Evidence map›Paper›PMID 31303864›Full record

ArticleThrombosis journal2019

Validation of the Khorana score in acute myeloid leukemia patients: a single-institution experience.

Abu-Sayeef Mirza, Seongseok Yun, Najla Al Ali, Hannah Shin, Joseph Luke O'Neil, Maher Elharake, Daniel Schwartz, Katherine Robinson, Ethan Nowell, Grace Engle and 20 more

Open access · goldAbstract read
In one paragraph

Article in Thrombosis journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.9field-weighted citation impact, top 8% 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

14 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
  2. Cancer-associated thrombosis in hematologic malignancies.International journal of hematology · 2024
    Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. 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

30 authors at 2 institutions in 1 country.

Abu-Sayeef Mirza1Department of Internal Medicine, H. Lee Moffitt Cancer Center and Research Institution, University of South Florida, 17 Davis Blvd., Suite 308, Tampa, FL 33606 USA.ORCID 0000-0002-1875-8966
Seongseok Yun1Department of Internal Medicine, H. Lee Moffitt Cancer Center and Research Institution, University of South Florida, 17 Davis Blvd., Suite 308, Tampa, FL 33606 USA.
Najla Al Ali2Department of Malignant Hematology, H. Lee Moffitt Cancer Center and Research Institution, Tampa, FL USA.
Hannah Shin3Morsani College of Medicine, University of South Florida, Tampa, FL USA.
Joseph Luke O'Neil3Morsani College of Medicine, University of South Florida, Tampa, FL USA.
Maher Elharake1Department of Internal Medicine, H. Lee Moffitt Cancer Center and Research Institution, University of South Florida, 17 Davis Blvd., Suite 308, Tampa, FL 33606 USA.
Daniel Schwartz3Morsani College of Medicine, University of South Florida, Tampa, FL USA.
Katherine Robinson1Department of Internal Medicine, H. Lee Moffitt Cancer Center and Research Institution, University of South Florida, 17 Davis Blvd., Suite 308, Tampa, FL 33606 USA.
Ethan Nowell3Morsani College of Medicine, University of South Florida, Tampa, FL USA.
Grace Engle3Morsani College of Medicine, University of South Florida, Tampa, FL USA.
Ibraahim Badat4College of Arts and Sciences, University of South Florida, Tampa, FL USA.
Thomas Brimer1Department of Internal Medicine, H. Lee Moffitt Cancer Center and Research Institution, University of South Florida, 17 Davis Blvd., Suite 308, Tampa, FL 33606 USA.
Amra Kuc3Morsani College of Medicine, University of South Florida, Tampa, FL USA.
Ashton Sequeira1Department of Internal Medicine, H. Lee Moffitt Cancer Center and Research Institution, University of South Florida, 17 Davis Blvd., Suite 308, Tampa, FL 33606 USA.
Sabbir Mirza3Morsani College of Medicine, University of South Florida, Tampa, FL USA.
Dhiraj Sikaria3Morsani College of Medicine, University of South Florida, Tampa, FL USA.
Jesus Diaz Vera3Morsani College of Medicine, University of South Florida, Tampa, FL USA.
Noah Hackney3Morsani College of Medicine, University of South Florida, Tampa, FL USA.
Sammy Abusrur3Morsani College of Medicine, University of South Florida, Tampa, FL USA.
Jose Jesurajan3Morsani College of Medicine, University of South Florida, Tampa, FL USA.
Jameson Kuang3Morsani College of Medicine, University of South Florida, Tampa, FL USA.
Shreyans Patel3Morsani College of Medicine, University of South Florida, Tampa, FL USA.
Sabrina Khalil3Morsani College of Medicine, University of South Florida, Tampa, FL USA.
Sonya Bhaskar3Morsani College of Medicine, University of South Florida, Tampa, FL USA.
Alexander Beard3Morsani College of Medicine, University of South Florida, Tampa, FL USA.
Toaa Abuelenen3Morsani College of Medicine, University of South Florida, Tampa, FL USA.
Kevin Ratnasamy3Morsani College of Medicine, University of South Florida, Tampa, FL USA.
Nathan Visweshwar1Department of Internal Medicine, H. Lee Moffitt Cancer Center and Research Institution, University of South Florida, 17 Davis Blvd., Suite 308, Tampa, FL 33606 USA.
Rami Komrokji2Department of Malignant Hematology, H. Lee Moffitt Cancer Center and Research Institution, Tampa, FL USA.
Michael Jaglal2Department of Malignant Hematology, H. Lee Moffitt Cancer Center and Research Institution, Tampa, FL USA.
University of South Florida · USMoffitt Cancer Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough patients with acute myeloid leukemia (AML) were shown to have an increased risk of thrombosis, no thrombosis risk assessment scoring system has been developed for AML patients. The Khorana Risk Score (KRS), which has been widely used for thrombosis risk assessment in the clinical setting, was developed on the basis of solid tumor data and has not been validated among AML patients. This study aims to validate the use of the KRS as a thrombosis risk-scoring system among patients with AML.

methodsUsing data from H. Lee Moffitt Cancer Center and Research Institution's Total Cancer Care Research Study, we retrospectively identified patients who were histologically confirmed with AML from 2000 to 2018. Clinical and laboratory variables at the time of AML diagnosis were characterized and analyzed. The thrombotic event rate was estimated with the Kaplan-Meier method and compared using the log-rank test.

resultsA total of 867 AML patients were included in the analysis. The median age at AML diagnosis was 75 years (range, 51-96), and the majority were male (65%,

conclusionsAlthough there was an increased risk of thrombosis associated with a higher KRS among AML patients with a KRS of 1 to 3, the difference was not statistically significant. Furthermore, only a few patients were found to have a KRS > 3, and this was largely due to pancytopenia, which is commonly associated with AML. These results indicate the need for a better thrombotic risk-scoring system for AML patients.

Indexed as

Acute myeloid leukemiaKhorana scoreRisk predictionThrombosis

Identifiers

PMID31303864
PMCPMC6604148
OpenAlexW2954504403

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.