Publications by authors named "R Otero-Candelera"

Background: Risk of VTE recurrence (VTEr) in patients with cancer-associated thrombosis (CAT) is high. Cancer-related risk factors for VTEr have been studied, but information about the importance of location of metastasis is scarce.

Objectives: 1) Evaluate rate of VTEr in CAT patients according to location of metastasis, and 2) Identify variables associated to VTEr during long-term follow-up.

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  • The study investigates the impact of residual venous thrombosis (RVT) on the risk of recurrent venous thromboembolism (VTE) in patients with cancer-associated thrombosis (CAT) over a 15-year span.
  • Out of 511 patients, 35.8% had RVT at 6 months, with associations found between RVT and factors like ECOG performance status, metastasis, and cancer location.
  • Results indicated that RVT at 6 months doubles the risk of recurrent VTE within 5 years, while no significant link was found between RVT and clinically relevant bleeding.
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  • Pulmonary hypertension (PH) is a complex condition that can benefit from mobile health apps for better management and education for both patients and healthcare professionals.
  • A study evaluated the quality of free smartphone apps available for PH, searching through app stores in 2022 and 2023, resulting in the identification of 21 apps.
  • While the overall quality scores were acceptable, the majority of apps focused on providing general PH information and none involved patient input during development, highlighting a potential gap in user-centric design.
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Background: Patients with cancer-associated thrombosis (CAT) face a heightened risk of clinically relevant bleeding (CRB). However, the relationship between these risks and the location of metastasis remains unclear.

Methods: A single-center, non-interventional study of consecutive patients was conducted between 2007 and 2022, involving patients with CAT (n = 1,277).

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  • Detecting hidden cancers in patients with unexplained venous thromboembolism (VTE) is challenging, and this study sought to explore how coagulation-related biomarkers could help.
  • A study involving 214 patients with unprovoked VTE measured several biomarkers at diagnosis, finding that sP-selectin levels were significantly higher in patients with occult cancer.
  • Combining high levels of sP-selectin and D-dimer can potentially identify occult cancer with up to 91% specificity, indicating these biomarkers may be useful in clinical settings, although more research is needed.
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