Evidence map›Paper›PMID 34396323›Full record

ReviewJACC. CardioOncology2021

Venous and Arterial Thromboembolism in Patients With Cancer:

Lorenzo Gervaso, Heloni Dave, Alok A Khorana

Abstract readReview
In one paragraph

Review in JACC. CardioOncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 107 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
107citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

107 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  14. Antithrombotic therapy for cancer-associated venous thromboembolism.Clinical research in cardiology : official journal of the German Cardiac Society · 2026
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47 more citing papers are in PubMed but not listed here.

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

3 authors.

Lorenzo GervasoDivision of Gastrointestinal Medical Oncology and Neuroendocrine Tumors, Istituto Europeo di Oncologia, European Institute of Oncology, Milan, Italy.
Heloni DaveMaharaja Sayajirao University, Medical College, Vadodara, Gujarat, India.
Alok A KhoranaTaussig Cancer Institute and Case Comprehensive Cancer Center, Cleveland Clinic, Cleveland, Ohio, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Venous thromboembolism (VTE), including deep vein thrombosis and pulmonary embolism, represents a major cause of morbidity and mortality in patients with cancer. Arterial thromboembolism, including myocardial infarction and stroke, is also prevalent. Risk differs in subgroups, with higher rates observed in specific cancers including pancreas, stomach, and multiple myeloma. Thromboprophylaxis is recommended for most patients with active cancer hospitalized for medical illnesses and after major cancer surgery. Outpatient thromboprophylaxis is not routinely recommended, but emerging data suggest that a high-risk population that benefits from pharmacological thromboprophylaxis can be identified using a validated risk tool. Direct oral anticoagulants are emerging as the preferred new option for the treatment of cancer-associated VTE, although low-molecular-weight heparin remains a standard for patients at high bleeding risk. Management of VTE beyond the first 6 months and challenging clinical situations including intracranial metastases and thrombocytopenia require careful management in balancing the benefits and risks of anticoagulation and remain major knowledge gaps in evidence.

Indexed as

arterial thromboembolismASCO, American Society of Clinical OncologyASH, American Society of HematologyAT, antithrombinATE, arterial thromboembolismcancer-associated thrombosisCAT, cancer-associated thrombosisCI, confidence intervalCRNMB, clinically relevant nonmajor bleedingCVA, cerebrovascular eventDOAC, direct oral anticoagulantDVT, deep venous thrombosisESMO, European Society of Medical OncologyGI, gastrointestinalHR, hazard ratioICH, intracranial hemorrhageISTH, International Society on Thrombosis and HaemostasisKS, Khorana scoreLMWH, low-molecular-weight heparinMI, myocardial infarctionMM, multiple myelomaNNT, number needed to treatPE, pulmonary embolismPPV, positive predictive valueprophylaxisRAM, risk assessment modelrisk assessment modelsSPE, segmental pulmonary embolismSSC, Scientific and Standardization CommitteeSSPE, subsegmental pulmonary embolismtreatmentUHF, unfractionated heparinvenous thromboembolismVKA, vitamin K antagonistVTE, venous thromboembolismVVT, visceral vein thrombosis

Identifiers

PMID34396323
PMCPMC8352228

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.