Volume 5, Issue 5, September 2017, Page: 173-175
Impact of Low Molecular Weight Heparin on Overall Survival in Patients with Advanced Lung Cancer: A Retrospective Study
Rammey Hassan, Department of Oncology, University of Cincinnati Medical Center, Cincinnati, USA
Shuchi Gulati, Department of Oncology, University of Cincinnati Medical Center, Cincinnati, USA
Yellu Mahender, Department of Oncology, University of Cincinnati Medical Center, Cincinnati, USA
Ihab Eldessouki, Department of Oncology, University of Cincinnati Medical Center, Cincinnati, USA
Nabeela Iffat Siddiqi, Department of Oncology, University of Cincinnati Medical Center, Cincinnati, USA
Changchun Xie, Division of Biostatistics and Bioinformatics, University of Cincinnati, Cincinnati, USA
Jane Pruemer, James L. Winkle College of Pharmacy, University of Cincinnati, Cincinnati, USA
Nagla Abdel Karim, Department of Oncology, University of Cincinnati Medical Center, Cincinnati, USA
Received: Jul. 20, 2017;       Accepted: Aug. 14, 2017;       Published: Sep. 4, 2017
DOI: 10.11648/j.ajcem.20170505.13      View  1576      Downloads  56
Abstract
Low Molecular Weight Heparin (LMWH) is approved for treatment of and secondary prophylaxis against thromboembolic events in patients with cancer. However, its role in improving Overall Survival (OS) remains unclear. A retrospective study to evaluate effect of LMWH on OS in advanced lung cancer was conducted by retrospectively identifying patients with advanced lung cancer (stage IIIA, IIIB and IV) including non-small cell, small cell and rare histopathologic subtypes from 2004 to 2014. Patients with early stage lung cancer and those with incomplete information were excluded. Data on patient demographics (age, gender, ethnicity), histopathology, staging, medications (including chemotherapy and anticoagulants) and patient outcome were collected. Death was considered as the final endpoint. Patients with and without LMWH use were identified. This study did not find an improvement in OS with use of LMWH in advanced stage lung cancer patients. Even though the results were not statistically significant, there was a trend towards higher mortality in patients treated with LMWH for thrombosis compared to patients without thrombosis. Future prospective studies using a larger patient population should evaluate the impact of prophylactic versus therapeutic LMWH on OS in advanced lung cancer.
Keywords
Lung Cancer, Low Molecular Weight Heparin, Venous Thromboembolism, Thrombosis
To cite this article
Rammey Hassan, Shuchi Gulati, Yellu Mahender, Ihab Eldessouki, Nabeela Iffat Siddiqi, Changchun Xie, Jane Pruemer, Nagla Abdel Karim, Impact of Low Molecular Weight Heparin on Overall Survival in Patients with Advanced Lung Cancer: A Retrospective Study, American Journal of Clinical and Experimental Medicine. Vol. 5, No. 5, 2017, pp. 173-175. doi: 10.11648/j.ajcem.20170505.13
Copyright
Copyright © 2017 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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