Evidence map›Paper›PMID 35664535›Full record

ArticleResearch and practice in thrombosis and haemostasis2022

Enoxaparin versus dalteparin or tinzaparin in patients with cancer and venous thromboembolism: The RIETECAT study.

Javier Trujillo-Santos, Dominique Farge-Bancel, José María Pedrajas, Covadonga Gómez-Cuervo, Aitor Ballaz, Andrei Braester, Isabelle Mahé, Aurora Villalobos, José Antonio Porras, Manuel Monreal and 1 more

Open access · goldAbstract read
In one paragraph

Article in Research and practice in thrombosis and haemostasis, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Unmet Needs and Challenges in Cancer-Associated Venous Thromboembolism.International journal of molecular sciences · 2026
    Review
  3. Article
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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

11 authors at 11 institutions in 3 countries.

Javier Trujillo-SantosDepartment of Internal Medicine Hospital General Universitario Santa Lucía Universidad Católica de Murcia Murcia Spain.
Dominique Farge-BancelUnité de Médecine Interne Maladies Auto-immunes et Pathologie Vasculaire (UF 04) IRSL EA-3518 Université de Paris Paris France.
José María PedrajasDepartment of Internal Medicine Hospital Clínico San Carlos Madrid Spain.
Covadonga Gómez-CuervoDepartment of Internal Medicine Hospital Universitario 12 de Octubre Madrid Spain.
Aitor BallazDepartment of Pneumonology Hospital de Galdakao Vizcaya Spain.
Andrei BraesterDepartment of Haematology Azrieli Faculty of Medicine Bar-Ilan University Safed Israel.ORCID https://orcid.org/0000-0002-1567-7562
Isabelle MahéDepartment of Internal Medicine Hôpital Louis Mourier Colombes (APHP) University Paris France.
Aurora VillalobosDepartment of Internal Medicine Hospital Regional Universitario de Málaga Málaga Spain.
José Antonio PorrasDepartment of Internal Medicine Hospital Universitario Joan XXIII de Tarragona Tarragona Spain.
Manuel MonrealDepartment of Internal Medicine Hospital Germans Trias i Pujol, Badalona Universidad Católica de Murcia Universidad Autónoma de Barcelona Badalona Spain.ORCID https://orcid.org/0000-0002-0494-0767
RIETE Investigators
Hospital Universitari Germans Trias i Pujol · ESHospital Universitari Joan XXIII de Tarragona · ESUniversitat Autònoma de Barcelona · ESUniversité Paris Cité · FRHospital Regional Universitario de Málaga · ESBar-Ilan University · ILHôpital Louis-Mourier · FRHospital Clínico San Carlos · ESHospital de Galdakao · ESSanta Lucía University General Hospital · ESHospital Universitario 12 De Octubre · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Venous thromboembolism (VTE) is a frequent complication in patients with cancer and a leading cause of morbidity and death. Objectives: The objective of the RIETECAT study was to compare the long-term effectiveness and safety of enoxaparin versus dalteparin or tinzaparin for the secondary prevention of VTE in adults with active cancer. Methods: We used the data from the multicenter, multinational RIETE registry to compare the rates of VTE recurrences, major bleeding, or death over 6 months in patients with active cancer and acute VTE using full doses of enoxaparin versus dalteparin or tinzaparin, and a multivariable Cox proportional hazard model was used to analyze the primary end point. Results: From January 2009 to June 2018, 4451 patients with active cancer received full doses of the study drugs: enoxaparin, 3526 patients; and dalteparin or tinzaparin, 925 (754 + 171) patients. There was limited difference in VTE recurrences (2.0% vs 2.5%) and mortality rate (19% vs 17%) between the enoxaparin and dalteparin or tinzaparin subgroups. However, there was a slight numerical increase in major bleeding (3.1% vs 1.9%). Propensity score matching confirmed that there were no differences in the risk for VTE recurrences (adjusted hazard ratio [aHR], 0.81; 95% confidence interval [CI], 0.48-1.38), major bleeding (aHR, 1.40; 95% CI, 0.80-2.46), or death (aHR, 1.07; 95% CI, 0.88-1.30) between subgroups. Conclusions: In RIETECAT, in patients with cancer and VTE receiving full-dose enoxaparin or dalteparin or tinzaparin, no statistically significant differences were observed regarding effectiveness and safety outcomes over a 6-month period.

Indexed as

cancercohortdalteparinenoxaparinLMWHrecurrencestinzaparinvenous thromboembolism

Identifiers

PMID35664535
PMCPMC9164243
OpenAlexW4281848450

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.