Evidence map›Paper›PMID 19720907›Full record

ReviewJournal of clinical oncology : official journal of the American Society of Clinical Oncology2009

Venous thromboembolism prophylaxis and treatment in cancer: a consensus statement of major guidelines panels and call to action.

Alok A Khorana, Michael B Streiff, Dominique Farge, Mario Mandala, Philippe Debourdeau, Francis Cajfinger, Michel Marty, Anna Falanga, Gary H Lyman

Registry-linked trialAbstract readConsensus StatementReview
In one paragraph

Review in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02898051 (Anti Xa Activity in Cancer Patients Receiving Low-molecular-weight Heparin for Venous Thromboembolism), which is not on this map. Cited by 38 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 3 pooled it
15.9field-weighted citation impact, top 1% 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.

NCT02898051 unknown statusnot on this mapstarted 2011, after this paper: background citation

Anti Xa Activity in Cancer Patients Receiving Low-molecular-weight Heparin for Venous Thromboembolism

TypeobservationalSponsorAssistance Publique - Hôpitaux de ParisRan2011 to 2018Enrolled370ConditionsNeoplasms, Venous Thromboembolism
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 3 syntheses or guidelines pooled it, 161 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Review
  6. An Overview of Antitumour Activity of Polysaccharides.Molecules (Basel, Switzerland) · 2022
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Pattern of Venous Thrombosis in Cancer Patients: Frequency and Survival Effect; Single Center Experience.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2015
    Article
  15. Article
  16. Cholangiocarcinoma: another masquerader in the making?Journal of gastrointestinal cancer · 2014
    Article
  17. Observational
  18. Article
  19. Thromboprophylaxis for lung cancer patients--multimodality assessment of clinician practices, perceptions and decision support tools.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2014
    Article
  20. 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 1 institution in 2 countries.

Alok A KhoranaJames P. Wilmot Cancer Center, and Department of Medicine, University of Rochester, Rochester, NY, USA. alok_khorana@URMC.rochester.edu
Michael B Streiff
Dominique Farge
Mario Mandala
Philippe Debourdeau
Francis Cajfinger
Michel Marty
Anna Falanga
Gary H Lyman
Johns Hopkins University · US

Funding

Venous Thrombosis in Cancer Outpatients: Prevention and Role of Tissue FactorR01HL095109 · NHLBI · UNIVERSITY OF ROCHESTER · PI FRANCIS, CHARLES W. · 2008 to 2012
$3.2M
Risk Factors for Venous Thromboembolism in Cancer Patients Receiving ChemotherapyK23CA120587 · NCI · UNIVERSITY OF ROCHESTER · PI KHORANA, ALOK A · 2006 to 2010
$649k
NCI NIH HHS 5K23CA120587-03NCI NIH HHS K23 CA120587NHLBI NIH HHS 1R01HL095109-01NHLBI NIH HHS R01 HL095109
6 · The paper itself

Abstract

purposeVenous thromboembolism (VTE) is an increasingly frequent complication of cancer and its treatments, and is associated with worsened mortality and morbidity in patients with cancer.

designThe Italian Association of Medical Oncology, the National Comprehensive Cancer Network, the American Society of Clinical Oncology, the French National Federation of the League of Centers Against Cancer, and the European Society of Medical Oncology have recently published guidelines regarding VTE in patients with cancer. This review, authored by a working group of members from these panels, focuses on the methodology and areas of consensus and disagreement in the various clinical guidelines as well as directions for future research.

resultsThere is broad consensus regarding the importance of thromboprophylaxis in hospitalized patients with cancer, including prolonged prophylaxis in high-risk surgical patients. Prophylaxis is not currently recommended for ambulatory patients with cancer (with exceptions) or for central venous catheters. All of the panels agree that low molecular weight heparins are preferred for the long-term treatment of VTE in cancer. Areas that warrant further research include the benefit of prophylaxis in the ambulatory setting, the risk/benefit ratio of prophylaxis for hospitalized patients with cancer, an understanding of incidental VTE, and the impact of anticoagulation on survival.

conclusionWe call for a sustained research effort to investigate the clinical issues identified here to reduce the burden of VTE and its consequences in patients with cancer.

Indexed as

Practice Guidelines as TopicAnticoagulantsAwarenessDose-Response Relationship, DrugDrug Administration ScheduleFemaleHumansInternational CooperationMaleMedical OncologyNeoplasmsPrimary PreventionPrognosisRisk AssessmentSurvival AnalysisTreatment OutcomeAnticoagulants

Identifiers

PMID19720907
PMCPMC2799060
OpenAlexW2122242925

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.