Evidence map›Paper›PMID 35444612›Full record

ArticleFrontiers in neurology2022

Post-Treatment Plasma D-Dimer Levels Are Associated With Short-Term Outcomes in Patients With Cancer-Associated Stroke.

Sho Nakajima, Hiroyuki Kawano, Kazuo Yamashiro, Ryota Tanaka, Tomoaki Kameda, Naohide Kurita, Kenichiro Hira, Nobukazu Miyamoto, Yuji Ueno, Masao Watanabe and 4 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
3.6field-weighted citation impact, top 6% 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, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
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  8. Clinical features and prognostic factors of patients with cancer-associated stroke.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 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

14 authors at 5 institutions in 1 country.

Sho NakajimaDepartment of Neurology, Juntendo University School of Medicine, Tokyo, Japan.
Hiroyuki KawanoDepartment of Stroke and Cerebrovascular Medicine, Kyorin University, Tokyo, Japan.
Kazuo YamashiroDepartment of Neurology, Juntendo University School of Medicine, Tokyo, Japan.
Ryota TanakaDivision of Neurology, Department of Internal Medicine, Jichi Medical University, Tochigi, Japan.
Tomoaki KamedaDepartment of Neurology, Shin-Oyama City Hospital, Tochigi, Japan.
Naohide KuritaDepartment of Neurology, Juntendo University School of Medicine, Tokyo, Japan.
Kenichiro HiraDepartment of Neurology, Juntendo University School of Medicine, Tokyo, Japan.
Nobukazu MiyamotoDepartment of Neurology, Juntendo University School of Medicine, Tokyo, Japan.
Yuji UenoDepartment of Neurology, Juntendo University School of Medicine, Tokyo, Japan.
Masao WatanabeDepartment of Neurology, Juntendo University Urayasu Hospital, Chiba, Japan.
Teruyuki HiranoDepartment of Stroke and Cerebrovascular Medicine, Kyorin University, Tokyo, Japan.
Shigeru FujimotoDivision of Neurology, Department of Internal Medicine, Jichi Medical University, Tochigi, Japan.
Takao UrabeDepartment of Neurology, Juntendo University Urayasu Hospital, Chiba, Japan.
Nobutaka HattoriDepartment of Neurology, Juntendo University School of Medicine, Tokyo, Japan.
Juntendo University · JPJuntendo University Urayasu Hospital · JPJichi Medical University · JPKyorin University · JPYamato Municipal Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Objective: Hypercoagulability is associated with increased risks of ischemic stroke and subsequent mortality in patients with active cancer. This study investigated the relationships between plasma D-dimer levels after stroke treatment and short-term outcomes in patients with cancer-associated stroke. Methods: This retrospective, observational, multicenter study analyzed consecutive patients with cancer-associated ischemic stroke. Hypercoagulability was assessed by plasma D-dimer levels before and after stroke treatment. Short-term outcomes were assessed in terms of poor outcomes (a modified Rankin Scale score >3), cumulative rates of recurrent ischemic stroke, and mortality at 30 days after admission. Results: Of 282 patients, 135 (47.9%) showed poor outcomes. Recurrent ischemic stroke was observed in 28 patients (9.9%), and the cumulative mortality rate was 12.4%. Multivariate analysis showed that post-treatment plasma D-dimer levels ≥10 μg/ml were independently associated with both poor outcomes (adjusted odds ratio [OR], 9.61; 95% confidence interval [CI], 3.60-25.70; Conclusion: A high plasma D-dimer level after stroke treatment was associated with poor short-term outcomes in patients with cancer-associated stroke. Using anticoagulants to reduce D-dimer levels may improve short-term outcomes in these patients.

Indexed as

anticoagulantcancerD-dimerprognosisstroke

Identifiers

PMID35444612
PMCPMC9015657
OpenAlexW4225343263

What OpenQuestion holds

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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.