Evidence map›Paper›PMID 32735752›Full record

Trial reportCancer medicine2020

Venous thromboembolism during preoperative chemotherapy in the CRITICS gastric cancer trial.

Astrid E Slagter, Karolina Sikorska, Cecile Grootscholten, Hanneke W M van Laarhoven, Pehr Lind, Marianne Nordsmark, Elma Meershoek-Klein Kranenbarg, Cornelis J H van de Velde, Nicole C T van Grieken, Johanna W van Sandick and 3 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Cancer medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 23% 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

4 citing papers in PubMed, 10 citations in OpenAlex.

  1. Trial
  2. Review
  3. Comment On: The Duration and Magnitude of Postdischarge Venous Thromboembolism Following Colectomy.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2022
    Article
  4. 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

13 authors at 7 institutions in 3 countries.

Astrid E SlagterDepartment of Radiation Oncology, Netherlands Cancer Institute, Amsterdam, The Netherlands.ORCID 0000-0002-3020-0180
Karolina SikorskaDepartment of Biometrics, Netherlands Cancer Institute, Amsterdam, The Netherlands.
Cecile GrootscholtenDepartment of Gastrointestinal Oncology, Netherlands Cancer Institute, Amsterdam, The Netherlands.
Hanneke W M van LaarhovenDepartment of Medical Oncology, Cancer Center Amsterdam, Amsterdam University Medical Center, The Netherlands.
Pehr LindDepartment of Oncology, Stockholm Söder Hospital, Stockholm, Sweden.
Marianne NordsmarkDepartment of Oncology, Aarhus University Hospital, Aarhus, Denmark.
Elma Meershoek-Klein KranenbargDepartment of Surgical Oncology, Leiden University Medical Center, Leiden, The Netherlands.
Cornelis J H van de VeldeDepartment of Surgical Oncology, Leiden University Medical Center, Leiden, The Netherlands.
Nicole C T van GriekenDepartment of Pathology, Amsterdam University Medical Center, Amsterdam, The Netherlands.
Johanna W van SandickDepartment of Surgical Oncology, Netherlands Cancer Institute, Amsterdam, The Netherlands.
Edwin P M JansenDepartment of Radiation Oncology, Netherlands Cancer Institute, Amsterdam, The Netherlands.
Marcel VerheijDepartment of Radiation Oncology, Radboud University Medical Center, Nijmegen, The Netherlands.
Annemieke CatsDepartment of Gastrointestinal Oncology, Netherlands Cancer Institute, Amsterdam, The Netherlands.
The Netherlands Cancer Institute · NLLeiden University Medical Center · NLAarhus University Hospital · DKAmsterdam UMC Location University of Amsterdam · NLAmsterdam University Medical Centers · NLKarolinska Institutet · SERadboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe occurrence of a venous thromboembolism (VTE) is common in patients with cancer. Gastric cancer has been associated with one of the highest risks for VTE. Chemotherapy, especially cisplatin has been associated with a high VTE risk. In this study, risk factors for VTE occurrence and their potential impact on subsequent therapeutic interventions were investigated in patients who underwent preoperative chemotherapy, in the CRITICS gastric cancer trial. PATIENTS AND

methodsPatients with resectable gastric cancer were preoperatively treated with three cycles of 3-weekly epirubicin, cisplatin or oxaliplatin, and capecitabine (ECC/EOC). VTE was defined as any thrombus in the venous system, excluding superficial and/or device related VTEs. Potential risk factors were analyzed in a multivariable regression model with age, gender, Body Mass Index (BMI), tumor localization, Lauren classification, type of chemotherapy (ECC/EOC), (cardiovascular) comorbidity, and previous VTE as independent risk factors. The impact of VTE on completion rate of preoperative chemotherapy, surgical resection rate, postoperative complications, and start of postoperative therapy were investigated.

resultsOf 781 patients, 78 (10%) of 781 patients developed a VTE during preoperative chemotherapy. On multivariable analysis, BMI ≥ 30 kg/m

conclusionHigh BMI and previous VTE were independent risk factors for VTE occurrence during preoperative chemotherapy in patients with resectable gastric cancer. VTE occurrence in the preoperative setting did not affect receipt of further treatment.

Indexed as

AdenocarcinomaAgedAntineoplastic Combined Chemotherapy ProtocolsChemotherapy, AdjuvantFemaleGastrectomyHumansMaleMiddle AgedNeoadjuvant TherapyProspective StudiesRisk AssessmentRisk FactorsStomach NeoplasmsTime FactorsTreatment Outcomecancer-associated thrombosisgastrectomygastric cancerpreoperative chemotherapyvenous thromboembolism

Identifiers

PMID32735752
PMCPMC7520268
OpenAlexW3046779488

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.