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Towards optimal use of antithrombotic therapy of people with cancer at the end of life: a research protocol for the development and implementation of the SERENITY shared decision support tool

Goedegebuur, J., Abbel, D., Accassat, S., Achterberg, W.P., Akbari, A., Baddeley, Elin, Bax, J.J., Becker, B., Bergmeijer, D., Bertoletti, L., Blom, J.W., Calvetti, A., Cannegieter, S.G., Castro, L., Chavannes, C.H., Coma-Auli, N.R.N., Couffignal, C., Edwards, Adrian ORCID:, Edwards, Michelle ORCID:, Enggaard, H.R.N., Font, C., Gava, A., Geersing, G.J., Geijteman, E.C.T, Greenley, S., Gregory, Clive ORCID:, Gussekloo, J., Hoffmann, I., Højen, A.A., Hout, van den W.B., Huisman, M.V., Jacobsen, S., Jagosh, J., Johnson, M.J., Jørgensen, L., Juffermans, C.C.M., Kempers, E.K., Konstantinides, S., Kroder, A.F., Kruip, M.J.H.A, Lafaie, L., Larsen, T.B., Lifford, K. ORCID:, Linden, van der Y.M., Mahé, I., Maiorana, L., Maraveyas, A., Martens, E.S.L., Mayeur, D., Mens van, T.E., Mohr, K., Mooijaart, S.P., Murtagh, F.E.M, Nelson, A., Nielsen, P.B., Ording, A.G., Ørskov, M., Pearson, M., Poenou, G., Portielje, J.E.A., Raczkiewicz, D., Rasmussen, K., Trinks-Roerdink, E., Schippers, I., Seddon, K., Sexton, Keith, Sivell, S. ORCID:, Skjøth, F., Søgaard, M., Szmit, S., Trompet, S., Vassal, P., Visser, C., Vliet, van L.M., Wilson, E., Klok, F.A. and Noble, S.I.R. ORCID: 2023. Towards optimal use of antithrombotic therapy of people with cancer at the end of life: a research protocol for the development and implementation of the SERENITY shared decision support tool. Thrombosis Research 228 , pp. 54-60. 10.1016/j.thromres.2023.05.008

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Background Even though antithrombotic therapy has probably little or even negative effects on the well-being of people with cancer during their last year of life, deprescribing antithrombotic therapy at the end of life is rare in practice. It is often continued until death, possibly resulting in excess bleeding, an increased disease burden and higher healthcare costs. Methods The SERENITY consortium comprises researchers and clinicians from eight European countries with specialties in different clinical fields, epidemiology and psychology. SERENITY will use a comprehensive approach combining a realist review, flash mob research, epidemiological studies, and qualitative interviews. The results of these studies will be used in a Delphi process to reach a consensus on the optimal design of the shared decision support tool. Next, the shared decision support tool will be tested in a randomised controlled trial. A targeted implementation and dissemination plan will be developed to enable the use of the SERENITY tool across Europe, as well as its incorporation in clinical guidelines and policies. The entire project is funded by Horizon Europe. Results SERENITY will develop an information-driven shared decision support tool that will facilitate treatment decisions regarding the appropriate use of antithrombotic therapy in people with cancer at the end of life. Conclusions We aim to develop an intervention that guides the appropriate use of antithrombotic therapy, prevents bleeding complications, and saves healthcare costs. Hopefully, usage of the tool leads to enhanced empowerment and improved quality of life and treatment satisfaction of people with advanced cancer and their care givers.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Centre for Trials Research (CNTRR)
Marie Curie Palliative Care Research Centre (MCPCRC)
Publisher: Elsevier
ISSN: 0049-3848
Funders: Horizon Europe Research and Innovations (project number 101057292. UK Research and Innovation (UKRI) (grant number 10039823 for Cardiff University and 1003800 for Hull Your Medical School)
Date of First Compliant Deposit: 11 May 2023
Date of Acceptance: 5 May 2023
Last Modified: 26 Jul 2023 00:33

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