Evidence map›Paper›PMID 35552827›Full record

Trial reportSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2022

Can thromboprophylaxis build a link for cancer patients undergoing surgical and/or chemotherapy treatment? The MeTHOS cohort study.

Spyridon Xynogalos, David Simeonidis, George Papageorgiou, Abraham Pouliakis, Nikolaos Charalambakis, Evangelos Lianos, Evridiki Mazlimoglou, Alexandros-Nikolaos Liatsos, Christos Kosmas, Nicolaos Ziras

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IVObservational Study
In one paragraph

Trial report in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04248348 (Metaxa's Thromboprophylaxis Program in Oncological & Surgical Patients), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 40% 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.

NCT04248348 unknown statusnot on this map

Metaxa's Thromboprophylaxis Program in Oncological & Surgical Patients

TypeobservationalSponsorMetaxa HospitalRan2018 to 2020Enrolled600ConditionsThrombosis, Solid CancerArmsLow Molecular Weight Heparin
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Observational
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

10 authors at 2 institutions in 1 country.

Spyridon XynogalosDepartment of Medical Oncology, "METAXA" Memorial Piraeus Cancer Hospital, Mpotasi 51, 185 37, Piraeus, Greece. sxyn@otenet.gr.
David SimeonidisDepartment of Medical Oncology, "METAXA" Memorial Piraeus Cancer Hospital, Mpotasi 51, 185 37, Piraeus, Greece.
George PapageorgiouDepartment of Medical Oncology, "METAXA" Memorial Piraeus Cancer Hospital, Mpotasi 51, 185 37, Piraeus, Greece.
Abraham Pouliakis2nd Department of Pathology, National and Kapodistrian University of Athens, University General Hospital "Attikon", Athens, Greece.
Nikolaos CharalambakisDepartment of Medical Oncology, "METAXA" Memorial Piraeus Cancer Hospital, Mpotasi 51, 185 37, Piraeus, Greece.
Evangelos LianosDepartment of Medical Oncology, "METAXA" Memorial Piraeus Cancer Hospital, Mpotasi 51, 185 37, Piraeus, Greece.
Evridiki MazlimoglouDepartment of Medical Oncology, "METAXA" Memorial Piraeus Cancer Hospital, Mpotasi 51, 185 37, Piraeus, Greece.
Alexandros-Nikolaos LiatsosDepartment of Medical Oncology, "METAXA" Memorial Piraeus Cancer Hospital, Mpotasi 51, 185 37, Piraeus, Greece.
Christos KosmasDepartment of Medical Oncology, "METAXA" Memorial Piraeus Cancer Hospital, Mpotasi 51, 185 37, Piraeus, Greece.
Nicolaos ZirasDepartment of Medical Oncology, "METAXA" Memorial Piraeus Cancer Hospital, Mpotasi 51, 185 37, Piraeus, Greece.
Metaxa Hospital · GRNational and Kapodistrian University of Athens · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with active cancer have a 4-sevenfold increased risk for venous thromboembolism (VTE) especially during systematic anticancer treatment. Simultaneously, surgery is an additional risk factor.

methodsThe Metaxas's Hospital THromboprophylaxis program in Oncological & Surgical Patients (MeTHOS) is a prospective, phase IV, observational, non-interventional cohort study, aiming to record the thromboprophylaxis practice patterns in high-risk active cancer patients undergoing surgical and/or chemotherapy treatment.

resultsWe are reporting results from 291 ambulatory patients (median age: 67 years, Q1-Q3: 59-73 years, 54.6% males) who received anti-neoplastic treatment and administered thromboprophylaxis. 59.8% had cardiovascular disease (mostly hypertension), 76.6% were reported as having at least one comorbidity, while 27.5% and 15.8% accumulated two and three comorbidities, respectively. 94.9% of the patients were receiving highly thrombogenic agents such as platinum-based agents, 5-FU, immunotherapy, antiangiogenics/anti-VEGF, or erythropoietin. 26.5% of the patients were initially surgically treated. In terms of anticoagulation, all patients were treated with tinzaparin (fixed dose, 10,000 Anti-Xa IU, OD). The median anticoagulation duration was 6.2 months. Six thrombotic events were observed (2.06%, 95% CI: 0.76-4.43%): 5 were DVT, and one PE. With respect to safety, 7 bleeding events occurred (2.6%, 95% CI: 1.0-5.3%); 6 of them were minor.

conclusionsThromboprophylaxis with LMWH in patients with active cancer and high thrombotic burden was safe and effective. Intermediate dose of tinzaparin seems to be an appropriate agent for cancer-associated thromboprophylaxis management. CLINICAL

trial registrationClinicalTrials.gov: NCT04248348.

Indexed as

NeoplasmsPulmonary EmbolismThrombosisVenous ThromboembolismAgedAnticoagulantsCohort StudiesHeparin, Low-Molecular-WeightHumansProspective StudiesTinzaparinAnticoagulantsHeparin, Low-Molecular-WeightTinzaparinBleedingCancer-associated thrombosisConformanceHeparinLMWHLow molecular weight heparinPulmonary embolismThrombosisTinzaparinVenous thromboembolism

Identifiers

PMID35552827
PMCPMC9213358
OpenAlexW4280576230

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.