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Current practice managements regarding thromboembolic prophylaxis within the pediatric sarcoma patient population
Lauren Crocco1, Richard Gorlick, David S Geller
1Department of Orthopaedic Surgery, Montefiore Medical Center, The Albert Einstein College of Medicine, Yeshiva University, Children's Hospital, Montefiore, Bronx, NY, USA.
Journal of Pediatric Hematology/Oncology
|September 22, 2012
Summary
Physicians treating pediatric sarcoma patients lack consensus on preventing blood clots, with varied prophylaxis methods used across specialties. This highlights a need for standardized guidelines in pediatric cancer care.
Area of Science:
- Pediatric Oncology
- Hematology
- Surgical Oncology
Background:
- Children with cancer face a significantly higher risk of thromboses compared to the general pediatric population.
- Current thromboembolic prophylaxis guidelines for pediatric patients are often adapted from adult studies and remain a subject of debate.
Purpose of the Study:
- To investigate and document the current practices of thromboembolic prophylaxis among physicians who manage pediatric sarcoma patients.
Main Methods:
- A survey comprising 5 questions was administered to physicians involved in the care of sarcoma patients.
- The survey aimed to assess their current clinical approaches to thromboembolic prophylaxis.
Main Results:
- Out of 107 respondents, 67 were involved in treating pediatric sarcoma patients.
- Orthopedic surgeons (60%) were most likely to use deep vein thrombosis prophylaxis, followed by general surgeons (45%), pediatric oncologists (30%), and medical oncologists (25%).
- Prophylaxis methods included mechanical (48%), chemical (20%), and combination approaches (31%).
Conclusions:
- There is a notable lack of consensus on the optimal strategies for thromboembolic prophylaxis in pediatric sarcoma patients.
- The findings underscore the need for further research and development of evidence-based guidelines.
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