TY - JOUR
T1 - A survey on thromboprophylaxis and coagulation assessment in children and young adults with acute lymphoblastic leukaemia (ALL) in the Nordic and Baltic countries
T2 - Different practices of assessment and management
AU - Andersson, Nadine G.
AU - Rathe, Mathias
AU - Mølle, Ingolf
AU - Jarvis, Kirsten Brunswig
AU - Hoffmann, Marianne
AU - Huurre, Anu
AU - Joelsson, Joel
AU - Albertsen, Birgitte Klug
AU - Lohi, Olli
AU - Långström, Satu
AU - Overgaard, Ulrik
AU - Saulyte Trakymiene, Sonata
AU - Vepsäläinen, Kaisa
AU - Vogt, Hartmut
AU - Ranta, Susanna
N1 - Publisher Copyright:
© 2022 The Authors. British Journal of Haematology published by British Society for Haematology and John Wiley & Sons Ltd.
PY - 2022
Y1 - 2022
N2 - Patients undergoing treatment for acute lymphoblastic leukaemia (ALL) are at risk of coagulopathy, especially thromboembolism. We conducted a survey on practices in the assessment and management of coagulopathy during the new ALLTogether protocol in 29 (17 paediatric, 12 adult) Nordic and Baltic cancer centres. While 92% of adult centres used thromboprophylaxis with low-molecular-weight heparin, no paediatric centre did. Almost all providers performed baseline coagulation studies, but only 59% continued the assessment. Fibrinogen replacement was conducted in 59%, and antithrombin replacement in 28% of the centres. The survey highlights the need for guidelines in the management of coagulopathy during ALL therapy.
AB - Patients undergoing treatment for acute lymphoblastic leukaemia (ALL) are at risk of coagulopathy, especially thromboembolism. We conducted a survey on practices in the assessment and management of coagulopathy during the new ALLTogether protocol in 29 (17 paediatric, 12 adult) Nordic and Baltic cancer centres. While 92% of adult centres used thromboprophylaxis with low-molecular-weight heparin, no paediatric centre did. Almost all providers performed baseline coagulation studies, but only 59% continued the assessment. Fibrinogen replacement was conducted in 59%, and antithrombin replacement in 28% of the centres. The survey highlights the need for guidelines in the management of coagulopathy during ALL therapy.
KW - ALL
KW - antithrombin
KW - childhood leukaemia
KW - paediatric haemostasis
KW - paediatric thrombosis
KW - thrombosis
U2 - 10.1111/bjh.18397
DO - 10.1111/bjh.18397
M3 - Article
AN - SCOPUS:85135264603
SN - 0007-1048
VL - 199
JO - British Journal of Haematology
JF - British Journal of Haematology
IS - 1
ER -