Evidence map›Paper›PMID 34485812›Full record

ArticleTH open : companion journal to thrombosis and haemostasis2021

Management of Cancer-Associated Thrombosis: Unmet Needs and Future Perspectives.

Anna Falanga, Grégoire Le Gal, Marc Carrier, Hikmat Abdel-Razeq, Cihan Ay, Andrés J Muñoz Martin, Ana Thereza Cavalcanti Rocha, Giancarlo Agnelli, Ismail Elalamy, Benjamin Brenner

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in TH open : companion journal to thrombosis and haemostasis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
4.7field-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.

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

13 citing papers in PubMed, 29 citations in OpenAlex.

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  13. Heparin and Derivatives for Advanced Cell Therapies.International journal of molecular sciences · 2021
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 8 institutions in 9 countries.

Anna FalangaDepartment of Medicine and Surgery, School of Medicine, University of Milano-Bicocca, Monza, Italy.ORCID 0000-0002-5007-3457
Grégoire Le GalDepartment of Medicine, Ottawa Hospital Research Institute, University of Ottawa, Ottawa, Ontario, Canada.
Marc CarrierDepartment of Medicine, Ottawa Hospital Research Institute, University of Ottawa, Ottawa, Ontario, Canada.
Hikmat Abdel-RazeqDepartment of Medicine, King Hussein Cancer Center, Amman, Jordan.
Cihan AyClinical Division of Haematology and Haemostaseology, Department of Internal Medicine, Comprehensive Cancer Center Vienna, Medical University of Vienna, Vienna, Austria.
Andrés J Muñoz MartinMedical Oncology Department, Hospital General Universitario Gregorio Marañón, Universidad Complutense, Madrid, Spain.
Ana Thereza Cavalcanti RochaDepartamento de Saúde da Família, Faculdade de Medicina da Bahia, Universidade Federal da Bahia - UFBA, Salvador, BA, Brazil.
Giancarlo AgnelliInternal Vascular and Emergency Medicine - Stroke Unit, University of Perugia, Perugia, Italy.
Ismail ElalamyDepartment of Obstetrics and Gynecology, I. M. Sechenov First Moscow State Medical University, Moscow, Russia.
Benjamin BrennerDepartment of Obstetrics and Gynecology, I. M. Sechenov First Moscow State Medical University, Moscow, Russia.
Sechenov University · RUUniversity of Ottawa · CAHospital General Universitario Gregorio Marañón · ESInserm · FRKing Hussein Cancer Center · JOOspedale Papa Giovanni XXIII · ITUniversidade Federal da Bahia · BRUniversity of Perugia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with cancer are at a high risk of symptomatic venous thromboembolism (VTE), which is a common cause of morbidity and mortality in this patient population. Increased risk of recurrent VTE and bleeding complications are two major challenges associated with therapeutic anticoagulation in these patients. Long-term therapy with low-molecular-weight heparins (LMWHs) has been the standard of care for the treatment of cancer-associated VTE given its favorable risk-benefit ratio in comparison with vitamin K antagonists. Direct oral anticoagulants (DOACs), which offer the convenience of oral administration and have a rapid onset of action, have recently emerged as a new treatment option for patients with cancer-associated thrombosis (CT). Randomized clinical trial data with head-to-head comparisons between DOACs and LMWHs showed that overall, DOACs have a similar efficacy profile but a higher risk of bleeding was observed in some of these studies. This review aims to identify unmet needs in the treatment of CT. We discuss important considerations for clinicians tailoring anticoagulation (1) drug-drug interactions, (2) risk of bleeding (e.g., gastrointestinal bleeding), (3) thrombocytopenia, hematological malignancies, (4) metastatic or primary brain tumors, and (5) renal impairment. Additional research is warranted in several clinical scenarios to help clinicians on the best therapeutic approach.

Indexed as

cancerDOACsDVTLMWHPEthrombocytopeniathrombosisVTE

Identifiers

PMID34485812
PMCPMC8407937
OpenAlexW3197407971

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.