Evidence map›Paper›PMID 34714962›Full record

ArticleJournal of thrombosis and haemostasis : JTH2022

Management strategies and clinical outcomes in patients with inferior vena cava thrombosis: Data from GARFIELD-VTE.

Omri Cohen, Walter Ageno, Alfredo E Farjat, Alexander G G Turpie, Jeffrey I Weitz, Sylvia Haas, Shinya Goto, Samuel Z Goldhaber, Pantep Angchaisuksiri, Harry Gibbs and 8 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of thrombosis and haemostasis : JTH, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.0field-weighted citation impact, top 8% 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

15 citing papers in PubMed, 21 citations in OpenAlex.

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  8. A novel class of indole derivatives: enhanced bioavailability, permeability, and antioxidant efficacy for thromboembolic disease therapy.Medicinal chemistry research : an international journal for rapid communications on design and mechanisms of action of biologically active agents · 2024
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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

18 authors at 13 institutions in 10 countries.

Omri CohenDepartment of Medicine and Surgery, University of Insubria, Varese, Italy.ORCID 0000-0002-8328-9748
Walter AgenoDepartment of Medicine and Surgery, University of Insubria, Varese, Italy.ORCID 0000-0002-1922-8879
Alfredo E FarjatThrombosis Research Institute, London, UK.
Alexander G G TurpieMcMaster University, Hamilton, Ontario, Canada.
Jeffrey I WeitzMcMaster University, Hamilton, Ontario, Canada.
Sylvia HaasFormerly Technical University of Munich, Munich, Germany.ORCID 0000-0003-0837-7892
Shinya GotoDepartment of Medicine (Cardiology), Tokai University School of Medicine, Isehara, Japan.ORCID 0000-0002-6821-1504
Samuel Z GoldhaberHarvard Medical School, Boston, Massachusetts, USA.
Pantep AngchaisuksiriDepartment of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.ORCID 0000-0001-5607-3485
Harry GibbsVascular Laboratory, The Alfred Hospital, Melbourne, Victoria, Australia.
Peter MacCallumThrombosis Research Institute, London, UK.
Gloria KayaniThrombosis Research Institute, London, UK.
Sebastian SchellongMedical Department 2, Municipal Hospital Dresden, Dresden, Germany.ORCID 0000-0001-9344-3799
Henri BounameauxFaculty of Medicine, University of Geneva, Geneva, Switzerland.ORCID 0000-0002-1334-5177
Lorenzo G MantovaniIRCCS Multimedica Milan, Italy.
Paolo PrandoniArianna Foundation on Anticoagulation, Bologna, Italy.
Ajay K KakkarThrombosis Research Institute, London, UK.
GARFIELD-VTE investigators
Thrombosis Research Institute · GBUniversity of Insubria · ITHarvard University · USMahidol University · THMcMaster University · CAQueen Mary University of London · GBStädtisches Klinikum Dresden · DETechnical University of Munich · DEThe Alfred Hospital · AUThrombosis and Atherosclerosis Research Institute · CATokai University · JPUniversity of Geneva · CHUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInferior vena cava (IVC) thrombosis is a rare form of venous thromboembolism (VTE). The optimal treatment strategies and outcomes are unclear in patients with this presentation.

objectiveWe aimed to compare baseline characteristics, treatment patterns and 24-month outcomes in IVC thrombosis patients (n = 100) with lower extremity deep vein thrombosis (LEDVT) patients (n = 7629).

methodsGARFIELD-VTE is a prospective, observational registry of 10 868 patients with objectively diagnosed VTE from 415 sites in 28 countries.

resultsIVC thrombosis patients were younger (51.9 vs. 59.8 years), more frequently had active cancer (26.0% vs. 8.9%) or history of cancer (21.0% vs. 12.2%), and less frequently had recent trauma or surgery than LEDVT patients. IVC thrombosis was more frequently treated with parenteral anticoagulants alone (35.1% vs. 15.9%), whereas patients with LEDVT more commonly received vitamin K antagonists (32.0% vs. 25.8%) or direct oral anticoagulants (49.0% vs. 35.1%). Thrombolysis (11.0% vs. 3.6%) and surgical/mechanical interventions (4.0% vs. 1.4%) were more frequent in IVC thrombosis. At 24-months, the rate per 100 person-years (95% confidence interval) of all-cause mortality was higher in patients with IVC thrombosis than LEDVT (13.28 [8.57-20.58] vs. 4.91 [4.55-5.3]); the incidence of cancer-associated mortality was comparable as was the incidence of VTE recurrence (4.11 [1.85-9.15] vs. 4.18 [3.84-4.55]). Major bleeding was slightly higher in IVC thrombosis (2.03 [0.66-6.31] vs. 1.66 [1.45-1.89]).

conclusionIn summary, IVC thrombosis patients have higher all-cause mortality rates than those with LEDVT, a finding only partly attributable to malignancy.

Indexed as

Pulmonary EmbolismVenous ThromboembolismVenous ThrombosisHumansProspective StudiesVena Cava, Inferioranticoagulationdeep vein thrombosisinferior vena cava thrombosispulmonary embolismvenous thromboembolism

Identifiers

PMID34714962
PMCPMC9299483
OpenAlexW3209383786

What OpenQuestion holds

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LicenceCC BY-NC
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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.