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December 8, 2025BloodOpen Access

Distribution and risk for bleeding in patients with cancer by anticoagulant therapy exposure

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Authors

KSKristen M. SanfilippoAAAmber Afzal

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Overview

Observational analysis found anticoagulant therapy raises bleeding risk in cancer patients, indicating careful monitoring is necessary.

Key Points

  • Bleeding requiring hospitalization occurred in 7.1% of patients on anticoagulant therapy within 12 months, compared to 4.1% for controls.
  • Patients receiving warfarin had a significantly higher bleeding risk with a hazard ratio of 1.68 compared to those not on it.
  • Propensity score matching created comparable cohorts to assess predictors of bleeding including anemia, chemotherapy, and liver disease.
  • Anticoagulant therapy's impact on bleeding highlights the need for careful patient assessment before treatment initiation.

Cite This Study

Sanfilippo et al. (2025) studied this question.

synapsesocial.com/papers/69362f714fa91c937236e171https://doi.org/10.1182/blood-2025-1362
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Impact of concurrent antiplatelet/NSAID use on the safety and efficacy of thromboprophylaxis with apixaban in patients with cancer: A post-hoc analysis of the AVERT trial2025
  2. 2Clinically Relevant Bleeding in Individuals With Cancer: Insights From a Nationwide Cohort Study2026
  3. 3Characterization and risk factors of anticoagulation-related bleeding in patients with thrombotic antiphospholipid syndrome: An analysis using a synthetic real-world data platform2025
  4. 4Comparison of anticoagulants and risk of ischemic stroke in patients with acute cancer-associated venous thromboembolism2025
  5. 5Comparative characteristics of anticoagulants used in cancer-associated thrombosis2025