Evidence map›Paper›PMID 32450447›Full record

ReviewThrombosis research2020

Estrogen and thrombosis: A bench to bedside review.

Mouhamed Yazan Abou-Ismail, Divyaswathi Citla Sridhar, Lalitha Nayak

Open access · greenAbstract readReview
In one paragraph

Review in Thrombosis research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 134 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
134citing papers in PubMed, 6 pooled it
16.2field-weighted citation impact, top 1% 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

134 citing papers in PubMed, 6 syntheses or guidelines pooled it, 234 citations in OpenAlex.

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74 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 1 country.

Mouhamed Yazan Abou-IsmailCase Western Reserve University, Cleveland, OH, United States of America; University Hospitals Cleveland Medical Center, Cleveland, OH, United States of America.
Divyaswathi Citla SridharCase Western Reserve University, Cleveland, OH, United States of America; Rainbow Babies & Children's Hospital, Cleveland, OH, United States of America.
Lalitha NayakCase Western Reserve University, Cleveland, OH, United States of America; University Hospitals Cleveland Medical Center, Cleveland, OH, United States of America. Electronic address: Lalitha.Nayak@uhhospitals.org.
Case Western Reserve University · USRainbow Babies & Children's Hospital · USUniversity Hospitals of Cleveland · US

Funding

Novel approaches to improve prediction of cancer-associated thrombosisU01HL143402 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI KHORANA, ALOK A, MCCRAE, KEITH R. · 2018 to 2022
$4.7M
Role of myeloid KLF2 in antiphospholipid antibody-mediated thrombosisR01HL142647 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI NAYAK, LALITHA · 2018 to 2021
$1.9M
Role of Myeloid Kruppel-like Factor 2 in Vascular ThrombosisK08HL121131 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI NAYAK, LALITHA · 2014 to 2018
$754k
NHLBI NIH HHS K08 HL121131NHLBI NIH HHS R01 HL142647NHLBI NIH HHS U01 HL143402
6 · The paper itself

Abstract

Estrogen, in the clinical setting is used primarily for contraception and hormone replacement therapy. It has been well established that estrogen increases the risk of both arterial and venous thrombosis. While estrogen is known to induce a prothrombotic milieu through various effects on the hemostatic pathways, the exact molecular mechanism leading to those effects is not known. The most common clinical presentation of estrogen-related thrombosis is venous thromboembolism (VTE) of the deep veins of the legs or pulmonary vessels, usually within the first few months of use. Estrogen has also been associated with increased risk of "unusual site" thromboses, as well as arterial thrombosis. Women at high-risk of thrombosis need careful evaluation and counseling for contraception, pregnancy, menopausal hormonal therapy and other estrogen-related conditions or treatments in order to lower the risk of thromboses. We review the most recent evidence on management of high-estrogen states in women at high-risk of thrombosis, as well as emerging data on unique populations such as transgender women. More studies are needed to better understand the pathophysiology of hormone-related thrombosis, as well as more comprehensive techniques to stratify risks for thrombosis so as to enable tailoring of recommendations for each individual.

Indexed as

ThrombosisVenous ThromboembolismVenous ThrombosisContraceptionEstrogen Replacement TherapyEstrogensFemaleHumansRisk FactorsEstrogens

Identifiers

PMID32450447
PMCPMC7341440
OpenAlexW3020862479

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.