Service de médecine vasculaire, EA Chimère 7516, CHU Amiens, 80054 Amiens, France; F-CRIN INNOVTE network, Saint-Etienne, France.
Département de médecine générale, faculté de médecine, université Grenoble-Alpes, université de Grenoble, techniques de l'ingénierie médicale et de la complexité (TIMC), Grenoble, France.
Arch Cardiovasc Dis. 2024 Jan;117(1):6-15. doi: 10.1016/j.acvd.2023.11.005. Epub 2023 Nov 23.
Venous thromboembolism (VTE) in patients with cancer is associated with a high risk of bleeding complications and hospitalisation, as well as with increased mortality. Good practice recommendations for diagnosis and treatment of VTE in patients with cancer have been developed by a number of professional bodies. Although these guidelines provide consistent recommendations on what treatment should be offered to patients presenting with cancer-associated thromboembolism (CAT), many questions remain unanswered, in particular about the modalities of management (Who? When? Where?) and, for this reason, we have developed a consensus proposal for an appropriate multidisciplinary care pathway for patients with CAT, which is presented in this article. The proposal was informed by the recent scientific literature retrieved through a systematic literature review. This proposal is centred on the development of a shared care plan individualised to each patient's needs and expectations, patient information and shared decision-making to promote adherence, involvement of all relevant hospital- and community- based healthcare providers in the development and implementation of the care plan, and regular re-evaluation of the treatment strategy.
癌症患者的静脉血栓栓塞症（VTE）与出血并发症和住院风险增加以及死亡率升高有关。许多专业机构已经制定了癌症患者 VTE 诊断和治疗的良好实践建议。尽管这些指南就患有癌症相关血栓栓塞症（CAT）的患者应接受何种治疗提供了一致的建议，但仍有许多问题未得到解答，特别是关于管理方式（Who？When？Where？），因此，我们制定了一个适用于 CAT 患者的多学科护理路径的共识建议，本文对此进行了介绍。该建议是通过系统文献回顾检索到的最新科学文献得出的。该建议以制定针对每个患者需求和期望的个性化共享护理计划为中心，包括患者信息和共同决策以促进患者的依从性，让所有相关的医院和社区医疗服务提供者参与护理计划的制定和实施，并定期对治疗策略进行重新评估。
