Effectiveness and safety of lmwh treatment in patients with cancer diagnosed with non-high-riskvenous thromboembolism: Turkish observational study (trebeca)

dc.contributor.authorElkıran, Emin T.
dc.date.accessioned2019-07-11T09:57:40Z
dc.date.available2019-07-11T09:57:40Z
dc.date.issued2018
dc.departmentİnönü Üniversitesien_US
dc.description.abstractWe compared the efficacy and safety of low-molecular-weight heparins (LMWHs) in patients with cancer who are at low risk of venous thromboembolism (VTE). Patients were treated by medical oncologists in Turkey at 15 sites, where they were enrolled and followed up for a period of 12 months. Due to the study design, there was no specific treatment protocol for LMWH. Primary end points were efficacy and the time to change in VTE status. Of the included 250 patients, 239 (95.6%), 176 (70.4%), 130 (52.0%), and 91 (36.4%) completed their day 15, month 3, month 6, and month 12 visits, respectively. Number of patients treated with enoxaparin, bemiparin, and tinzaparin were 133, 112, and 5, respectively. Anticoagulant therapy provoked thrombus resolution in 1.2% and 12.7% of patients using enoxaparin and bemiparin, respectively (P = .004). Thrombus resolution was observed in 81 more patients at month 3 visit. This ratio was 35 (40.2%) of 87 and 46 (54.1%) of 85 patients administered enoxaparin and bemiparin at the third visit, respectively (P = .038). Thrombus resolution was observed in 21 more patients during month 6 visit. This ratio was 5 (7.7%) of 65 and 15 (23.4%) of 64 patients administered enoxaparin and bemiparin at the fourth visit, respectively (P = .022). The LMWH was discontinued in only 2 patients due to gastrointestinal bleeding. This pioneering study shows bemiparin is more effective than enoxaparin in thrombosis resolution and has a similar tolerability profile.en_US
dc.identifier.citationElkıran, ET. (2018). Effectiveness and safety of lmwh treatment in patients with cancer diagnosed with non-high-riskvenous thromboembolism: Turkish observational study (trebeca). Cilt:24 Sayı:6, 973-979 ss.en_US
dc.identifier.doi10.1177/1076029617753538en_US
dc.identifier.endpage979en_US
dc.identifier.issue6en_US
dc.identifier.startpage973en_US
dc.identifier.urihttps://hdl.handle.net/11616/12524
dc.identifier.volume24en_US
dc.language.isoenen_US
dc.publisherSAGE PUBLICATIONS INC, 2455 TELLER RD, THOUSAND OAKS, CA 91320 USAen_US
dc.relation.ispartofClınıcal and applıed thrombosıs-hemostasısen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectMolecular-Weıght Heparınen_US
dc.subjectCell Lung-Canceren_US
dc.subjectClınıcal-Practıceen_US
dc.subjectPreventıonen_US
dc.subjectThrombosısen_US
dc.subjectChemotherapyen_US
dc.subjectBemıparınen_US
dc.subjectProphylaxısen_US
dc.subjectTherapyen_US
dc.subjectUpdateen_US
dc.titleEffectiveness and safety of lmwh treatment in patients with cancer diagnosed with non-high-riskvenous thromboembolism: Turkish observational study (trebeca)en_US
dc.typeArticleen_US

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