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Case Study: Suspected VTE Following Radical Prostatectomy

Case Study: Suspected VTE Following Radical Prostatectomy

Format

Patient Case Study

Time to Complete

1 hour

Released

June 28, 2019

Expires

June 28, 2020
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Maximum Credits

1.00 / AMA PRA Category 1 CreditTM
1.00 / CNE Contact Hour
1.00 / CE for Pharmacists (0.10 CEU)

Accredited Providers

This activity is provided by Haymarket Medical Education for physician credit.

This activity is provided by AKH Inc., Advancing Knowledge in Healthcare for nursing contact hours.

This activity is provided by AKH Inc., Advancing Knowledge in Healthcare for pharmacy contact hours.

Commercial Supporter

Supported by an educational grant from the Bristol-Myers Squibb and Pfizer Alliance.

Program Description

Thrombotic events, including venous thromboembolism (VTE), are very common among patients with a history of cancer. Unfortuntately, despite the known risks of VTE and the particularly harmful impact it may have on patients with malignancies, prophylaxis against thrombotic events remains underutilized in this patient population. For optimal outcomes, it is critical that clinicians who treat patients with malignancies are aware of the most recent evidence-based information on VTE prevention and treatment and how to best apply this information in routine clinical practice.

With this goal in mind, this educational activity reviews best practices for a 71-year-old male patient who presents to his oncologist with symptoms of VTE nearly 1 year following a radical prostatectomy for locally advanced prostate cancer. Strategies for making a definitive diagnosis of VTE and stratifying patients according to risk will be presented, as will considerations for selection of anticoagulation therapy. Important differences among direct-acting oral anticoagulants will be explored, and the need to engage patients with cancer-associated VTE in therapeutic decisions will be discussed.

Intended Audience

Hematologists-oncologists, physicians, nurse practitioners (NPs), physician assistants (PAs), internal medicine clinicians, hospitalists, emergency room physicians, oncology nurses, and specialty pharmacists (includes hospital pharmacists and pharmacy specialties such as associate directors, pharmacy directors, clinical coordinators, clinical pharmacist generalists, and clinical pharmacist specialists)

Educational Objectives

At the conclusion of this activity, participants should be better able to:

  • Describe the indications and contraindications for choosing treatment for acute venous thromboembolism (VTE) in patients with cancer, based on recent guidelines and clinical trials
  • Assess risks for VTE and bleeding in patients with cancer
  • Counsel patients with cancer about the rationale for an anticoagulation regimen, as well as information on the risks and benefits of such regimens, to foster therapeutic adherence

Accredited Provider Conflict Of Interest Disclosure Policy

In accordance with the ACCME Standards for Commercial Support, HME and AKH require that individuals in a position to control the content of an educational activity disclose all relevant financial relationships with any commercial interest. HME and AKH resolve all conflicts of interest to ensure independence, objectivity, balance, and scientific rigor in all their educational activities.

Faculty

Medical Writer
Eileen McCaffrey
Haymarket Medical Education
Paramus, NJ

Ms. McCaffrey has no relevant financial relationships to disclose.


Faculty Consultant
Benjamin Djulbegovic, MD, PhD
Professor
Hematology & Hematopoietic Cell Transplantation and Population Sciences
Director, Program for Evidence-based Medicine & Comparative Effectiveness Research
Department of Supportive Medicine
Director of Research, Department of Hematology
City of Hope Cancer Research Hospital
Duarte, CA

Dr. Djulbegovic has no relevant financial relationships to disclose.

Pharmacy Content Reviewer and Disclosure
Dorothy Duffy, RPh, BS Pharmacy

Pharmacist
Van Houton Pharmacy
Clifton, NJ

Ms. Duffy has no relevant financial relationships to disclose.

Accredited Provider Disclosure

Haymarket Medical Education and AKH Inc., Advancing Knowledge in Healthcare staff involved in the planning and review of this activity have no relevant financial relationships to disclose.

Dorothy Caputo. MA, BSN, RN, Lead Nurse Planner for AKH Inc., Advancing Knowledge in Healthcare has no relevant financial relationships to disclose.

Credit

1.00

Type

AMA PRA Category 1 Credit(s)TM

Accreditation Statement

Haymarket Medical Education is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation Statement

Haymarket Medical Education designates this enduring material for a maximum of 1.00 AMA PRA Category 1 Credit(s)TM  . Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Credit

1.00

Type

CNE Contact Hour(s)

Accreditation Statement

AKH Inc., Advancing Knowledge in Healthcare is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Designation Statement

This activity is awarded 1.00 contact hour.

Credit

1.00

Type

CE for Pharmacists

Accreditation Statement

AKH Inc., Advancing Knowledge in Healthcare is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.

Designation Statement

AKH Inc., Advancing Knowledge in Healthcare approves this knowledge-based activity for 1.00 contact hour (0.10 CEU). UAN 0077-9999-19-034-H04-P. Initial release date: 6/28/2019.

Type: Knowledge-based

If you claim CE for Pharmacy credit, you will be prompted to include your National Association of Boards of Pharmacy (NABP) number and date/month of birth. This information must be included in order for you to receive credit.

Additional Credit Information

Physician Assistant Continuing Education
AAPA accepts certificates of participation for educational activities approved for AMA PRA Category 1 CreditsTM   from organizations accredited by ACCME or a recognized state medical society. PAs may receive a maximum of 1.00 Category 1 Credit for completing this activity.

Nurse Practitioner Continuing Education
AANPCP accepts certificates of participation for educational activities approved for AMA PRA Category 1 CreditsTM   from organizations accredited by ACCME. Individuals are responsible for checking with the AANPCP for further guidelines.

Disclosure of Unlabeled Use

This CME/CE/ACPE activity may or may not discuss investigational, unapproved, or off-label use of drugs. Participants are advised to consult prescribing information for any products discussed. The information provided in this CME/CE/ACPE activity is for continuing medical education purposes only and is not meant to substitute for the independent medical judgment of a physician relative to diagnostic and treatment options for a specific patient's medical condition.

Disclaimer

The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of Haymarket Medical Education, AKH Inc., Advancing Knowledge in Healthcare, or the Bristol-Myers Squibb and Pfizer Alliance. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

If you have any questions relating to the accreditation of this activity, please contact cmequestions@haymarketmedical.com.

If you have any questions relating to the CE or ACPE accreditation of this activity, please contact AKH at jgoldman@akhcme.com.

If you have any questions relating to your certificate or have other issues with this activity, please contact myCME.Support@haymarketmedical.com.

Instructions

To obtain credit, a score of 70% or better on the post-test is required. This activity is offered at no cost to participants. Please proceed with the activity until you have successfully completed this program, answered all test questions, completed the post-test and evaluation, and have received a digital copy of your credit certificate. Your online certificate will be saved on myCME within your Profile/CME History, which you can access at any time.

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SYSTEM REQUIREMENTS

Hardware and Software Requirements
  • A computer with an internet connection
  • Internet Browser: Internet Explorer 7.x or higher, Firefox 4.x or higher, Safari 2.x or higher, or any other W3C standards compliant browser
  • Additional Software: Adobe Flash Player and/or an HTML 5 capable browser maybe required for video or audio playback. PowerPoint or Adobe Acrobat Reader may occasionally be required
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