Evidence map›Paper›PMID 33141604›Full record

Observational studyClinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis

Diagnostic and Prognostic Value of TAT, PIC, TM, and t-PAIC in Malignant Tumor Patients With Venous Thrombosis.

Kun Zhou, Jun Zhang, Zun-Rong Zheng, Yu-Zhen Zhou, Xun Zhou, Li-Da Wang, Bing Suo, Xiao-Feng Jiang, Pei-Jia Liu, Dong-Hua Wang

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 11% 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

35 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

  1. Pooled it
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  6. Four new markers of early thrombotic molecules and thromboelastography in prognostic evaluation of AMI patients undergoing PCI.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2026
    Review
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  16. Performance Verification of High Sensitivity Analyzer for TAT, PIC, TM, and t-PAIC.TH open : companion journal to thrombosis and haemostasis · 2025
    Article
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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

10 authors at 2 institutions in 1 country.

Kun ZhouDepartment of Clinical Laboratory, 567631General Hospital of Heilongjiang Province Land Reclamation Bureau, Harbin, Heilongjiang, People's Republic of China.ORCID https://orcid.org/0000-0002-0222-0301
Jun ZhangRehabilitation Department, 567631General Hospital of Heilongjiang Province Land Reclamation Bureau, Harbin, Heilongjiang, People's Republic of China.
Zun-Rong ZhengDepartment of Clinical Laboratory, 567631General Hospital of Heilongjiang Province Land Reclamation Bureau, Harbin, Heilongjiang, People's Republic of China.
Yu-Zhen ZhouDepartment of Clinical Laboratory, 567631General Hospital of Heilongjiang Province Land Reclamation Bureau, Harbin, Heilongjiang, People's Republic of China.
Xun ZhouDepartment of Clinical Laboratory, 567631General Hospital of Heilongjiang Province Land Reclamation Bureau, Harbin, Heilongjiang, People's Republic of China.
Li-Da WangDepartment of Medical Record, 567631General Hospital of Heilongjiang Province Land Reclamation Bureau, Harbin, Heilongjiang, People's Republic of China.
Bing SuoDepartment of Medical Record, 567631General Hospital of Heilongjiang Province Land Reclamation Bureau, Harbin, Heilongjiang, People's Republic of China.
Xiao-Feng JiangDepartment of Molecular Diagnosis Laboratory, 567631The 4th Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, People's Republic of China.
Pei-Jia LiuDepartment of Medical Oncology, 91631Harbin Medical University Cancer Hospital, Harbin, Heilongjiang, People's Republic of China.
Dong-Hua WangDepartment of Gastrointestinal Surgery, 567631General Hospital of Heilongjiang Province Land Reclamation Bureau, Harbin, Heilongjiang, People's Republic of China.
Heilongjiang Academy of Land Reclamation Sciences · CNHarbin Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVenous thromboembolism (VTE) is an important complication in patients with malignant tumors. Its exact diagnosis and treatment are still lacking. We used a high-sensitive chemiluminescence method to detect thrombin-antithrombin III complex (TAT), plasmin-α2-plasmininhibitor complex (PIC), thrombomodulin (TM), and tissue plasminogen activator-inhibitor complex(t-PAIC) in combination with D-dimer and fibrin degradation product (FDP) to analyze their diagnostic and prognostic value in patients with malignant tumors.

methodsIn total, 870 patients with confirmed malignant tumors were included, 82 of whom had diagnosed VTE; 200 healthy individuals were classified as the control group. The TAT, PIC, TM, and t-PAIC were detected using Sysmex HISCL5000 automated analyzers, whereas FDP and D-dimer were detected using Sysmex CS5100 coagulation analyzer. Receiver operating characteristic (ROC) curves were used to evaluate the diagnostic efficiency. Survival probabilities were determined using Kaplan-Meier analysis, and multivariate analyses were performed using a Cox regression model.

resultsCompared with healthy controls, patients with malignant tumors showed significantly elevated TAT, PIC, TM, t-PAIC, D-dimer, and FDP. Similarly, compared with patients in the non-thrombosis group, those in the thrombosis group showed significantly elevated levels of the above mentioned markers. Logistic regression analysis showed that TAT, PIC, TM, t-PAIC, D-Dimer, and FDP were all associated with VTE. ROC analysis showed that "TAT+PIC+TM+t-PAIC+D-dimer+FDP"showed the highest sensitivity and specificity. Patients with elevated TAT, PIC, TM, and t-PAIC had a significantly shorter survival. Multivariate Cox survival analysis showed that TM and t-PAIC were significantly associated with poor prognosis. In addition, the incidence of VTE was significantly lower in patients with malignant tumors who were treated with low-molecular-weight heparin (LMWH), and their survival period was significantly longer than that of patients with malignant tumors who were not treated with LMWH.

conclusionTAT, PIC, TM, and t-PAIC combined with D-dimer and FDP were better than the application of a single marker in the diagnosis of VTE in patients with malignant tumors. TAT and PIC can be used as sensitive markers in the diagnosis of VTE but not as prognostic markers. TM and t-PAIC might be independent prognostic indicators in patients with malignant tumors, regardless of the state of thrombus.

Indexed as

Agedalpha-2-AntiplasminAntithrombin IIIBiomarkersBlood CoagulationBlood Coagulation TestsFemaleFibrin Fibrinogen Degradation ProductsFibrinolysinHumansMaleMiddle AgedNeoplasmsPeptide HydrolasesPrognosisProspective Studiesalpha-2-AntiplasminAntithrombin IIIantithrombin III-protease complexBiomarkersFibrin Fibrinogen Degradation Productsfibrin fragment DFibrinolysinPeptide Hydrolasesplasmin-plasmin inhibitor complexTHBD protein, humanThrombomodulinTissue Plasminogen Activatormalignant tumorplasmin-α2-plasmininhibitor complexthrombin–antithrombin III complexthrombomodulintissue plasminogen activator–inhibitor complexvenous thromboembolism

Identifiers

PMID33141604
PMCPMC7649926
OpenAlexW3097640371

What OpenQuestion holds

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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.