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Risk factors associated with venous thromboembolism in breast cancer: a narrative review

Purpose To date, there is no universally acceptable risk assessment tool in clinical practice that accurately estimates the risk of venous thromboembolism (VTE) in patients with breast cancer, despite the large number of published studies. Thus, the aim of this narrative review was to summarize the...

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Published in:Supportive care in cancer 2022-10, Vol.30 (10), p.8589-8597
Main Authors: Razouki, Zayd Adnan, Ali, Nadeen T., Nguyen, Vinh Q., Escalante, Carmen P.
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description Purpose To date, there is no universally acceptable risk assessment tool in clinical practice that accurately estimates the risk of venous thromboembolism (VTE) in patients with breast cancer, despite the large number of published studies. Thus, the aim of this narrative review was to summarize the most relevant risk factors for VTE in these patients. Methods We searched Ovid Embase and Ovid MEDLINE, from inception to March 26, 2021, to identify all articles that focused on breast cancer and multiple thromboembolic diseases. We also searched the references section of relevant articles to identify studies. We did not include case reports or case series with small sample size, N  
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Thus, the aim of this narrative review was to summarize the most relevant risk factors for VTE in these patients. Methods We searched Ovid Embase and Ovid MEDLINE, from inception to March 26, 2021, to identify all articles that focused on breast cancer and multiple thromboembolic diseases. We also searched the references section of relevant articles to identify studies. We did not include case reports or case series with small sample size, N  &lt; 20. Results VTE in patients with breast cancer was strongly associated with patient-, tumor-, and non-tumor-related risk factors, such as age, disease stage, central catheter placement, and chemotherapy and tamoxifen use, especially within 2 years of breast cancer diagnosis. CDK inhibitors are emerging factors that may also increase the risk of VTE. Conclusions The risk of VTE in patients with breast cancer depends on various patient-, tumor-, and non-tumor-related risk factors. Identifying these risk factors during breast cancer diagnosis and treatment is essential in developing a practical dynamic predictive tool that can help individualize strategies to prevent VTE.</description><identifier>ISSN: 0941-4355</identifier><identifier>EISSN: 1433-7339</identifier><identifier>DOI: 10.1007/s00520-022-07045-y</identifier><identifier>PMID: 35511300</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Breast cancer ; Cancer ; Chemotherapy ; Medical diagnosis ; Medicine ; Medicine &amp; Public Health ; Nursing ; Nursing Research ; Oncology ; Oncology, Experimental ; Pain Medicine ; Patients ; Pulmonary embolisms ; Rehabilitation Medicine ; Review Article ; Risk assessment ; Risk factors ; Tamoxifen ; Thromboembolism ; Thrombosis</subject><ispartof>Supportive care in cancer, 2022-10, Vol.30 (10), p.8589-8597</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2022</rights><rights>2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><rights>COPYRIGHT 2022 Springer</rights><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2022.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-3341962a13dd7129f0c7a01285067b1deba1ff52f155a2df5711fe4d7ba891aa3</citedby><cites>FETCH-LOGICAL-c372t-3341962a13dd7129f0c7a01285067b1deba1ff52f155a2df5711fe4d7ba891aa3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2718009369/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2718009369?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,778,782,21381,21382,27911,27912,33598,33599,34517,34518,43720,44102,73976,74394</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35511300$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Razouki, Zayd Adnan</creatorcontrib><creatorcontrib>Ali, Nadeen T.</creatorcontrib><creatorcontrib>Nguyen, Vinh Q.</creatorcontrib><creatorcontrib>Escalante, Carmen P.</creatorcontrib><title>Risk factors associated with venous thromboembolism in breast cancer: a narrative review</title><title>Supportive care in cancer</title><addtitle>Support Care Cancer</addtitle><addtitle>Support Care Cancer</addtitle><description>Purpose To date, there is no universally acceptable risk assessment tool in clinical practice that accurately estimates the risk of venous thromboembolism (VTE) in patients with breast cancer, despite the large number of published studies. 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Thus, the aim of this narrative review was to summarize the most relevant risk factors for VTE in these patients. Methods We searched Ovid Embase and Ovid MEDLINE, from inception to March 26, 2021, to identify all articles that focused on breast cancer and multiple thromboembolic diseases. We also searched the references section of relevant articles to identify studies. We did not include case reports or case series with small sample size, N  &lt; 20. Results VTE in patients with breast cancer was strongly associated with patient-, tumor-, and non-tumor-related risk factors, such as age, disease stage, central catheter placement, and chemotherapy and tamoxifen use, especially within 2 years of breast cancer diagnosis. CDK inhibitors are emerging factors that may also increase the risk of VTE. Conclusions The risk of VTE in patients with breast cancer depends on various patient-, tumor-, and non-tumor-related risk factors. Identifying these risk factors during breast cancer diagnosis and treatment is essential in developing a practical dynamic predictive tool that can help individualize strategies to prevent VTE.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>35511300</pmid><doi>10.1007/s00520-022-07045-y</doi><tpages>9</tpages></addata></record>
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subjects Breast cancer
Cancer
Chemotherapy
Medical diagnosis
Medicine
Medicine & Public Health
Nursing
Nursing Research
Oncology
Oncology, Experimental
Pain Medicine
Patients
Pulmonary embolisms
Rehabilitation Medicine
Review Article
Risk assessment
Risk factors
Tamoxifen
Thromboembolism
Thrombosis
title Risk factors associated with venous thromboembolism in breast cancer: a narrative review
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