Evidence map›Paper›PMID 35460331›Full record

ArticleJournal of thrombosis and haemostasis : JTH2022

Incidence and determinants of thrombotic and bleeding complications in patients with glioblastoma.

Fleur H J Kaptein, Milou A M Stals, Maaike Y Kapteijn, Suzanne C Cannegieter, Linda Dirven, Sjoerd G van Duinen, Ronald van Eijk, Menno V Huisman, Eva E Klaase, Martin J B Taphoorn and 4 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 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
6.0field-weighted citation impact, top 3% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

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  14. Role of circulating mitochondria in venous thrombosis in glioblastoma.Journal of thrombosis and haemostasis : JTH · 2023
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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 2 institutions in 1 country.

Fleur H J KapteinDepartment of Medicine - Thrombosis & Hemostasis, Leiden University Medical Centre, Leiden, The Netherlands.ORCID 0000-0003-2274-4820
Milou A M StalsDepartment of Medicine - Thrombosis & Hemostasis, Leiden University Medical Centre, Leiden, The Netherlands.ORCID 0000-0003-2328-7705
Maaike Y KapteijnDepartment of Medicine - Thrombosis & Hemostasis, Leiden University Medical Centre, Leiden, The Netherlands.ORCID 0000-0002-0631-1307
Suzanne C CannegieterDepartment of Medicine - Thrombosis & Hemostasis, Leiden University Medical Centre, Leiden, The Netherlands.ORCID 0000-0003-4707-2303
Linda DirvenDepartment of Neurology, Leiden University Medical Centre, Leiden, The Netherlands.ORCID 0000-0001-9157-9895
Sjoerd G van DuinenDepartment of Pathology, Leiden University Medical Centre, Leiden, The Netherlands.ORCID 0000-0003-4682-8869
Ronald van EijkDepartment of Pathology, Leiden University Medical Centre, Leiden, The Netherlands.ORCID 0000-0001-7955-6295
Menno V HuismanDepartment of Medicine - Thrombosis & Hemostasis, Leiden University Medical Centre, Leiden, The Netherlands.ORCID 0000-0003-1423-5348
Eva E KlaaseDepartment of Medicine - Thrombosis & Hemostasis, Leiden University Medical Centre, Leiden, The Netherlands.ORCID 0000-0003-0048-6656
Martin J B TaphoornDepartment of Neurology, Leiden University Medical Centre, Leiden, The Netherlands.ORCID 0000-0001-9949-4722
Henri H VersteegDepartment of Medicine - Thrombosis & Hemostasis, Leiden University Medical Centre, Leiden, The Netherlands.ORCID 0000-0003-4294-175X
Jeroen T BuijsDepartment of Medicine - Thrombosis & Hemostasis, Leiden University Medical Centre, Leiden, The Netherlands.ORCID 0000-0001-5816-9739
Johan A F KoekkoekDepartment of Neurology, Leiden University Medical Centre, Leiden, The Netherlands.ORCID 0000-0002-3648-9616
Frederikus A KlokDepartment of Medicine - Thrombosis & Hemostasis, Leiden University Medical Centre, Leiden, The Netherlands.ORCID 0000-0001-9961-0754
Leiden University · NLLeiden University Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlioblastoma patients are considered to be at high risk of venous thromboembolism (VTE) and major bleeding (MB), although reliable incidence estimates are lacking. Moreover, the risk of arterial thromboembolism (ATE) in these patients is largely unknown. Our aim was to assess the cumulative incidence, predictors, and prognostic impact of VTE, ATE, and MB on subsequent complications and mortality.

methodsCohort study of 967 consecutive patients diagnosed with glioblastoma between 2004-2020 in two hospitals. Patients were followed from 6 months before date of histopathological glioblastoma diagnosis up to 2 years after, or until an outcome of interest (VTE, ATE, and MB) or death occurred, depending on the analysis. Cumulative incidences were estimated with death as competing risk. Cox regression was used to identify predictors and the prognostic impact.

resultsA total of 101 patients were diagnosed with VTE, 50 with ATE, and 126 with MB during a median follow-up of 15 months (interquartile range 9.0-22). The adjusted 1-year cumulative incidence of VTE was 7.5% (95% confidence interval [CI] 5.9-9.3), of ATE 4.1% (95% CI 3.0-5.6), and of MB 12% (95% CI 9.6-14). Older age, type of surgery, and performance status were predictors of VTE. Incident VTE during follow-up was associated with MB (adjusted HR 4.7, 95% CI 2.5-9.0). MB and VTE were associated with mortality (adjusted HR 1.7, 95% CI 1.3-2.1 and 1.3, 95% CI 1.0-1.7, respectively).

conclusionWe found considerable incidences of VTE and MB in glioblastoma patients, with both complications associated with poorer prognosis. Our observations emphasize the need for prospective studies to determine optimal thromboprophylaxis and VTE treatment strategy in these patients.

Indexed as

GlioblastomaThrombosisVenous ThromboembolismAnticoagulantsCohort StudiesHemorrhageHumansIncidenceProspective StudiesRisk FactorsAnticoagulantsanticoagulantsglioblastomahemorrhageinfarctionvenous thromboembolism

Identifiers

PMID35460331
PMCPMC9320838
OpenAlexW4224320530

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.