Evidence map›Paper›PMID 32994362›Full record

Observational studyRMD open2020

Risk of venous thromboembolism in immune-mediated inflammatory diseases: a UK matched cohort study.

James Galloway, Kevin Barrett, Peter Irving, Kaivan Khavandi, Monica Nijher, Ruth Nicholson, Simon de Lusignan, Maya H Buch

Registry-linked trialOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in RMD open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03835780 (The Risk of Venous Thromboembolism in Systemic Inflammatory Disorders), which is not on this map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 4% 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.

NCT03835780 completednot on this map

The Risk of Venous Thromboembolism in Systemic Inflammatory Disorders: a UK Matched Cohort Study

TypeobservationalSponsorMomentum DataRan2019 to 2019Enrolled266,890ConditionsVenous Thromboses, Venous Thromboembolism, Deep Vein Thrombosis, Pulmonary EmbolismArmsNo intervention
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

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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 4 institutions in 1 country.

James GallowayCentre for Rheumatic Diseases, King's College London, London, UK.
Kevin BarrettNew Road Surgery, Croxley Green, Hertfordshire, UK.
Peter IrvingDepartment of Gastroenterology, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Kaivan KhavandiPfizer Innovative Health, Tadworth, UK.
Monica NijherPfizer Innovative Health, Tadworth, UK.
Ruth NicholsonPfizer Innovative Health, Tadworth, UK.
Simon de LusignanRoyal College of General Practitioners Research and Surveillance Centre (RSC), London, UK.
Maya H BuchCentre for Musculoskeletal Research, School of Biological Sciences, The University of Manchester, Manchester, UK maya.buch@manchester.ac.uk.ORCID http://orcid.org/0000-0002-8962-5642
Pfizer (United Kingdom) · GBKing's College London · GBUniversity of Manchester · GBUniversity of Oxford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo describe the risk of venous thromboembolism (VTE), and risk factors for VTE, in people with immune-mediated inflammatory diseases (IMID) (ulcerative colitis, Crohn's disease (CD), rheumatoid arthritis (RA) and psoriatic arthritis (PsA)), compared with a matched control population.

methodsA total of 53 378 people with an IMID were identified over 1999-2019 in the UK Royal College of General Practitioners (RCGP) Research and Surveillance Centre (RSC) primary care database and were matched to 213 512 people without an IMID. The association between the presence of any IMID, and each IMID separately, and risk of VTE was estimated using unadjusted and multivariable-adjusted Cox proportional hazards models. The prevalence of VTE risk factors, and associations between VTE risk factors and risk of VTE, were estimated in people with and without an IMID.

resultsPeople with an IMID were at increased risk of VTE (adjusted HR [aHR] 1.46, 95% CI 1.36,1.56), compared with matched controls. When assessing individual diseases, risk was increased for CD (aHR 1.74, 95% CI 1.45 to 2.08), ulcerative colitis (aHR 1.27, 95% CI 1.10 to 1.45) and RA (aHR 1.54, 95% CI 1.40 to 1.70) but there was no evidence of an association for PsA (aHR 1.21, 95% CI 0.96 to 1.52). In people with an IMID, independent risk factors for VTE included male sex, overweight/obese body mass index, current smoking, history of fracture, and, across study follow-up, abnormal platelet count.

conclusionsVTE risk is increased in people with IMIDs. Routinely available clinical information may be helpful to identify individuals with an IMID at increased future risk of VTE. OBSERVATIONAL STUDY REGISTRATION NUMBER: Clinicaltrials.gov (NCT03835780).

Indexed as

Arthritis, PsoriaticArthritis, RheumatoidVenous ThromboembolismCohort StudiesHumansMaleUnited KingdomArthritisAutoimmune DiseasesEpidemiologyInflammationPsoriaticRheumatoid

Identifiers

PMID32994362
PMCPMC7547545
OpenAlexW3090344655

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

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.