Thromboembolic complications in urogenital cancers: incidence, risk factors and prevention

被引:0
作者
Popov, S. V. [1 ]
Guseynov, R. G. [1 ,2 ]
Isakova-Sivak, I. N. [1 ]
Sivak, K. V. [1 ]
Skryabin, O. N. [1 ]
Perepelitsa, V. V. [1 ]
Sengirbaev, D. I. [3 ]
Bunenkov, N. S. [1 ,4 ,5 ,6 ,7 ]
Osipov, P. G. [8 ]
Lelyavina, T. A. [1 ]
机构
[1] St Lukas Clin Hosp, 46 Chugunnaya St, St Petersburg 194044, Russia
[2] St Petersburg State Univ, 79 Univ Skaya Naberezhnaya, St Petersburg 199034, Russia
[3] SD Asfendiyarov Kazakh Natl Med Univ, 94 Tole Bi St, Alma Ata 050000, Kazakhstan
[4] IP Pavlov First St Petersburg State Med Univ, 6-8 Lva Tolstogo St, St Petersburg 197022, Russia
[5] Minist Hlth Russia, 6-8 Lva Tolstogo St, St Petersburg 197022, Russia
[6] VA Almazov Natl Med Res Ctr, 2 Akkuratova St, St Petersburg 197341, Russia
[7] Minist Hlth Russia, 2 Akkuratova St, St Petersburg 197341, Russia
[8] Belgorod City Hosp 2, 46 Gubkina St, Belgorod 308036, Russia
来源
ONKOUROLOGIYA | 2024年 / 20卷 / 01期
关键词
kidney cancer; bladder cancer; prostate cancer; thromboembolism; morbidity; risk factor; prevention; VENOUS THROMBOEMBOLISM; PROPHYLAXIS; ANTICOAGULATION;
D O I
10.17650/1726-9776-2024-20-1-164-173
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Numerous studies indicate a decrease in overall survival among cancer patients who have developed thromboembolic complications. The article presents a review of literature on thromboembolic complications in patients with kidney, bladder, and prostate cancer. The analysis of publications indicates a variety of risk factors and heterogeneous frequency of thromboembolism in patients with malignant neoplasms of the genitourinary system. Prevention of thromboembolism is carried out at all stages of treatment: outpatient, after surgery, during chemotherapy, but is accompanied by a fairly high risk of hemorrhagic complications and recurrences. Direct oral anticoagulants are an alternative to low-molecular-weight heparin for prevention of cancer-associated thromboembolism due to their convenience, efficacy and safety for most patients. An important task is to select patients for primary thromboprophylaxis based on stratification of the risk of thromboembolic complications using prognostic scales.
引用
收藏
页码:164 / 173
页数:10
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