Evidence map›Paper›PMID 18704513›Full record

ReviewSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2008

Long-term use of daily subcutaneous low molecular weight heparin in cancer patients with venous thromboembolism: why hesitate any longer?

Philippe Debourdeau, Ismail Elalamy, Axelle de Raignac, Paul Meria, Jean Marc Gornet, Yahovi Amah, Wolfang Korte, Michel Marty, Dominique Farge

Abstract readReview
PubMed Publisher
In one paragraph

Review in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.4field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Catheter-related thrombosis: A practical approach.Journal of the Intensive Care Society · 2016
    Article
  6. Article
  7. Thromboprophylaxis in patients receiving inpatient palliative care: a survey of present practice in Austria.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2012
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 6 institutions in 3 countries.

Philippe DebourdeauInternal Medicine and Oncology Department, Desgenettes Military Hospital, 108 Bvd Pinel, 69275, Lyon cedex 3, France. pdebourdeau@yahoo.fr
Ismail Elalamy
Axelle de Raignac
Paul Meria
Jean Marc Gornet
Yahovi Amah
Wolfang Korte
Michel Marty
Dominique Farge
Assistance Publique – Hôpitaux de Paris · FRHôpital Saint-Louis · FRHôpital d'instruction des Armées Desgenettes · FRInserm · FRKantonsspital St. Gallen · CHUniversity of Lomé · TG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCancer disease inducing an acquired hypercoagulable state is a well-established feature. Venous thromboembolism (VTE) occurs in 4% to 20% of the patients and is the second cause of mortality in cancer; VTE incidence is four to six times higher in cancer patients compared to other patients. In the last 10 years, important randomised clinical trials have clearly demonstrated that long-term use of daily subcutaneous low molecular weight heparin (LMWH) is more efficient than Vitamin K antagonists to treat VTE in cancer patients. First Italian, then American and more recently French national guidelines recommend the use of LMWH for 3 to 6 months for curative treatment of VTE in cancer patients with a clearly high level (A) of evidence. Despite convincing data, many physicians have not yet modified their clinical practice, doubting the tolerability of such a long period of subcutaneous injections. In fact, LMWH long-term use appears well tolerated and may also increase cancer patient survival.

objectivesThe aim of this review is to present the scientific rationale for long-term daily subcutaneous LMWH in cancer patients, and to reinforce the favourable benefit/tolerance tolerability ratio with this specific antithrombotic strategy.

Indexed as

Clinical Trials as TopicDrug Administration ScheduleEvidence-Based MedicineFibrinolytic AgentsHeparin, Low-Molecular-WeightHumansInjections, SubcutaneousNeoplasmsVenous ThromboembolismFibrinolytic AgentsHeparin, Low-Molecular-Weight

Identifiers

PMID18704513
OpenAlexW2011467934

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.