Evidence map›Paper›PMID 25453848›Full record

ArticleLung cancer (Amsterdam, Netherlands)2014

Early venous thromboembolic events are associated with worse prognosis in patients with lung cancer.

Taxiarchis V Kourelis, Ewa M Wysokinska, Yi Wang, Ping Yang, Aaron S Mansfield, Alfonso J Tafur

Abstract read
In one paragraph

Article in Lung cancer (Amsterdam, Netherlands), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Cardiovascular comorbidities and their prognostic value in small cell lung cancer patients with chemoradiotherapy.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Clinical Characteristics and Outcomes of Patients with Lung Cancer and Venous Thromboembolism.TH open : companion journal to thrombosis and haemostasis · 2018
    Article
  17. Article
  18. Article
  19. 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

6 authors.

Taxiarchis V KourelisDepartment of Medical Oncology, Mayo Clinic, Rochester, MN, USA.
Ewa M WysokinskaDepartment of Medical Oncology, Mayo Clinic, Rochester, MN, USA.
Yi WangDepartment of Health Sciences Research, Division of Epidemiology, Mayo Clinic, Rochester, MN, USA; Division of Preventive Medicine, School of Environmental Science and Public Health, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Ping YangDepartment of Health Sciences Research, Division of Epidemiology, Mayo Clinic, Rochester, MN, USA.
Aaron S MansfieldDepartment of Medical Oncology, Mayo Clinic, Rochester, MN, USA.
Alfonso J TafurSection of Cardiology - Vascular Medicine, Oklahoma University Health Sciences Center, USA. Electronic address: alfonso-tafur@ouhsc.edu.

Funding

ALPHA 1 AD CARRIERS AND LUNG CANCER RISKR01CA080127 · NCI · MAYO CLINIC ROCHESTER · PI YANG, PING · 2000 to 2009
$4.4M
Genetic Determinants of Lung Cancer SurvivalR01CA084354 · NCI · MAYO CLINIC ROCHESTER · PI YANG, PING · 2001 to 2012
$4.0M
Health and QOL among Long-Term Lung Cancer SurvivorsR01CA115857 · NCI · MAYO CLINIC ROCHESTER · PI YANG, PING · 2006 to 2010
$2.4M
NCI NIH HHS R01 CA080127NCI NIH HHS R01 CA084354NCI NIH HHS R01 CA115857PHS HHS NIH-R01-80127PHS HHS R01-115857PHS HHS R01-84354
6 · The paper itself

Abstract

objectivesVenous thromboembolic events (VTE) are a leading cause of death in cancer patients. We hypothesized that early VTE (EVTE, within 3 months of diagnosis) in patients with lung cancer (LC) are associated with worse overall survival (OS). MATERIALS AND

methodsWe identified 727 patients with LC between 1998 and 2011. Late VTE (LVTE) were defined as VTE occurring after 3 months from LC diagnosis. Advance disease (AD) was defined as patients with Stage IV non-small cell lung cancer (NSCLC) or extensive stage small cell lung cancer (SCLC), and non-advanced disease (non-AD) was defined as ≤ Stage III NSCLC or limited stage SCLC.

resultsOut of 727 patients included in our review, 617 patients had NSCLC (85%), 94 (13%) SCLC, and 16 (2%) low grade neuroendocrine tumors. Ninety five patients (13%) experienced VTE, 44 (6%) experienced an EVTE and 49 (7%) had a LVTE. Patients with an EVTE had worse OS when compared to all other patients (medians 4 vs. 17 months, p < 0.0001). EVTE were associated with worse OS in patients with non-AD (medians 12 vs. 42 months, p = 0.01) and AD (medians 4 vs. 6 months, p = 0.02). When considering patients with NSCLC only, in a multivariate model that included age, stage, performance status >2, administration of chemotherapy and Charlson comorbidity index, EVTE were an independent predictor of increased mortality (HR 2.4; 95% CI 1.6-3.3).

conclusionsEVTE are associated with worse OS, irrespective of stage of the disease. Our findings underscore the need for an efficient preventive strategy for VTE among patients with lung cancer.

Indexed as

PrognosisAdultAgedAged, 80 and overCarcinoma, Non-Small-Cell LungFemaleHumansKaplan-Meier EstimateMaleMiddle AgedNeoplasm StagingSmall Cell Lung CarcinomaVenous ThromboembolismIncidenceLung neoplasmsPrognosisSurvivalThrombosisVenous thromboembolism

Identifiers

PMID25453848
PMCPMC5046820

What OpenQuestion holds

Textmetadata
LicenceTDM
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.