Evidence map›Paper›PMID 31984669›Full record

SynthesisJournal of thrombosis and haemostasis : JTH2020

Epidemiology and outcomes of clinically unsuspected venous thromboembolism in children: A systematic review.

Anjali A Sharathkumar, Tina Biss, Ketan Kulkarni, Sanjay Ahuja, Matt Regan, Christoph Male, Shoshana Revel-Vilk, SSC Subcommittee on Pediatrics and Neonatal T&H of the ISTH

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in Journal of thrombosis and haemostasis : JTH, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 4 pooled it
2.3field-weighted citation impact, top 10% 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

20 citing papers in PubMed, 4 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. Pooled it
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  4. Incidental pulmonary embolism in oncologic patients-a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Pooled it
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  7. Review
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  13. Thromboembolism in Children.Indian journal of pediatrics · 2024
    Article
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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

8 authors at 6 institutions in 5 countries.

Anjali A SharathkumarStead Family Department of Pediatrics, University of Iowa Carver School of Medicine, Iowa City, IA, USA.ORCID 0000-0003-4574-6175
Tina BissDepartment of Haematology, Royal Victoria Infirmary, Newcastle upon Tyne, UK.
Ketan KulkarniDivision of Hematology/Oncology, Department of Pediatrics, IWK Health Centre and Dalhousie University, Halifax, NS, Canada.
Sanjay AhujaDivision of Pediatric Hematology/Oncology, UH Cleveland Medical Center, Rainbow Babies & Children's Hospital, Cleveland, OH, USA.
Matt ReganUniversity of Iowa Libraries, Iowa City, IA, USA.ORCID 0000-0003-3339-9073
Christoph MaleDepartment of Paediatrics, Medical University of Vienna, Vienna, Austria.ORCID 0000-0002-4989-6421
Shoshana Revel-VilkPediatric Hematology/Oncology Unit, Shaare Zedek Medical Center, Jerusalem, Israel.
SSC Subcommittee on Pediatrics and Neonatal T&H of the ISTH
University of Iowa · USDalhousie University · CAHebrew University of Jerusalem · ILMedical University of Vienna · ATRainbow Babies & Children's Hospital · USRoyal Victoria Infirmary · GB

Funding

The University of Iowa Clinical and Translational Science AwardUL1TR002537 · NCATS · UNIVERSITY OF IOWA · PI HANSEN, MARLAN R, WINOKUR, PATRICIA · 2018 to 2022
$20.0M
NCATS NIH HHS UL1 TR002537
6 · The paper itself

Abstract

backgroundClinically unsuspected venous thromboembolic events (uVTE) detected during routine imaging pose a management challenge due to limited knowledge about their clinical significance. Unsuspected VTE are often referred as "asymptomatic," "incidental," or "clinically silent/occult" VTE.

objectiveTo understand the epidemiology, management, and outcomes of uVTE in children.

methodsA systematic review was performed according to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. The search criteria included controlled vocabulary and keywords for VTE, incidental findings, and children (ages ≤ 21 years).

resultsAmong 10 875 articles, 51 studies (8354 children with 758 uVTE) were selected. The studies were heterogeneous, I

conclusionClinically uVTE were predominantly diagnosed with CVL and their outcomes were generally favorable implying limited benefit of routine surveillance and thromboprophylaxis. Prospective research is needed to clarify the optimal management of iVTE.

Indexed as

Pulmonary EmbolismVenous ThromboembolismVenous ThrombosisAdultAnticoagulantsChildHumansInfant, NewbornProspective StudiesYoung AdultAnticoagulantsasymptomatic venous thromboembolismcentral venous lineincidental venous thromboembolismpediatricunsuspected venous thromboembolismvenous thromboembolism

Identifiers

PMID31984669
PMCPMC7192773
OpenAlexW3003252954

What OpenQuestion holds

Textmetadata
LicenceTDM
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.