MD - Spain
For more information or to contact the Study Group Leaders, please send an email to [email protected].
Mission
- To keep up to date with current guideline regarding treating cancer patients with bleeding and clotting problems related to their disease
- To evaluate current guidelines for their merit and deficiencies in providing adequate treatment to cancer patients with coagulation problems
- To promote multinational and multidisciplinary cooperative networks among those involved in the care of cancer patients with thrombotic and bleeding complications; including physicians, nurses, pharmacists, psychologists, and other professionals involved in patient education
- To focus on anticoagulation treatment and quality of life in cancer patients in different settings during the cancer journey: VTE prevention and management; outpatient and inpatient settings; VTE and bleeding complications in patients receiving active cancer-specific treatments as well as those receiving palliative care
Research Highlights
The Clinical Course of Venous Thromboembolism May Differ With Cancer Site Carme Font is one of a large group of investigators who have collaborated on a study of differences in the clinical course of venous thromboembolism (VTE) in relation to specific cancer sites. The study included data from almost 4000 adult patients with active cancer. Significant differences in the clinical profile of VTE-related outcomes were associated with tumor location. The findings suggest that individualized anticoagulation strategies for cancer-related VTE could improve outcomes and quality of life, while reducing treatment costs. >> Read more.
Incidental Venous Thromboembolism in Cancer Patients on Routine CT Scans In a prospective cohort study, Carmen Escalante et al. investigated the prevalence of incidental venous thromboemtolism (VTE) in almost 1100 adult cancer patients on routine staging CT scans of the chest, abdomen, or pelvis. The research team also documented symptoms associated with incidental VTEs and determined the incidence of VTE recurrence in these patients after 3 and 6 months. >> Read more.
Romiplostim for the Management of Chemotherapy-Induced Thrombocytopenia Chemotherapy-induced thrombocytopenia (CIT) can interfere with the optimal course of chemotherapy by necessitating schedule delays and dosage reductions. Some patients experience more severe or persistent thrombocytopenia than others, and their responses are neither well understood nor predictable. Both the prevention and management of CIT are critical in order for patients to benefit fully from chemotherapy. Recently, Dr. Rekha Parameswaran and colleagues reported on the successful use of weekly romiplostim for reducing CIT. Their review included both response to romiplostim therapy and toxicity assessment. >> Read more
Outpatient Management of Pulmonary Embolism in Cancer Dr. Carme Font and colleagues in Spain conducted a prospective cohort study to determine the feasibility of outpatient treatment for patients with cancer and sudden, symptomatic vs. incidental PE. They assessed thromboembolism recurrence, major bleeding, and all-cause mortality. The authors also compared the performance of four different prognostic scales in predicting mortality and identifying patients who might be treated at home. The results suggest that a large proportion of patients with cancer and PE can be safely treated as outpatients, particularly those with incidental PE. >> Read more
Guideline Development Project: Reviewers Needed
MASCC/ISOO Guidelines for Preventing Cancer-Associated Thrombosis (CAT) The Study Group is in the process of developing clinical practice guidelines for the prevention of cancer-associated thrombosis. The goals of the project are to review the recent literature, make recommendations for the prevention of venous thrombosis, and develop educational tools about cancer-associated thrombosis. Reviewers are needed to assist with literature review and to provide input as we work toward completing the guidelines. This is a great opportunity to get involved with the work of the Study Group. For more details and contact information, see Hemostasis Guideline Project.
Now Recruiting Participants!
Treatment Adherence, Quality of Life, and Resource Utilization during Anticoagulant Therapy for Cancer-Related VTE Cristhiam Rojas Hernandez, a member of the Hemostasis Study Group, is the principal investigator of a clinical research project titled “Measurement of Adherence and Health-related Quality of Life, and Health-care Resource Utilization during Anticoagulation Therapy in Cancer-related Venous Thromboembolism.” The objectives of the study are to assess self-reported adherence and the HRQL change at different long-term time points during anticoagulation treatment of cancer-related VTE associated with different anticoagulation strategies. For eligibility criteria and contact information, see VTE Treatment Adherence Study.
2017 Workshop
2017 Annual Meeting Workshop, June 22, Washington, DC Update on Venous Thromboembolism: Approach and Challenges
This workshop, held jointly by the Hemostasis and Education Study Groups, brought together a multinational group of experts to review current evidence and needed knowledge regarding cancer-associated venous thromboembolism (VTE). It included discussions of the clinical challenges and promoted the education of patients, providers, and family members. Workshop presentations are listed below and slide sets are available for review. Workshop Chairs: Carme Font, Carmen Escalante, Thomas Butler, Paz Fernández-Ortega
Workshop Presentations & Slides
Primary Thromboprophylaxis for Cancer Outpatients on Chemotherapy: Case Study  Carme Font, MD, Medical Oncology Department, Hospital Clinic Barcelona, Barcelona, Spain
Primary Thromboprophylaxis in Ambulatory Cancer Patients: Current Guidelines and Updated Evidence  Taylor Butler, PharmD, BCOP, Department of Veteran Affairs, Tennessee Valley Healthcare System, Nashville, Tennessee, USA
Patient-Centered Treatment of Cancer-Associated VTE. Does One Size Fit All? Simon Noble, MD, FRCP, Cardiff University, Wales, UK
Shared Decision-Making in Anticoagulation: Patient, Provider, Family / Friends  Annie Young, University of Warwick and University Hospitals Coventry and Warwickshire, Great Britain, UK
Update on Direct Oral Anticoagulants: A Perspective Beyond the Cancer VTE Guidelines  Chrishiam M. Rojas-Hernandez, MD, MD Anderson Cancer Center, Houston, Texas. USA
Challenging Case Study: VTE Treatment — “How Long Is Long Enough?”  Thomas W. Butler, MD, FACP, University of South Alabama, Mitchell Cancer Institute, Mobile, Alabama, USA
Best Practices: Approaches to Educating and Engaging Patients on VTE Prevention  by Judy Phillips, DNP, FNP-BC, AOCN, Cancer Care of Western North Carolina, Lenoir-Rhyne University, North Carolina, USA
Recent Member Publications
Recent Study Group member publications related to bleeding and clotting complications in cancer patients.
Practice Resources: Guidelines
National Comprehensive Cancer Network Guidelines on Cancer-Associated Venous Thromboembolic Disease
American Society of Clinical Oncology Venous Thromboembolism Prophylaxis and Treatment in Patients With Cancer Update
Management of Venous Thromboemtolism (VTE) in Cancer Patients: ESMO Clinical Practice Guidelines
Evaluation of Patients With Suspected Acute Pulmonary Embolism: Best Practice Advice From the Clinical Guidelines Committee of the American College of Physicians (not specifically for cancer patients)
Antithrombotic Therapy for VTE Disease: CHEST Guideline and Expert Panel Report (not exclusively for cancer patients)
Practice Resources: Upcoming Events
Annual Meeting of International Society on Thrombosis and Haemostasis (ISTH) SCC July 18-21, 2018 Dublin, Ireland The ISTH will present the 64th Annual Scientific and Standardization Committee (SSC) meeting in Dublin. The meeting brings together the world's leading experts and offers a platform for scientific and clinical working groups to lay the foundation for future breakthroughs. SSC 2018 will consider current diagnostic and therapeutic challenges, novel approaches, and standards to facilitate real-time and patient-centric solutions. For more information and registration: http://www.ssc2018.org.
Webcast
What's New in the Management of Blood Clots for Cancer Patients Richard J. Gralla, MD, Rekha Parameswaran, MD, David A. Slosky, MD, Carolyn Messner, DSW, MSW. This 2012 webcast on the management of blood clots for cancer patients is available at Cancercare.org. You can view the webcast online or download an MP3 file. Topics include new treatments for venous thromboembolism, clinical trials and treatment options, the role of the FDA, and new clinical management strategies.
Please contact the Study Group Chairs above with your questions. MASCC Study Group Coordinator, Leslie Johnson
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