Evidence map›Paper›PMID 26780745›Full record

ReviewJournal of thrombosis and thrombolysis2016

Guidance for the practical management of the heparin anticoagulants in the treatment of venous thromboembolism.

Maureen A Smythe, Jennifer Priziola, Paul P Dobesh, Diane Wirth, Adam Cuker, Ann K Wittkowsky

2 registry-linked trialsOpen access · hybridAbstract readReview
In one paragraph

Review in Journal of thrombosis and thrombolysis, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 87 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
87citing papers in PubMed, 5 pooled it
14.1field-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.

NCT06329921 naenrolling by invitationnot on this mapstarted 2024, after this paper: background citation

Inpatient Monitoring of Unfractionated Heparin

TypeinterventionalSponsorVanderbilt University Medical CenterRan2024 to 2026Enrolled700ConditionsBlood Clot, ThrombosisArmsPTT protocol, anti-Xa protocol
NCT07250763 phase4active not recruitingnot on this mapstarted 2023, after this paper: background citation

Optimization of Intravenous Unfractionated Heparin Starting Infusion Rate for Adult Patients With Deep Vein Thrombosis/Pulmonary Embolism or Cardiac Indications

TypeinterventionalSponsorInova Health Care ServicesRan2023 to 2027Enrolled145ConditionsPulmonary Embolism, Deep Vein Thrombosis, Atrial Fibrillation, Acute Cardiac SyndromeArmsInitial Heparin Dose Modification
3 · Its place in the literature

Who cites it

87 citing papers in PubMed, 5 syntheses or guidelines pooled it, 224 citations in OpenAlex.

  1. Guideline
  2. ISTH DIC subcommittee communication on anticoagulation in COVID-19.Journal of thrombosis and haemostasis : JTH · 2020
    Guideline
  3. Pooled it
  4. Guideline
  5. Pooled it
  6. Engineering Host-Guest Interactions for Next-Generation Heparin Biosensors.Small (Weinheim an der Bergstrasse, Germany) · 2026
    Article
  7. Article
  8. Observational
  9. Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. Article
  20. Article

27 more citing papers are in PubMed but not listed here.

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 at 6 institutions in 1 country.

Maureen A SmytheWayne State University, Detroit, MI, USA.
Jennifer PriziolaBeaumont Health System, Troy, MI, USA.
Paul P DobeshUniversity of Nebraska Medical Center College of Pharmacy, Omaha, NE, USA.
Diane WirthGrady Memorial Hospital, Atlanta, GA, USA.
Adam CukerPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Ann K WittkowskyUniversity of Washington School of Pharmacy, 1959 NE Pacific St Box 356015, Seattle, WA, 98195, USA. akwitt@uw.edu.
Beaumont Health · USGrady Memorial Hospital · USUniversity of Nebraska Medical Center · USUniversity of Pennsylvania · USUniversity of Washington · USWayne State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Venous thromboembolism (VTE) is a serious and often fatal medical condition with an increasing incidence. Despite the changing landscape of VTE treatment with the introduction of the new direct oral anticoagulants many uncertainties remain regarding the optimal use of traditional parenteral agents. This manuscript, initiated by the Anticoagulation Forum, provides clinical guidance based on existing guidelines and consensus expert opinion where guidelines are lacking. This specific chapter addresses the practical management of heparins including low molecular weight heparins and fondaparinux. For each anticoagulant a list of the most common practice related questions were created. Each question was addressed using a brief focused literature review followed by a multidisciplinary consensus guidance recommendation. Issues addressed included initial anticoagulant dosing recommendations, recommended baseline laboratory monitoring, managing dose adjustments, evidence to support a relationship between laboratory tests and meaningful clinical outcomes, special patient populations including extremes of weight and renal impairment, duration of necessary parenteral therapy during the transition to oral therapy, candidates for outpatient treatment where appropriate and management of over-anticoagulation and adverse effects including bleeding and heparin induced thrombocytopenia. This article concludes with a concise table of clinical management questions and guidance recommendations to provide a quick reference for the practical management of heparin, low molecular weight heparin and fondaparinux.

Indexed as

AnticoagulantsHeparinHumansPractice Guidelines as TopicVenous ThromboembolismAnticoagulantsHeparinAnticoagulationDalteparinDirect oral anticoagulants (DOAC)EnoxaparinFondaparinuxHeparinLow molecular weight heparinNew oral anticoagulants (NOAC)Venous thromboembolism

Identifiers

PMID26780745
PMCPMC4715846
OpenAlexW2289214695

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.