Evidence map›Paper›PMID 26629017›Full record

ArticleInternational journal of clinical and experimental medicine2015

Association between D-dimer level and portal venous system thrombosis in liver cirrhosis: a retrospective observational study.

Junna Dai, Xingshun Qi, Ying Peng, Yue Hou, Jiang Chen, Hongyu Li, Xiaozhong Guo

Registry-linked trialAbstract read
In one paragraph

Article in International journal of clinical and experimental medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06390475 (Optimizing Diagnosis of Splanchic Vein Thrombosis With MR Direct Thrombus Imaging, the Rhea Study), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.8field-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.

NCT06390475 unknown statusnot on this mapstarted 2019, after this paper: background citation

Optimizing Diagnosis of Splanchic Vein Thrombosis With MR Direct Thrombus Imaging, the Rhea Study

TypeobservationalSponsorLeiden University Medical CenterRan2019 to 2025Enrolled73ConditionsSplanchnic Vein ThrombosisArmsMR Direct Thrombus Imaging (MRDTI)
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. Article
  3. Shedding Light on the Pathogenesis of Splanchnic Vein Thrombosis.International journal of molecular sciences · 2023
    Review
  4. Article
  5. Hemorheological Alteration in Patients with Cirrhosis Clinically Diagnosed with Portal Vein System Thrombosis After Splenectomy.Medical science monitor : international medical journal of experimental and clinical research · 2021
    Article
  6. Review
  7. Article
  8. Association Between Hepatocellular Carcinoma and Type 2 Diabetes Mellitus in Chinese Hepatitis B Virus Cirrhosis Patients: A Case-Control Study.Medical science monitor : international medical journal of experimental and clinical research · 2017
    Article
  9. Observational
  10. Splenectomy Causes 10-Fold Increased Risk of Portal Venous System Thrombosis in Liver Cirrhosis Patients.Medical science monitor : international medical journal of experimental and clinical research · 2016
    Article
  11. Serum Lipoprotein (a) on Postoperative Day 3: A Strong Predictor of Portal and/or Splenic Vein Thrombosis in Cirrhotic Patients With Splenectomy.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    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

7 authors at 2 institutions in 1 country.

Junna DaiPostgraduate College, Dalian Medical University Dalian, Liaoning, P.R. China.
Xingshun QiLiver Cirrhosis Group, Department of Gastroenterology, General Hospital of Shenyang Military Area Shenyang 110840, P.R. China.
Ying PengPostgraduate College, Dalian Medical University Dalian, Liaoning, P.R. China.
Yue HouLiver Cirrhosis Group, Department of Gastroenterology, General Hospital of Shenyang Military Area Shenyang 110840, P.R. China.
Jiang ChenLiver Cirrhosis Group, Department of Gastroenterology, General Hospital of Shenyang Military Area Shenyang 110840, P.R. China.
Hongyu LiLiver Cirrhosis Group, Department of Gastroenterology, General Hospital of Shenyang Military Area Shenyang 110840, P.R. China.
Xiaozhong GuoLiver Cirrhosis Group, Department of Gastroenterology, General Hospital of Shenyang Military Area Shenyang 110840, P.R. China.
General Hospital of Shenyang Military Region · CNDalian Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to explore the association between D-dimer levels and presence of portal venous system thrombosis (PVST) in liver cirrhosis.

methodsAll consecutive patients with a diagnosis of liver cirrhosis who underwent D-dimer test were retrospectively enrolled. Normal reference range of D-dimer level was 0-0.3 µg/mL. PVST was diagnosed on the basis of contrast-enhanced computed tomography and/or magnetic resonance imaging scans.

resultsOf the 66 included patients, 24 were diagnosed with PVST. Mean D-dimer level was 0.51±0.72 µg/mL (range: 0.10-3.44). Mean D-dimer level was not significantly different between PVST and non-PVST groups (0.68±0.93 µg/mL versus 0.41±0.56 µg/mL, P=0.146). Area under the receiver operating curve for D-dimer level for predicting the presence of PVT was 0.606 (95% confidence interval: 0.478-0.724, P=0.1393). The optimal cut-off value for D-dimer was 0.22 with a sensitivity of 58.3% and a specificity of 69.0%. The subgroup analyses of patients without splenectomy or those with different Child-Pugh classes demonstrated no significant difference in the D-dimer level between PVST and non-PVST groups.

conclusionD-dimer might not be useful to identify the presence of PVST in liver cirrhosis. However, given the retrospective nature of this study, further well-designed prospective study should be necessary to confirm this finding.

Indexed as

D-dimerfibrinolysisliver cirrhosispathogenesisPortal vein thrombosis

Identifiers

PMID26629017
PMCPMC4658906
OpenAlexW2416643158

What OpenQuestion holds

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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.