Evidence map›Paper›PMID 34228248›Full record

ArticleJournal of thrombosis and thrombolysis2022

Risk factors of thrombotic recurrence and major bleeding in patients with intermediate-risk for recurrence of venous thromboembolism.

Yugo Yamashita, Hidewo Amano, Takeshi Morimoto, Kazushige Kadota, Reo Hata, Kazuki Matsushita, Kohei Osakada, Arata Sano, Toru Takase, Seiichi Hiramori and 21 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Journal of thrombosis and thrombolysis, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.7field-weighted citation impact, top 28% 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

0 citing papers in PubMed, 6 citations in OpenAlex.

No citing paper in PubMed yet.

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

31 authors at 20 institutions in 1 country.

Yugo Yamashita *Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, 54 Shogoin Kawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan.ORCID http://orcid.org/0000-0003-2583-1321
Hidewo Amano *Department of Cardiology, Kurashiki Central Hospital, Kurashiki, Japan.
Takeshi MorimotoDepartment of Clinical Epidemiology, Hyogo College of Medicine, Nishinomiya, Japan.
Kazushige KadotaDepartment of Cardiology, Kurashiki Central Hospital, Kurashiki, Japan.
Reo HataDepartment of Cardiology, Kurashiki Central Hospital, Kurashiki, Japan.
Kazuki MatsushitaDepartment of Cardiology, Kurashiki Central Hospital, Kurashiki, Japan.
Kohei OsakadaDepartment of Cardiology, Kurashiki Central Hospital, Kurashiki, Japan.
Arata SanoDepartment of Cardiology, Kurashiki Central Hospital, Kurashiki, Japan.
Toru TakaseDepartment of Cardiology, Kinki University Hospital, Osaka, Japan.
Seiichi HiramoriDepartment of Cardiology, Kokura Memorial Hospital, Kokura, Japan.
Kitae KimDepartment of Cardiovascular Medicine, Kobe City Medical Center General Hospital, Kobe, Japan.
Maki OiDepartment of Cardiology, Japanese Red Cross Otsu Hospital, Otsu, Japan.
Masaharu AkaoDepartment of Cardiology, National Hospital Organization Kyoto Medical Center, Kyoto, Japan.
Yohei KobayashiDepartment of Cardiovascular Center, Osaka Red Cross Hospital, Osaka, Japan.
Mamoru ToyofukuDepartment of Cardiology, Japanese Red Cross Wakayama Medical Center, Wakayama, Japan.
Moriaki InokoCardiovascular Center, Kitano Hospital, The Tazuke Kofukai Medical Research Institute, Osaka, Japan.
Tomohisa TadaDepartment of Cardiology, Shizuoka General Hospital, Shizuoka, Japan.
Po-Min ChenDepartment of Cardiology, Osaka Saiseikai Noe Hospital, Osaka, Japan.
Koichiro MurataDepartment of Cardiology, Shizuoka City Shizuoka Hospital, Shizuoka, Japan.
Yoshiaki TsuyukiDivision of Cardiology, Shimada Municipal Hospital, Shimada, Japan.
Yuji NishimotoDepartment of Cardiology, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Japan.
Tomoki SasaDepartment of Cardiology, Kishiwada City Hospital, Kishiwada, Japan.
Jiro SakamotoDepartment of Cardiology, Tenri Hospital, Tenri, Japan.
Minako KinoshitaDepartment of Cardiology, Nishikobe Medical Center, Kobe, Japan.
Kiyonori TogiDivision of Cardiology, Nara Hospital, Faculty of Medicine, Kinki University, Ikoma, Japan.
Hiroshi MabuchiDepartment of Cardiology, Koto Memorial Hospital, Higashiomi, Japan.
Kensuke TakabayashiDepartment of Cardiology, Hirakata Kohsai Hospital, Hirakata, Japan.
Takao KatoDepartment of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, 54 Shogoin Kawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan.
Koh OnoDepartment of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, 54 Shogoin Kawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan.
Takeshi KimuraDepartment of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, 54 Shogoin Kawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan. taketaka@kuhp.kyoto-u.ac.jp.
COMMAND VTE Registry Investigators
Kurashiki Central Hospital · JPKyoto University · JPHyogo Medical University · JPHyogo Prefectural Amagasaki General Medical Center · JPJapanese Red Cross Society Wakayama Medical Center · JPKindai University · JPKindai University Hospital · JPKishiwada City Hospital · JPKitano Hospital · JPKobe City Medical Center General Hospital · JPKobe Medical Center · JPKokura Memorial Hospital · JPKoto Hospital · JPKyoto Medical Center · JPMunicipal Hirakata City Hospital · JPOsaka Kaisei Hospital · JPOsaka Red Cross Hospital · JPOtsu Red Cross Hospital · JPShimada Municipal Hospital · JPShizuoka City Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Prolonged anticoagulation therapy is recommended for patients with intermediate-risk for recurrence of venous thromboembolism (VTE). The current study aimed to identify risk factors of VTE recurrence and major bleeding in intermediate-risk patients. The COMMAND VTE Registry is a multicenter registry enrolled consecutive 3027 patients with acute symptomatic VTE among 29 centers in Japan. The current study population consisted of 1703 patients with intermediate-risk for recurrence. The primary outcome measure was recurrent VTE during the entire follow-up period, and the secondary outcome measures were recurrent VTE and major bleeding during anticoagulation therapy. In the multivariable Cox regression model for recurrent VTE incorporating the status of anticoagulation therapy as a time-updated covariate, off-anticoagulation therapy was strongly associated with an increased risk for recurrent VTE (HR 9.42, 95% CI 5.97-14.86). During anticoagulation therapy, the independent risk factor for recurrent VTE was thrombophilia (HR 3.58, 95% CI 1.56-7.50), while the independent risk factors for major bleeding were age ≥ 75 years (HR 2.04, 95% CI 1.36-3.07), men (HR 1.52, 95% CI 1.02-2.27), history of major bleeding (HR 3.48, 95% CI 1.82-6.14) and thrombocytopenia (HR 3.73, 95% CI 2.04-6.37). Among VTE patients with intermediate-risk for recurrence, discontinuation of anticoagulation therapy was a very strong independent risk factor of recurrence during the entire follow-up period. The independent risk factors of recurrent VTE and those of major bleeding during anticoagulation therapy were different: thrombophilia for recurrent VTE, and advanced age, men, history of major bleeding, and thrombocytopenia for major bleeding. CLINICAL

trial registrationUnique identifier: UMIN000021132. COMMAND VTE Registry: http://www.umin.ac.jp/ctr/index.htm .

Indexed as

Venous ThromboembolismAgedAnticoagulantsHemorrhageHumansMaleRecurrenceRisk FactorsAnticoagulantsBleedingClinical equipoiseIntermediate riskRecurrenceVenous thromboembolism

Identifiers

PMID34228248
OpenAlexW3179455922

What OpenQuestion holds

Textmetadata
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.