Evidence map›Paper›PMID 33594508›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2021

Assessing the thrombosis risk of peripherally inserted central catheters in cancer patients using Caprini risk assessment model: a prospective cohort study.

Yue Feng, Rujun Zheng, Yan Fu, Qiufen Xiang, Zhiying Yue, Junying Li, Chunhua Yu, Yan Jiang

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In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
3.2field-weighted citation impact, top 7% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Clinical factors of PICC-RVT in cancer patients: a meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Pooled it
  2. Systematic review of venous thromboembolism risk categories derived from Caprini score.Journal of vascular surgery. Venous and lymphatic disorders · 2022
    Pooled it
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  12. A model to assess the risk of peripherally inserted central venous catheter-related thrombosis in patients with breast cancer: a retrospective cohort study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    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

8 authors at 1 institution in 1 country.

Yue FengWest China School of Nursing/Department of Thoracic Oncology, West China Hospital, Sichuan University, Chengdu, China.
Rujun ZhengDepartment of Thoracic Oncology, West China Hospital, Sichuan University, Chengdu, China.
Yan FuDepartment of Thoracic Oncology, West China Hospital, Sichuan University, Chengdu, China.
Qiufen XiangDepartment of Thoracic Oncology, West China Hospital, Sichuan University, Chengdu, China.
Zhiying YueDepartment of Thoracic Oncology, West China Hospital, Sichuan University, Chengdu, China.
Junying LiDepartment of Thoracic Oncology, West China Hospital, Sichuan University, Chengdu, China. lijunying2005@sina.com.ORCID http://orcid.org/0000-0001-7782-6706
Chunhua YuDepartment of Thoracic Oncology, West China Hospital, Sichuan University, Chengdu, China. Chunhua1995@126.com.
Yan JiangDepartment of Nursing, West China Hospital, Sichuan University, Chengdu, China. 496058235@qq.com.
Sichuan University · CN

Funding

Department of Science and Technology of Sichuan Province 2018SZ0203
6 · The paper itself

Abstract

purposeThere was no optimal risk assessment tool to stratify the risk of peripherally inserted central catheter-related venous thromboembolism (PICC-RVT) in cancer patients. We currently use the Caprini risk assessment model for thrombotic risk assessment, but no evidence exists on the effectiveness of Caprini in such patients. This study was to assess the validity of the Caprini in Chinese cancer patients with PICCs.

methodsWe conducted a prospective study of 468 participants. Following calculating the Caprini score, color Doppler ultrasonography was performed every 7 days for 3 weeks to confirm PICC-RVT.

resultsThere was a correlation between PICC-RVT and the Caprini score. Compared with scores of 5, the risk was 2.089-fold greater (95% CI 1.165-3.743, P = 0.012) in patients with a score of 6 and 7, and 7.156-fold greater (95% CI 3.157-16.217, P < 0.001) in patients with scores ≥8. The area under the receiver-operating characteristic curve was 0.636 (95% CI 0.590-0.680; P < 0.001). 6 was the best cutoff point for Caprini, with a sensitivity of 0.76 and a specificity of 0.44.

conclusionsThe Caprini can be used for high-risk screening of the PICC-RVT in cancer patients, and classification of the highest risk level using a score of 6 can be more clinically significant compared to 5 as recommended. The results provide evidence for the practitioner's early use of the Caprini to assess the thrombotic risk in patients with PICCs and take timely prevention measures. But pharmacological prevention should be considered seriously for its low specificity.

Indexed as

Catheterization, Central VenousCatheterization, PeripheralNeoplasmsThrombosisCathetersHumansProspective StudiesRetrospective StudiesRisk AssessmentRisk FactorscancerCaprini risk assessment modelperipherally inserted central catheterrisk stratificationvenous thromboembolism

Identifiers

PMID33594508
OpenAlexW3130465632

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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.