Research Topics
Species | A A KhoranaSummaryAffiliation: University of Rochester Country: USA Publications
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Publications
Cancer-associated thrombosis: updates and controversiesAlok A Khorana
James P Wilmot Cancer Center and Department of Medicine, University of Rochester, Rochester, NY, USA
Hematology Am Soc Hematol Educ Program 2012:626-30. 2012..Selecting the appropriate patients for prophylaxis, however, continues to be a matter of controversy...
Incidence and predictors of venous thromboembolism (VTE) among ambulatory high-risk cancer patients undergoing chemotherapy in the United StatesAlok A Khorana
Department of Medicine, University of Rochester and James P Wilmot Cancer Center, Rochester, NY 14642, USA
Cancer 119:648-55. 2013..Therefore, the authors examined the incidence and predictors of VTE in ambulatory patients with bladder, colorectal, lung, ovary, pancreas, or gastric cancers...
Risk assessment for cancer-associated thrombosis: what is the best approach?Alok A Khorana
James P Wilmot Cancer Center, and Department of Medicine, University of Rochester, Rochester, NY, USA
Thromb Res 129:S10-5. 2012..Targeted thromboprophylaxis provides an optimal risk-benefit ratio and the best opportunity to reduce the burden of VTE and its consequences for patients with cancer...
Cancer and coagulationAlok A Khorana
James P Wilmot Cancer Center and the Department of Medicine, University of Rochester, Rochester, New York, USA
Am J Hematol 87:S82-7. 2012..Treatment of cancer-associated thrombosis requires long-term anticoagulation with LMWH. Results from ongoing and planned trials of novel anticoagulants in the cancer setting are awaited...
The NCCN Clinical Practice Guidelines on Venous Thromboembolic Disease: strategies for improving VTE prophylaxis in hospitalized cancer patientsAlok A Khorana
James P Wilmot Cancer Center, University of Rochester, 601 Elmwood Ave, Box 704, Rochester, New York 14642, USA
Oncologist 12:1361-70. 2007..Multifaceted active educational and electronic interventions are necessary to raise awareness and reduce the burden of cancer-associated thrombosis and its attendant consequences...
Development and validation of a predictive model for chemotherapy-associated thrombosisAlok A Khorana
James P Wilmot Cancer Center and the Department of Medicine, University of Rochester, NY, USA
Blood 111:4902-7. 2008..5 months (C-statistic = 0.7 for both cohorts). This model can identify patients with a nearly 7% short-term risk of symptomatic VTE and may be used to select cancer outpatients for studies of thromboprophylaxis...
Blood transfusions, thrombosis, and mortality in hospitalized patients with cancerAlok A Khorana
James P Wilmot Cancer Center, Department of Medicine, University of Rochester, Rochester, New York, USA
Arch Intern Med 168:2377-81. 2008..Anemia is frequent in patients with cancer, but there are concerns regarding treatment with erythropoiesis-stimulating agents. Blood transfusions are commonly used as an alternative, but with little data regarding outcomes...
Cancer and thrombosis: implications of published guidelines for clinical practiceA A Khorana
Division of Hematology Oncology, James P Wilmot Cancer Center, University of Rochester School of Medicine and Dentistry, Rochester, NY 14642, USA
Ann Oncol 20:1619-30. 2009..Improved adherence to guidelines could substantially reduce morbidity, decrease resource use, enhance quality of life, and improve survival in these patients...
Assessing risk of venous thromboembolism in the patient with cancerAlok A Khorana
James P Wilmot Cancer Center, and Department of Medicine, University of Rochester, Rochester, NY, USA
J Clin Oncol 27:4839-47. 2009..Patients with cancer are increasingly at risk for venous thromboembolism (VTE). Rates of VTE, however, vary markedly among patients with cancer...
Venous thromboembolism prophylaxis and treatment in cancer: a consensus statement of major guidelines panels and call to actionAlok A Khorana
James P Wilmot Cancer Center, and Department of Medicine, University of Rochester, Rochester, NY, USA
J Clin Oncol 27:4919-26. 2009..Venous thromboembolism (VTE) is an increasingly frequent complication of cancer and its treatments, and is associated with worsened mortality and morbidity in patients with cancer...
Venous thromboembolism and prognosis in cancerAlok A Khorana
James P Wilmot Cancer Center, and the Department of Medicine, University of Rochester, Rochester, NY 14642, USA
Thromb Res 125:490-3. 2010..This review focuses on the clinical evidence documenting a link between VTE and adverse short-term and long-term prognosis in patients with cancer...
Risk assessment and prophylaxis for VTE in cancer patientsAlok A Khorana
James P Wilmot Cancer Center, and the Department of Medicine, University of Rochester, New York, USA
J Natl Compr Canc Netw 9:789-97. 2011..This article focuses on recent and ongoing studies of risk assessment and prophylaxis in patients with cancer...
Approaches to risk-stratifying cancer patients for venous thromboembolismAlok A Khorana
James P Wilmot Cancer Center, and the Department of Medicine, University of Rochester, Rochester, NY, USA
Thromb Res 120:S41-50. 2007..Finally, we discuss model-based approaches to risk-stratifying cancer patients that incorporate the known multiple risk factors for VTE and can help identify high-risk subgroups in the cancer population...
Frequency, risk factors, and trends for venous thromboembolism among hospitalized cancer patientsAlok A Khorana
James P Wilmot Cancer Center and the Department of Medicine, University of Rochester, Rochester, New York 14642, USA
Cancer 110:2339-46. 2007..In the current study, the frequency, risk factors, and trends associated with VTE were examined among hospitalized cancer patients...
Vascular endothelial growth factor, CD68, and epidermal growth factor receptor expression and survival in patients with Stage II and Stage III colon carcinoma: a role for the host response in prognosisAlok A Khorana
The James P Wilmot Cancer Center and the Department of Medicine, University of Rochester Medical Center, University of Rochester School of Medicine and Dentistry, Rochester, New York 14642, USA
Cancer 97:960-8. 2003....
Pancreatic cancer and thromboembolic diseaseAlok A Khorana
James P Wilmot Cancer Center, University of Rochester, NY 14642, USA
Lancet Oncol 5:655-63. 2004..Further research is needed to understand better the morbidity and mortality associated with this disease in pancreatic cancer and to optimise strategies of prevention and treatment...
Concordance: how does a physician who is neither black nor white decide when race is a factor?Alok A Khorana
Department of Medicine, University of Rochester, New York, USA
Health Aff (Millwood) 24:511-5. 2005
Vascular endothelial growth factor and DPC4 predict adjuvant therapy outcomes in resected pancreatic cancerAlok A Khorana
James P Wilmot Cancer Center and the Department of Medicine, University of Rochester, Rochester, NY 14642, and the National Human Genomics Research Institute, National Institutes of Health, Bethesda, MD, USA
J Gastrointest Surg 9:903-11. 2005..Adjuvant therapy may have both antiangiogenic and cytotoxic effects. Addition of anti-VEGF agents to adjuvant regimens may further improve outcomes...
Thromboembolism in hospitalized neutropenic cancer patientsAlok A Khorana
James P Wilmot Cancer Center and the Department of Medicine, University of Rochester, Rochester, NY, USA
J Clin Oncol 24:484-90. 2006..We investigated venous and arterial thromboembolism and associated outcomes in hospitalized cancer patients actively receiving therapy, as identified by neutropenia...
Tissue factor expression, angiogenesis, and thrombosis in pancreatic cancerAlok A Khorana
James P Wilmot Cancer Center, Department of Medicine, University of Rochester, Rochester, New York 14642, USA
Clin Cancer Res 13:2870-5. 2007..We correlated TF expression with vascular endothelial growth factor (VEGF) expression, microvessel density, and venous thromboembolism in resected pancreatic cancer...
Incidence and predictors of venous thromboembolism (VTE) among ambulatory patients with lung cancerG C Connolly
Department of Hematology and Oncology, University of Rochester, Rochester, NY 14642, USA
Lung Cancer 78:253-8. 2012..The incidence and economic impact of lung cancer-associated venous thromboembolic (VTE) events in a contemporary ambulatory setting is unknown...
Symptomatic and incidental thromboembolism are both associated with mortality in pancreatic cancerLaurel A Menapace
James P Wilmot Cancer Center, and Department of Medicine, University of Rochester, Rochester, New York, USA
Thromb Haemost 106:371-8. 2011..The role of anticoagulation in treating incidental or visceral VTE warrants further study...
New insights into cancer-associated thrombosisTarek Sousou
James P Wilmot Cancer Center and the Department of Medicine, University of Rochester, NY, USA
Arterioscler Thromb Vasc Biol 29:316-20. 2009..Long-term anticoagulation with LMWH is safe and effective in reducing recurrent VTE in cancer. The role of thromboprophylaxis in ambulatory cancer patients receiving chemotherapy is an area of active investigation...
Cancer-associated thrombosis: risk factors, candidate biomarkers and a risk modelRohit Sud
James P Wilmot Cancer Center, Department of Medicine, University of Rochester, NY, USA
Thromb Res 123:S18-21. 2009..VTE is associated with mortality, morbidity, potential delay in treatments for cancer and consumption of scarce health-care resources. Hence, reducing VTE with targeted prophylaxis could improve outcomes for cancer patients...
A meta-analysis and systematic review of the efficacy and safety of anticoagulants as cancer treatment: impact on survival and bleeding complicationsNicole M Kuderer
James P Wilmot Cancer Center and the Department of Medicine, University of Rochester, Rochester, NY, USA
Cancer 110:1149-61. 2007....
FGF-2 binding to fibrin(ogen) is required for augmented angiogenesisAbha Sahni
Department of Medicine, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA
Blood 107:126-31. 2006..These results demonstrate that binding of FGF-2 to fibrin(ogen) mediated by the 5-residue FGF-2-fibrin(ogen) interactive site is required for augmented angiogenesis...
Tissue factor and VEGF expression in prostate carcinoma: a tissue microarray studyJorge L Yao
Pathology, University of Rochester Medical Center, Rochester, NY 14642, USA jorge
Cancer Invest 27:430-4. 2009..001). Our findings reinforce the link between angiogenesis and TF expression in PCa. We suggest further exploration of TF-mediated pathways leading to increased tumor aggressiveness in PCa, and the possible use of anti-TF agents in PCa...
Risk factors for chemotherapy-associated venous thromboembolism in a prospective observational studyAlok A Khorana
James P Wilmot Cancer Center and the Department of Medicine, University of Rochester, New York, USA
Cancer 104:2822-9. 2005..The incidence of venous thromboembolism (VTE) is increased in cancer, but little information is available about risk factors in cancer patients on chemotherapy...
Heparin inhibition of endothelial cell proliferation and organization is dependent on molecular weightAlok A Khorana
James P. Wilmot Cancer Center and Hematology/Oncology Unit, Department of Medicine, University of Rochester School of Medicine and Dentistry, Rochester, NY14642, USA
Arterioscler Thromb Vasc Biol 23:2110-5. 2003..This Mr dependence differs from that required for anticoagulant activity...
Cancer patients and awareness of venous thromboembolismTarek Sousou
James P Wilmot Cancer Center, University of Rochester Medical Center, Rochester, Minnesota 14642, USA
Cancer Invest 28:44-5. 2010..This study reveals an alarming lack of knowledge amongst patients regarding the increased risk of thrombosis. Informed patients are willing to use prophylaxis, if its effectiveness is established...
The role of thromboprophylaxis in cancer patients: emerging dataLaurel A Menapace
James P Wilmot Cancer Center, Department of Medicine, University of Rochester, Rochester, New York 14642, USA
Curr Opin Hematol 17:450-6. 2010..A significant proportion of cancer-associated VTE occurs in the ambulatory setting and is associated with poorer outcomes and reduced survival. Risk for VTE is influenced by patient, cancer and treatment-specific factors...
Incidence, risk factors and consequences of portal vein and systemic thromboses in hepatocellular carcinomaGregory C Connolly
Department of Medicine, University of Rochester, Rochester, NY, USA
Thromb Res 122:299-306. 2008..Hepatocellular carcinoma (HCC) is commonly associated with portal vein thrombosis (PVT). Little is known about factors predictive for PVT in patients with HCC or its correlation with systemic venous thromboembolism (VTE)...
Malignancy, thrombosis and Trousseau: the case for an eponymA A Khorana
James P. Wilmot Cancer Center, and Department of Medicine, University of Rochester School of Medicine and Dentistry, Rochester, NY 14642, USA
J Thromb Haemost 1:2463-5. 2003
The influence of host response on colorectal cancer prognosisLeo Shunyakov
James P. Wilmot Cancer Center and Department of Medicine, University of Rochester School of Medicine and Dentistry, Rochester, NY 14642, USA
Clin Colorectal Cancer 4:38-45. 2004..The influence of the host response to CRC needs confirmation in prospective studies, but in the meantime should be part of risk stratification. Novel approaches to further augmenting this response merit study...
Leukocytosis, thrombosis and early mortality in cancer patients initiating chemotherapyGregory C Connolly
James P Wilmot Cancer Center, Department of Medicine, University of Rochester, Rochester, NY, USA
Thromb Res 126:113-8. 2010..Leukocytosis has been associated with thrombosis and mortality in cancer patients. We explored the association of leukocytosis with venous thromboembolism (VTE) and early mortality in cancer patients initiating chemotherapy...
Emerging risk stratification approaches to cancer-associated thrombosis: risk factors, biomarkers and a risk scoreGregory C Connolly
James P Wilmot Cancer Center, Department of Medicine, University of Rochester, Rochester, N Y, USA
Thromb Res 125:S1-7. 2010..Targeted thromboprophylaxis utilizing model-based and/or biomarker-based approaches may provide an optimal risk-benefit ratio and is currently the focus of ongoing clinical trials...
American Society of Clinical Oncology guideline: recommendations for venous thromboembolism prophylaxis and treatment in patients with cancerGary H Lyman
Duke University Medical Center, University of Rochester Medical Center, Rochester, USA
J Clin Oncol 25:5490-505. 2007..To develop guideline recommendations for the use of anticoagulation in the prevention and treatment of venous thromboembolism (VTE) in patients with cancer...
Risk stratification for cancer-associated venous thromboembolismGregory C Connolly
James P Wilmot Cancer Center and the Department of Medicine, University of Rochester, Rochester, NY, USA
Best Pract Res Clin Haematol 22:35-47. 2009..This model-based approach may have a significant impact on cancer-related morbidity, mortality and cost of care by directing targeted thromboprophylaxis in the future...
Venous thromboembolism in patients with diffuse large B-cell lymphomaRami S Komrokji
Department of Medicine, University of Cincinnati and Cincinnati Veterans Administration Medical Center, Cincinnati, OH 45267 0501, USA
Leuk Lymphoma 47:1029-33. 2006..2 years (95% CI 1.8 - 8.6) for those without VTE (P = 0.038). We conclude that VTE is a frequent complication of DLBCL that occurs particularly at diagnosis and during initial therapy, and it is associated with a worse prognosis...
Variation in the cost of medications for the treatment of colorectal cancerSalvatore A Ferro
College of Pharmacy, Union University, Albany, NY, USA
Am J Manag Care 14:717-25. 2008..To evaluate the economic burden of colorectal cancer (CRC) treatment on the healthcare system as treatment costs have risen 340-fold during the past 5 years...
Research Grants
- Risk Factors for Venous Thromboembolism in Cancer Patients Receiving ChemotherapyAlok Khorana; Fiscal Year: 2007....
