Evidence map›Paper›PMID 30625975›Full record

ArticleCancers2019

Dynamic Thromboembolic Risk Modelling to Target Appropriate Preventative Strategies for Patients with Non-Small Cell Lung Cancer.

Marliese Alexander, David Ball, Benjamin Solomon, Michael MacManus, Renee Manser, Bernhard Riedel, David Westerman, Sue M Evans, Rory Wolfe, Kate Burbury

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
4.6field-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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. 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. Article
  17. Article
  18. Review
  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

10 authors at 4 institutions in 1 country.

Marliese AlexanderDepartment of Epidemiology and Preventive Medicine Monash University, 99 Commercial Road, Melbourne, VIC 3004, Australia. Marliese.Alexander@petermac.org.
David BallSir Peter MacCallum Department of Oncology, The University of Melbourne, Parkville, VIC 3010, Australia. david.ball@petermac.org.
Benjamin SolomonSir Peter MacCallum Department of Oncology, The University of Melbourne, Parkville, VIC 3010, Australia. ben.solomon@petermac.org.
Michael MacManusSir Peter MacCallum Department of Oncology, The University of Melbourne, Parkville, VIC 3010, Australia. michael.macmanus@petermac.org.
Renee ManserDepartment of Respiratory and Sleep Disorders Medicine, Royal Melbourne Hospital, Grattan Street, Parkville, VIC 3050, Australia. renee.manser@petermac.org.
Bernhard RiedelSir Peter MacCallum Department of Oncology, The University of Melbourne, Parkville, VIC 3010, Australia. bernhard.riedel@petermac.org.
David WestermanSir Peter MacCallum Department of Oncology, The University of Melbourne, Parkville, VIC 3010, Australia. david.westerman@petermac.org.
Sue M EvansDepartment of Epidemiology and Preventive Medicine Monash University, 99 Commercial Road, Melbourne, VIC 3004, Australia. sue.evans@monash.edu.
Rory WolfeDepartment of Epidemiology and Preventive Medicine Monash University, 99 Commercial Road, Melbourne, VIC 3004, Australia. rory.wolfe@monash.edu.
Kate BurburySir Peter MacCallum Department of Oncology, The University of Melbourne, Parkville, VIC 3010, Australia. Kate.Burbury@petermac.org.
University of Melbourne · AUPeter MacCallum Cancer Centre · AUMonash University · AUThe Royal Melbourne Hospital · AU

Funding

CovidienTM VTE Management and Prevention Scholarship ProgramMonash University Australian Post Graduate AwardPeter MacCallum Cancer Foundation Clinican Researcher FellowshipSociety of Oncology Pharmacy Practitioners Research Award
6 · The paper itself

Abstract

Prevention of cancer-associated thromboembolism (TE) remains a significant clinical challenge and priority world-wide safety initiative. In this prospective non-small cell lung cancer (NSCLC) cohort, longitudinal TE risk profiling (clinical and biomarker) was undertaken to develop risk stratification models for targeted TE prevention. These were compared with published models from Khorana, CATS, PROTECHT, CONKO, and CATS/MICA. The NSCLC cohort of 129 patients, median follow-up 22.0 months (range 5.6-31.3), demonstrated a hypercoagulable profile in >75% patients and TE incidence of 19%. High TE risk patients were those receiving chemotherapy with baseline fibrinogen ≥ 4 g/L and d-dimer ≥ 0.5 mg/L; or baseline d-dimer ≥ 1.5 mg/L; or month 1 d-dimer ≥ 1.5 mg/L. The model predicted TE with 100% sensitivity and 34% specificity (c-index 0.67), with TE incidence 27% vs. 0% for high vs. low-risk. A comparison using the Khorana, PROTECHT, and CONKO methods were not discriminatory; TE incidence 17⁻25% vs. 14⁻19% for high vs. low-risk (c-index 0.51⁻0.59). Continuous d-dimer (CATS/MICA model) was also not predictive of TE. Independent of tumour stage, high TE risk was associated with cancer progression (HR 1.9,

Indexed as

deep vein thrombosisnon-small cell lung cancerpulmonary embolismrisk predictionthromboembolism

Identifiers

PMID30625975
PMCPMC6356389
OpenAlexW2906737995

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.