Anticoagulants Do Not Reduce Arterial Thrombotic Event Risk in Cancer
FRIDAY, July 7, 2023 (HealthDay News) -- For ambulatory patients on systemic anticancer therapy, anticoagulants do not reduce the risk of arterial thrombotic events (ATEs) and are associated with increased bleeding risk, according to a review published online June 27 in JACC: CardioOncology.
Yan Xu, M.D., from the University of Ottawa in Canada, and colleagues examined the efficacy and safety of anticoagulants in ATE prevention among ambulatory cancer patients. The researchers performed a systematic review of studies comparing oral or parenteral anticoagulation with no anticoagulation among patients receiving systemic anticancer therapy with no other indication for anticoagulation. Data were included from 14 randomized trials involving low-molecular-weight heparins, direct oral anticoagulants, and warfarin. ATEs (myocardial infarction, ischemic stroke, intra-abdominal arterial embolism, or peripheral artery occlusion) were captured as coefficacy end points or adverse events.
The researchers observed no association for anticoagulant use with a decrease in ATEs compared with placebo or standard treatment (relative risk [RR], 0.73; 95 percent confidence interval [CI], 0.50 to 1.04). For major and minor bleeding, the RRs with anticoagulant use were 1.56 (95 percent CI, 1.12 to 2.17) and 2.25 (95 percent CI, 1.45 to 3.48). The risk of death was not reduced with anticoagulants in 13 trials that reported all-cause mortality (RR, 0.99; 95 percent CI, 0.95 to 1.02).
"Our data do not support the routine use of anticoagulation for ATE prevention in ambulatory cancer patients," the authors write.
One author disclosed ties to the pharmaceutical industry.
Related Posts
FDA Warns of Dangers From Skin-Lightening Creams
THURSDAY, Sept. 1, 2022 (HealthDay News) -- Skin-lightening products can be...
AMA Survey Shows Lack of Progress on Prior Authorization Reforms
FRIDAY, May 27, 2022 (HealthDay News) -- Prior authorization reforms are not...
U.S. to Release Flu Meds From National Stockpile to Ease Shortages
WEDNESDAY, Dec. 21, 2022 (HealthDay News) -- The Biden administration announced...
No permita que las alergias se descontrolen durante el embarazo
MARTES, 28 de marzo de 2023 (HealthDay News) -- El embarazo debería ser una...