Evidence map›Paper›PMID 35313981›Full record

SynthesisJournal of medical case reports2022

Increased risk for thromboembolic events from combination of a gynecologic malignancy with severe acute respiratory syndrome coronavirus 2 infection: a case report.

Alexandra Stefan, Marija Petkovic, Alexander König, Julian Koch, Friederike Hagemann, Rachel Wuerstlein, Nadia Harbeck, Sven Mahner, Till Kaltofen

Open access · goldAbstract readCase ReportsSystematic Review
In one paragraph

Synthesis in Journal of medical case reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 57% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Review
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

9 authors at 1 institution in 1 country.

Alexandra StefanDepartment of Obstetrics and Gynecology, University Hospital, LMU Munich, Munich, Germany. Alexandra.Stefan@med.uni-muenchen.de.ORCID http://orcid.org/0000-0001-7050-2119
Marija PetkovicDepartment of Medicine IV, University Hospital, LMU Munich, Munich, Germany.
Alexander KönigDepartment of Obstetrics and Gynecology, University Hospital, LMU Munich, Munich, Germany.
Julian KochDepartment of Obstetrics and Gynecology, University Hospital, LMU Munich, Munich, Germany.
Friederike HagemannDepartment of Obstetrics and Gynecology, University Hospital, LMU Munich, Munich, Germany.
Rachel WuerstleinDepartment of Obstetrics and Gynecology, University Hospital, LMU Munich, Munich, Germany.
Nadia HarbeckDepartment of Obstetrics and Gynecology, University Hospital, LMU Munich, Munich, Germany.
Sven MahnerDepartment of Obstetrics and Gynecology, University Hospital, LMU Munich, Munich, Germany.
Till KaltofenDepartment of Obstetrics and Gynecology, University Hospital, LMU Munich, Munich, Germany.
LMU Klinikum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDuring the severe acute respiratory syndrome coronavirus 2 pandemic, several patient groups are at particular risk. Mortality is higher among cancer patients and may be increased further by thromboembolic events, which are more common in coronavirus 2019 patients according to recent publications. We discuss the association of gynecologic malignancies, Severe acute respiratory syndrome coronavirus 2, and thromboembolism by reporting a case study and summarizing available literature. CASE REPORT: A 71-year-old Caucasian patient with ovarian cancer receiving first-line chemotherapy was diagnosed with deep vein thrombosis and pulmonary embolism. Routine screening revealed infection with severe acute respiratory syndrome coronavirus 2 in absence of specific symptoms. After uneventful recovery, oncologic treatment could be continued a few weeks later.

methodsWe performed a systematic review of the literature on PubMed following Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines. The search included articles ahead of print, published between 1 December 2019 and 1 June 2020. Cross-searches were conducted on all relevant articles.

resultsWe identified five articles meeting the defined criteria, including two retrospective studies, a review, a position paper, as well as a letter to the editor.

conclusionCancer patients infected with severe acute respiratory syndrome coronavirus 2 have a relatively poor outcome, which may partially be due to a higher rate of thromboembolic events. Thromboprophylaxis is recommended, and scoring systems are helpful in early detection. In cancer patients with severe acute respiratory syndrome coronavirus 2, individual risk for thromboembolic events should be taken into account when considering interruption versus continuation of antitumoral therapy. However, further data and studies are required.

Indexed as

COVID-19Genital Neoplasms, FemaleVenous ThromboembolismAgedAnticoagulantsFemaleHumansRetrospective StudiesAnticoagulantsCase reportCOVID-19Gynecologic malignanciesOvarian cancerReviewSARS-CoV-2Thromboembolism

Identifiers

PMID35313981
PMCPMC8937821
OpenAlexW4220656482

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.