Evidence map›Paper›PMID 30949836›Full record

ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2019

Health-related quality of life and mortality in patients with pulmonary embolism: a prospective cohort study in seven European countries.

Ling-Hsiang Chuang, Pearl Gumbs, Ben van Hout, Giancarlo Agnelli, Sonja Kroep, Manuel Monreal, Rupert Bauersachs, Stephen N Willich, Anselm Gitt, Patrick Mismetti and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 4 pooled it
5.0field-weighted citation impact, top 3% 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

28 citing papers in PubMed, 4 syntheses or guidelines pooled it, 61 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Prevalence and Risk Factors of Thromboembolism among Patients With Coronavirus Disease-19: A Systematic Review and Meta-Analysis.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Pooled it
  5. Review
  6. Review
  7. Fatigue after pulmonary embolism-prevalence and predictors.Frontiers in cardiovascular medicine · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Psychological Impact of Pulmonary Embolism: A Narrative Review.Journal of community hospital internal medicine perspectives · 2025
    Review
  14. Article
  15. Quality of life in oncological patients with venous thromboembolic disease.Research and practice in thrombosis and haemostasis · 2024
    Review
  16. Article
  17. Article
  18. Observational
  19. Review
  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

12 authors at 11 institutions in 6 countries.

Ling-Hsiang ChuangPharmerit International, Rotterdam, The Netherlands.
Pearl GumbsDaiichi-Sankyo Europe GmbH, Munich, Germany.
Ben van HoutUniversity of Sheffield, Sheffield, UK.
Giancarlo AgnelliUniversity of Perugia, Perugia, Italy.
Sonja KroepPharmerit International, Rotterdam, The Netherlands.
Manuel MonrealHospital Universitari Germans Trias I Pujol, Barcelona, Spain.
Rupert BauersachsKlinikum Darmstadt, Darmstadt, Germany.
Stephen N WillichCharité - Universitätsmedizin Berlin, Berlin, Germany.
Anselm GittHerzzentrum Ludwigshafen, Ludwigshafen, Germany.
Patrick MismettiCHU Saint-Etienne, Hospital Nord, Saint Etienne Cedex 2, France.
Alexander CohenGuy's and St Thomas' NHS Foundation Trust, London, UK. alexander.cohen@kcl.ac.uk.ORCID http://orcid.org/0000-0002-9398-4621
David JimenezRamon y Cajal Hospital IRYCIS and Alcala de Henares University, Madrid, Spain.
Pharmerit (Netherlands) · NLCentre Hospitalier Universitaire de Saint-Étienne · FRCharité - Universitätsmedizin Berlin · DEDaiichi Sankyo (Germany) · DEGuy's and St Thomas' NHS Foundation Trust · GBHospital Universitari Germans Trias i Pujol · ESInstituto Ramón y Cajal de Investigación Sanitaria · ESKlinikum Darmstadt · DEKlinikum Ludwigshafen · DEUniversity of Perugia · ITUniversity of Sheffield · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeLittle is known about the quality of life following pulmonary embolism (PE). The aim of the study was to assess the 12-month illness burden in terms of health-related quality of life (HrQoL) and mortality, in relation to differences in patient characteristics.

methodsThe PREFER in VTE registry, a prospective, observational study conducted in seven European countries, was used. Within 2 weeks following an acute symptomatic PE, patients were recruited and followed up for 12 months. Associations between patient characteristics and HrQoL (EQ-5D-5L) and mortality were examined using a regression approach.

resultsAmong 1399 PE patients, the EQ-5D-5L index score at baseline was 0.712 (SD 0.265), which among survivors gradually improved to 0.835 (0.212) at 12 months. For those patients with and without active cancer, the average index score at baseline was 0.658 (0.275) and 0.717 (0.264), respectively. Age and previous stroke were significant factors for predicting index scores in those with/without active cancer. Bleeding events but not recurrences had a noticeable impact on the HrQoL of patients without active cancer. The 12-month mortality rate post-acute period was 8.1%, ranging from 1.4% in Germany, Switzerland, and Austria to 16.8% in Italy. Mortality differed between patients with active cancer and those without (42.7% vs. 4.7%).

conclusionPE is associated with a substantial decrease in HrQoL at baseline which normalizes following treatment. PE is associated with a high mortality rate especially in patients with cancer, with significant country variation. Bleeding events, in particular, impact the burden of PE.

Indexed as

Health StatusAgedAnxietyCost of IllnessDepressionEuropeFemaleHumansMaleMiddle AgedNeoplasmsPainProspective StudiesPulmonary EmbolismQuality of LifeRecurrenceBurden of illnessDisease registryHealth-related quality of lifeMortalityVenous thromboembolism

Identifiers

PMID30949836
PMCPMC6620245
OpenAlexW2929448145

What OpenQuestion holds

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LicenceCC BY
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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.