Evidence map›Paper›PMID 32685895›Full record

ArticleResearch and practice in thrombosis and haemostasis2020

Anticoagulation after intracranial hemorrhage in brain tumors: Risk of recurrent hemorrhage and venous thromboembolism.

Brian J Carney, Erik J Uhlmann, Maneka Puligandla, Charlene Mantia, Griffin M Weber, Donna S Neuberg, Jeffrey I Zwicker

Open access · goldAbstract read
In one paragraph

Article in Research and practice in thrombosis and haemostasis, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.3field-weighted citation impact, top 15% 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

17 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
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  4. Review
  5. Management of anticoagulation in patients with brain metastasis.Hematology. American Society of Hematology. Education Program · 2024
    Review
  6. Article
  7. Article
  8. Review
  9. Review
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  12. Anticoagulation and bleeding in the cancer patient.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Article
  13. Review
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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

7 authors at 3 institutions in 1 country.

Brian J CarneyDivision of Hemostasis and Thrombosis Beth Israel Deaconess Medical Center and Harvard Medical School Boston Massachusetts USA.
Erik J UhlmannDepartment of Neurology Beth Israel Deaconess Medical Center and Harvard Medical School Boston Massachusetts USA.
Maneka PuligandlaDepartment of Data Sciences Dana-Farber Cancer Institute Boston Massachusetts USA.
Charlene MantiaDivision of Hematology and Oncology Beth Israel Deaconess Medical Center and Harvard Medical School Boston Massachusetts USA.
Griffin M WeberInterdisciplinary Medicine and Biotechnology Beth Israel Deaconess Medical Center and Harvard Medical School Boston Massachusetts USA.
Donna S NeubergDepartment of Data Sciences Dana-Farber Cancer Institute Boston Massachusetts USA.
Jeffrey I ZwickerDivision of Hemostasis and Thrombosis Beth Israel Deaconess Medical Center and Harvard Medical School Boston Massachusetts USA.
Beth Israel Deaconess Medical Center · USDana-Farber Cancer Institute · USHarvard University · US

Funding

Biomarkers and mechanisms in cancer associated thrombosisU01HL143365 · NHLBI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI CHAIKOF, ELLIOT, FLAUMENHAFT, ROBERT C · 2018 to 2022
$4.3M
NHLBI NIH HHS U01 HL143365
6 · The paper itself

Abstract

backgroundIntracranial hemorrhage (ICH) is a common and often devastating outcome in patients with brain tumors. Despite this, there is little evidence to guide anticoagulation management following an initial ICH event.

objectivesTo analyze the risk of recurrent hemorrhagic and thrombotic outcomes after an initial ICH event in patients with brain tumors and prior venous thromboembolism (VTE). PATIENTS AND

methodsA retrospective cohort study was performed. Radiographic images obtained after initial ICH were reviewed for the primary outcomes of recurrent ICH and VTE. RESULTS AND

conclusionsA total of 79 patients with brain tumors who developed ICH on anticoagulation for VTE were analyzed. Fifty-four patients (68.4%) restarted anticoagulation following ICH. The cumulative incidence of recurrent ICH at 1 year was 6.1% (95% confidence interval [CI], 1.5-15.3) following reinitiation of anticoagulation. Following a major ICH (defined as an ICH >10 mL in size, causing symptoms, or requiring intervention), the rate of recurrent ICH upon reexposure to anticoagulation was 14.5% (95% CI, 2.1-38.35), whereas the rate of recurrent ICH following smaller ICH was 2.6% (95% CI, 0.2%-12.0%). Mortality following a recurrent ICH on anticoagulation was 67% at 30 days. The cumulative incidence of recurrent VTE was significantly lower in the restart cohort compared to patients who did not restart anticoagulation (8.1% vs 35.3%;

Indexed as

anticoagulationbrain tumorsintracranial hemorrhagevenous thromboembolism

Identifiers

PMID32685895
PMCPMC7354400
OpenAlexW3037141047

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.