Evidence map›Paper›PMID 32089887›Full record

ArticleInternational journal of vascular medicine2020

Safety and Outcomes of Permanent and Retrievable Inferior Vena Cava Filters in the Oncology Population.

Saba S Shaikh, Suneel D Kamath, Debashis Ghosh, Robert J Lewandowski, Brandon J McMahon

Open access · goldAbstract read
In one paragraph

Article in International journal of vascular medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 31% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
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

5 authors at 3 institutions in 1 country.

Saba S ShaikhNorthwestern University Feinberg School of Medicine, Department of Medicine, Chicago, IL 60611, USA.ORCID https://orcid.org/0000-0002-4652-3662
Suneel D KamathNorthwestern University Feinberg School of Medicine, Department of Medicine, Division of Hematology/Oncology, USA.ORCID https://orcid.org/0000-0003-0117-366X
Debashis GhoshUniversity of Colorado School of Public Health, Department of Biostatistics and Informatics, USA.
Robert J LewandowskiNorthwestern University Feinberg School of Medicine, Department of Medicine, Division of Hematology/Oncology, USA.
Brandon J McMahonUniversity of Colorado School of Medicine, Department of Medicine, Division of Hematology, USA.ORCID https://orcid.org/0000-0001-5506-2557
Northwestern University · USColorado School of Public Health · USUniversity of Colorado Denver · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe role for inferior vena cava (IVC) filters in the oncology population is poorly defined.

objectivesOur primary endpoint was to determine the rate of filter placement in cancer patients without an absolute contraindication to anticoagulation and the rate of recurrent VTE after filter placement in both retrievable and permanent filter groups.

methodsA single-institution, retrospective study of patients with active malignancies and acute VTE who received a retrievable or permanent IVC filter between 2009-2013. Demographics and outcomes were confirmed on independent chart review. Cost data were obtained using Current Procedural Terminology (CPT) codes.

results179 patients with retrievable filters and 207 patients with permanent filters were included. Contraindication to anticoagulation was the most cited reason for filter placement; however, only 76% of patients with retrievable filters and 69% of patients with permanent filters had an absolute contraindication to anticoagulation. 20% of patients with retrievable filters and 24% of patients with permanent filters had recurrent VTE. The median time from filter placement to death was 8.9 and 3.2 months in the retrievable and permanent filter groups, respectively. The total cost of retrievable filters and permanent filters was $2,883,389 and $3,722,688, respectively.

conclusionsThe role for IVC filters in cancer patients remains unclear as recurrent VTE is common and time from filter placement to death is short. Filter placement is costly and has a clinically significant complication rate, especially for retrievable filters. More data from prospective, randomized trials are needed to determine the utility of IVC filters in cancer patients.

Identifiers

PMID32089887
PMCPMC7025073
OpenAlexW3004907389

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.