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. 2008 Jan;15(Suppl 1):S58–S67. doi: 10.3747/co.2008.177

TABLE I.

Randomized controlled trials for primary prophylaxis in cancer-related major abdominal and pelvic surgery

Trial Surgical setting Cancer patients (n) Regimen Duration of treatment Outcome Incidences
Study Control vte Major bleeding
Study (%) Control (%) p Value Study (%) Control (%) p Value
Enoxacan Study Group, 1997 10 Abdominal and pelvic 631 Enoxapari 40 mg daily ufh 5000 IU 3 times daily 10 Days vte on bilateral venography or pulmonary scintigraphy 14.7 18.2 >0.05 4.1 2.9 >0.05
McLeod et al., 2001 11 Colorectal 324 Enoxaparin 40 mg daily ufh 5000 IU 3 times daily Up to 10 days pe, venographic dvt at postoperative days 5, 9 13.9 16.9 0.052 2.7a 1.5a 0.136a
Agnelli et al., 2005 12 Major abdominal 1941 Fondaparinux 2.5 mg daily Dalteparin 5000 IU daily 5–9 Days Venographic dvt or pe up to postoperative day 10 4.7 7.7 <0.05 3.4 2.5 0.355
Bergqvist et al., 2002 13 Abdominal and pelvic 332 Enoxaparin 40 mg daily Enoxaparin 40 mg daily 27–31 Days (study) 6–10 Days (control) Bilateral venography between days 25 and 31 4.8 12.0 0.02 0.4 0 >0.99
Rasmussen et al., 2006 14 Major abdominal 198 Dalteparin 5000 IU daily Dalteparin 5000 IU daily 28 Days (study) 7 Days (control) Venographic vte on postoperative days 7–28 8.8 19.6 0.03 0.5a 1.8a >0.05a
a

Results for the overall study population, including cancer and noncancer patients.

vte = venous thromboembolism; ufh = unfractionated heparin; pe = pulmonary embolism; dvt = deep vein thrombosis.