Evidence map›Paper›PMID 28364690›Full record

ArticleThrombosis research2017

Recanalization rate in patients with proximal vein thrombosis treated with the direct oral anticoagulants.

Paolo Prandoni, Walter Ageno, Nicola Mumoli, Nello Zanatta, Davide Imberti, Adriana Visonà, Maurizio Ciammaichella, Livio Simioni, Roberto Cappelli, Eugenio Bucherini and 8 more

Abstract read
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Article in Thrombosis research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
5.1field-weighted citation impact, top 4% 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

11 citing papers in PubMed, 38 citations in OpenAlex.

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  11. Factors Affecting Recanalization in Femoropopliteal Deep Vein Thrombosis.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 11 institutions in 1 country.

Paolo PrandoniDepartment of Cardiovascular Sciences, Vascular Medicine Unit, University of Padua, Italy. Electronic address: paoloprandoni@tin.it.
Walter AgenoDepartment of Clinical Medicine, University of Insubria, Varese, Italy.
Nicola MumoliDepartment of Internal Medicine, Hospital of Livorno, Italy.
Nello ZanattaDivision of General Medicine, Presidio Hospital of Conegliano, Italy.
Davide ImbertiHaemostasis and Thrombosis Center, Department of Internal Medicine, Hospital of Piacenza, Italy.
Adriana VisonàDepartment of Angiology, S. Giacomo Apostolo Hospital, Castelfranco Veneto, Italy.
Maurizio CiammaichellaDepartment of emergency, A.O. San Giovanni-Addolorata, Roma, Italy.
Livio SimioniDepartment of Medicine, "S.Maria del Prato" Feltre Hospital, Ulss 1 Dolomiti Veneto, Italy.
Roberto CappelliThrombosis Center, Hospital of Siena, Italy.
Eugenio BucheriniDepartment of Vascular Medicine, Hospital of Ravenna-Faenza, Italy.
Marcello Di NisioDepartment of Medicine and Ageing Sciences, G. D'Annunzio University, Chieti, Italy.
Giampiero AvruscioUnit of Angiology, Department of Cardiovascular Sciences, Vascular Medicine Unit, University of Padua, Italy.
Giuseppe CamporeseUnit of Angiology, Department of Cardiovascular Sciences, Vascular Medicine Unit, University of Padua, Italy.
Roberto ParisiUnit of Angiology, Internal Medicine, SS Giovanni e Paolo Hospital, Venice, Italy.
Stefano CuppiniDepartment of Internal Medicine, Santa Maria della Misericordia Hospital, Rovigo, Italy.
Giacomo TurattiDepartment of Cardiovascular Sciences, Vascular Medicine Unit, University of Padua, Italy.
Franco NoventaDepartment of Cardiovascular Sciences, Vascular Medicine Unit, University of Padua, Italy.
Lucia SaroloDepartment of Cardiovascular Sciences, Vascular Medicine Unit, University of Padua, Italy.
University of Padua · ITAzienda Ospedaliera San Giovanni Addolorata · ITOspedale di Livorno · ITOspedale per gli Infermi · ITOspedale San Giacomo Apostolo · ITOspedale Santa Maria della Misericordia di Rovigo · ITOspedaliera di Piacenza · ITPresidio Ospedaliero · ITUniversity of Chieti-Pescara · ITUniversity of Insubria · ITUniversity of Siena · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe recanalization rate in patients with deep venous thrombosis (DVT) of the legs treated with the direct oral anticoagulants (DOAC) is unknown.

methodsIn an Italian cohort, we investigated the rate of residual vein thrombosis (RVT) after three and/or six months in 352 patients with proximal DVT who had been treated with the DOACs as a stand-alone therapy or lead-in parenteral anticoagulants, and compared it to that recorded in a historical cohort of 1094 patients in which vitamin K antagonists (VKAs) had been employed. In both cohorts, RVT was defined as the ultrasound persistence of thrombotic material resulting in a diameter of at least 4mm of incompressibility of the proximal veins.

resultsRVT was detected in 143 patients treated with DOACs (41.2%) after three months and in 58 patients (21.1%) after six months; the corresponding figure in patients treated with conventional anticoagulation was 52.3% and 54.5%, respectively. After adjusting for the baseline characteristics, the odds ratio of RVT in patients treated with the DOACs as compared with those treated with conventional anticoagulation was 0.63 (95% CI, 0.48-0.81) after three months, and 0.17 (95% CI; 0.11-0.26) after six months.

conclusionsIn patients with proximal DVT treated with the DOACs, the persistence of ultrasound detectable RVT is likely to occur less frequently than in patients treated with conventional anticoagulation. These results may have implications for the prognosis of patients with DVT.

Indexed as

Administration, OralAdultAgedAged, 80 and overAnticoagulantsCohort StudiesFemaleHumansItalyMaleMiddle AgedPrognosisVenous ThrombosisVitamin KAnticoagulantsVitamin KAnticoagulationDeep venous thrombosisDirect oral anticoagulantsResidual thrombosisVenous thromboembolismVitamin K antagonists

Identifiers

PMID28364690
OpenAlexW2599635159

What OpenQuestion holds

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Registered trials

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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.