Transcription of Guidelines on the management of bleeding for palliative ...
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Guidelines on the management of bleeding for palliative ...
Yorkshire palliative Medicine Clinical Guidelines Group Guidelines on the management of bleeding for palliative care patients with cancer November 2008 Authors: Dr Bill Hulme and Dr Sarah Wilcox, on behalf of the Yorkshire palliative Medicine Clinical Guidelines Group. Overall objective: To provide evidence-based guidance for the management of bleeding in cancer patients within specialist palliative care. Search strategy: Medline, CINAHL and Embase databases were searched with the help of an experienced librarian using MESH terms for cancer, neoplasm, the generic and trade names for individual drugs and haemorrhage or site-specific areas for haemorrhage. Searches were limited to papers published in English relating to human adults up until March 2008. References obtained were hand searched for additional materials relevant to this review. Additional searches were also conducted for NICE and SIGN Guidelines , Cochrane databases, Clinical Knowledge Summaries and publications from associated Royal Colleges.
causing anaemia over weeks to months, to overt external bleeding from particular anatomical sites, e.g. haemoptysis, haematuria etc. Estimates of the incidence of bleeding range between 6 and 14% of patients with advanced cancer (Periera et al 2000, Regnard & Makin), and is the immediate cause of
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