‘Spot the CLOT’: Awareness of cancer-associated thrombosis in healthcare providers

Julia Bayadinova, Laurie Sardo, Lynne Penton, Susan Jenkins

Abstract


This article is the third in a dedicated series entitled ‘Spot the CLOT’, which aims to raise awareness of cancer-associated thrombosis (CAT) to improve patient and provider education, patient outcomes and, ultimately, reduce the burden of CAT. The first two articles, entitled ‘The significance of VTE in cancer: Introduction of the Spot the CLOT’ (Sardo et al., 2021) and ‘Spot the CLOT: What cancer patients want to know’ (Bayadinova et al., 2022) described CAT, the knowledge deficits of CAT in cancer patients, and strategies for raising awareness and educating patients diagnosed with cancer. The focus of this third article in the series is promoting awareness of CAT in healthcare providers. It will identify knowledge gaps among medical personnel, suggest tools for identifying patients at highest risk, and offer strategies and available resources for increasing awareness among providers.

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References


Abdol Razak, N. B., Jones, G., Bhandari, M., Berndt, M. C., & Metharom, P. (2018). Cancer-associated thrombosis: An overview of mechanisms, risk factors, and treatment. Cancers, 10, 380. http://dx.doi.org/10.3390/cancers10100380

Ades, S., Gilchrist, S., Holm, A., Libby, K., Cushman, M., Douce, D., Holmes, C. E. (2017). Venous thromboembolism prevention in the ambulatory cancer clinic (VTE-PACC): A systems-based, personalized, multidisciplinary program to increase venous thromboembolism (VTE) risk assessment, education and anticoagulant prophylaxis in cancer outpatients initiating therapy. Blood, 130 (Suppl. 1), 217. https://doi.org/10.1182/blood.V130.Suppl_1.217.217

Azam, F., Latif, M., Farooq, A., Tirmazy, S., AlShahrani, S., Bashir, S. & Bukhari, N. (2019). Performance status assessment by using ECOG (Eastern cooperative oncology group) score for cancer patients by oncology healthcare professionals. Case Reports in Oncology, 12(3), 728–736. https://doi.org/10.1159/000503095

Baddeley, E., Torrens-Burton, A., Newman, A., Nelson, A., Pease, N., Nelson, R., & Noble, S. (2021). A mixed-methods study to evaluate a patient-designed tool to reduce harm from cancer-associated thrombosis: The EMPOWER study. Research and Practice in Thrombosis and Haemostasis, 5(5), e12545. https://doi.org/10.1002/rth2.12545

Bayadinova, J. A., Sardo, L. A., Higgins-Nogareda, V., Scott, J., & MacKinnon, B. (2022). « Prévenir la thrombose » : Ce que veulent savoir les patients atteints de cancer. Revue canadienne de soins infirmiers en oncologie, 32(1), 151–156.

Charalel, R. A., & Vedantham, S. (2017). Deep vein thrombosis interventions in cancer patients. Seminars in Interventional Radiology, 34(1), 50–53. https://doi.org/10.1055/s-0036-1597763

Falanga, A. (2009). The incidence and risk of venous thromboembolism associated with cancer and nonsurgical cancer treatment. Cancer Investigation, 27, 105–119.

Green, E., Yuen, D., Chasen, M., Amernic, H., Shabestari, O., Brundage, M., Krzyzanowska, M., Klinger, C., Ismail, Z. & Pereira, J. (2017). Oncology nurses’ attitudes toward the Edmonton symptom assessment system: Results from a large cancer care Ontario study. Oncology Nursing Forum, 44(1), 116–125. https://doi.org/10.1188/17.ONF.116-125

Hughes, L., Petrella, A., Phillips, N. & Taylor, R. M. (2022). Virtual care and the impact of COVID-19 on nursing: A single centre evaluation. Journal of Advanced Nursing, 78(2), 498–509. https://doi.org.libaccess.lib.mcmaster.ca/10.1111/jan.15050

Kakkar, A. K., Bauersachs, R., Falanga, A., Wong, J., Kayani, G., Kahney, A., Hughes, R., & Levine, M. (2020). Fundamental Research in Oncology and Thrombosis 2 (FRONTLINE 2): A follow-up survey. The Oncologist, 25(7), e1091–e1097. https://doi.org/10.1634/theoncologist.2019-0676

Khorana, A. A., Kuderer, N. M., Culakova, E., Lyman, G. H. & Francie, C. W. (2008). Development and validation of a predictive model for chemotherapy-associated thrombosis. Blood, 111(10), 4902–4907. https://doi.org/10.1182/blood-2007-10-116327

Khorana, A. A., DeSancho, M. T., Liebman, H., Rosovsky, R., Connors, J. M. & Zwicker, J. (2021). Prediction and prevention of cancer-associated thromboembolism. Oncologist, 26(1), e2–e7. doi: 10.1002/onco.13569

Kunapareddy, G., Switzer, B., Jain, P., Conces, M., Chen, Y. W., Patel, B., Patel, S., Pinnamaneni, P., Pohlman, B., Angelini, D. E., McCrae, K. R., & Khorana, A. A. (2019). Implementation of an electronic medical record tool for early detection of deep vein thrombosis in the ambulatory oncology setting. Research and Practice in Thrombosis and Haemostasis, 3(2), 226–233. https://doi.org/10.1002/rth2.12176

Lee, A., Carrier, M., Bouzianne, A., Carignan, M., DeCarolis, M., Fournier, C., Habert, J., Kavan, P., & Smith, R. (2017). Recognizing cancer-associated thrombosis: Provider education program PPT. Thrombosis Canada. https://thrombosiscanada.ca/recognizing-cancer-associated-thrombosis/

Lee, J.-A., Grochow, D., Drake, D., Johnson, L., Reed, P., & van Servellen, G. (2014). Evaluation of hospital nurses’ perceived knowledge and practices of venous thromboembolism assessment and prevention. Journal of Vascular Nursing, 31(1), 18–24. https://doi.org/10.1016/j.jvn.2013.06.001

Monreal, M., Calleja Hernandez, M. A., Easaw, J. C., Elalamy, I., Young, A., Bang Jespersen, L., Balthazar-Christensen, V., Domecq, G., Manzanera, J., Bachman, M., Kendall, V., Borget, I., & Matzdorf, A. (2019). Cancer-associated thrombosis (CAT), a neglected cause of cancer death: Actions needed to increase health outcomes and reduce mortality: Report summarizing the findings of an Expert Steering Group meeting in Belgium. https://ecpc.org/wp-content/uploads/2019/08/ECPC-White-Paper-Cancer-Associated-Thrombosis-1.pdf

Noble, S., Prout, H., & Nelson, A. (2015). Patients’ experiences of living with cancer-associated thrombosis: The PELICAN study. Patient Preference and Adherence, 9, 337–345. https://doi.org/10.2147/PPA.S79373

Padbury, C., Harris, M., LaCouture, M., & Spyropolous, J. (2020). Success of online CME at improving knowledge and confidence around guideline-directed management of cancer-associated thrombosis. Blood, 136(Suppl. 1), 13. https://doi.org/10.1182/blood-2020-137153

Pandhi, M. B., Desai, K. R., Ryu, R. K. and Lewandowski, R. J. (2016). The role of inferior vena cava filters in cancer patients. Seminars in Interventional Radiology, 33(2), 71–74.

Prip, A., Moller, K., Nielsen, D., Jarden, M., Olsen, M. & Danielsen, A. (2018). The patient-healthcare professional relationship and communication in the oncology outpatient setting: A systematic review. Cancer Nursing, 41(5), E11–E22. https://doi.org/10.1097/NCC.0000000000000533

Rey, J. B., Jovenin, N., Kreit, P., Sicard, J., Parent, D., Hettler, D., Nguyen, P., & Ducrocq, J. L. (2016). Venous thromboembolism: What pharmacists know? What do they need? Journal of Oncology Pharmacy Practice: Official Publication of the International Society of Oncology Pharmacy Practitioners, 22(1), 135–141. https://doi.org/10.1177/1078155214560639

Sardo, L. A., Bayadinova, J. A., Jenkins, S., & Penton, L. (2021). Importance de la thromboembolie veineuse liée au cancer : Premier article de la série « Prévenir la thrombose ». Revue canadienne de soins infirmiers en oncologie, 31(4), 504–507.

Thorne, S. E., Hislop, T. G., Stajduhar, K. & Oglov, V. (2009). Time-related communication skills from the cancer patient perspective. Psycho-Oncology, 18, 500–507. https://doi.org/10.1002/pon.1418

Thrombosis Canada (2021a). Wells’ criteria for pulmonary embolism/PE. https://thrombosiscanada.ca/tools/?calc=wellsPE

Thrombosis Canada (2021b). Wells’ criteria for deep vein thrombosis/DVT. https://thrombosiscanada.ca/tools/?calc=wellsDVT

Verso, M., & Agnelli, G. (2016). Venous thromboembolism associated with long-term use of central venous catheters in cancer patients. Journal of Clinical Oncology, 21(19), 3665–3675. https://doi.org/10.1200/JCO.2003.08.008

Verso, M., Agnelli, G., Barni, S., Gasparini, G., & LaBianca, R. (2012). A modified Khorana risk assessment score for venous thromboembolism in cancer patients receiving chemotherapy: The Protecht score. Internal and Emergency Medicine, 7(3), 291–292. https://doi.org/10.1007/s11739-012-0784-y

Viale, P. H. & Schwartz, R. N. (2004). Venous thromboembolism in patients with cancer part I: Survey of oncology nurses’ attitudes and treatment practices for ambulatory settings. Clinical Journal of Oncology Nursing, 8(5), 455–461. https://doi.org/10.1188/04.CJON.455-461.

Wells, P. S., Anderson, D. R. & Ginsberg, J. (2000). Assessment of deep vein thrombosis or pulmonary embolism by the combined use of clinical model and noninvasive diagnostic tests. Seminars in Thrombosis and Hemostasis, 26(6), 643–656. https://doi.org/10.1055/s-2000-13219


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