Evidence map›Paper›PMID 35735219›Full record

SynthesisJournal of thrombosis and haemostasis : JTH2022

Management of bleeding risk in patients who receive anticoagulant therapy for venous thromboembolism: Communication from the ISTH SSC Subcommittee on Predictive and Diagnostic Variables in Thrombotic Disease.

Paul L den Exter, Scott C Woller, Helia Robert-Ebadi, Camila Masias, Pierre-Emmanuel Morange, David Castelli, John-Bjarne Hansen, Geert-Jan Geersing, Deborah M Siegal, Kerstin de Wit and 1 more

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis 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 24 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 3 pooled it
9.2field-weighted citation impact, top 1% 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

24 citing papers in PubMed, 3 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Trial
  5. Trial
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Pulmonary embolism consensus.Archivos de cardiologia de Mexico · 2026
    Article
  12. Review
  13. Is pulmonary embolism a chronic disease?Clinical medicine (London, England) · 2025
    Review
  14. Review
  15. Review
  16. Review
  17. Review
  18. Article
  19. Article
  20. Article
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 9 institutions in 5 countries.

Paul L den ExterDepartment of Medicine - Thrombosis and Hemostasis, Leiden University Medical Center, Leiden, the Netherlands.ORCID 0000-0002-1543-5731
Scott C WollerDepartment of Medicine, Intermountain Medical Center, Intermountain Healthcare, Murray, Utah, USA.ORCID 0000-0002-2522-2705
Helia Robert-EbadiDivision of Angiology and Hemostasis, Geneva University Hospitals and Faculty of Medicine, Geneva, Switzerland.ORCID 0000-0003-3801-1269
Camila MasiasMiami Cancer Institute, Baptist Health South Florida. Florida International University - Herbert Wertheim College of Medicine, Miami, Florida, USA.ORCID 0000-0002-1380-3799
Pierre-Emmanuel MorangeAix Marseille Univ, INSERM 1263, INRAE 1260, C2VN, Marseille, France.ORCID 0000-0002-9065-722X
David CastelliLibrary Sciences, Intermountain Healthcare, Murray, Utah, USA.ORCID 0000-0002-5818-6974
John-Bjarne HansenThrombosis Research Center (TREC), Department of Clinical Medicine, UiT - The Arctic University of Norway and University Hospital of North Norway, Tromsø, Norway.ORCID 0000-0003-4854-3162
Geert-Jan GeersingJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, the Netherlands.ORCID 0000-0001-6976-9844
Deborah M SiegalDivision of Hematology and Thromboembolism, Department of Medicine, McMaster University, Hamilton, Ontario, Canada.ORCID 0000-0003-3806-3245
Kerstin de WitDepartments of Emergency Medicine and Medicine, Queen's University, Kingston, Ontario, Canada.ORCID 0000-0003-2763-6474
Frederikus A KlokDepartment of Medicine - Thrombosis and Hemostasis, Leiden University Medical Center, Leiden, the Netherlands.ORCID 0000-0001-9961-0754
Leiden University Medical Center · NLBaptist Hospital of Miami · USInserm · FRIntermountain Healthcare · USMcMaster University · CAQueen's University · CAUniversity Hospital of North Norway · NOUniversity Medical Center Utrecht · NLUniversity of Utah · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with acute venous thromboembolism (VTE) require anticoagulant therapy to prevent recurrent VTE and death, which exposes them to an inherent increased risk of bleeding. Identification of patients at high risk of bleeding, and mitigating this risk, is an essential component of the immediate and long-term therapeutic management of VTE. The bleeding risk can be estimated by either implicit judgment, weighing individual predictors (clinical variables or biomarkers), or by risk prediction tools developed for this purpose. Management of bleeding risk in clinical practice is, however, far from standardized. International guidelines are contradictory and lack clear and consistent guidance on the optimal management of bleeding risk. This report of the ISTH subcommittee on Predictive and Diagnostic Variables in Thrombotic Disease summarizes the evidence on the prediction of bleeding in VTE patients. We systematically searched the literature and identified 34 original studies evaluating either predictors or risk prediction models for prediction of bleeding risk on anticoagulation in VTE patients. Based on this evidence, we provide recommendations for the standardized management of bleeding risk in VTE patients.

Indexed as

Venous ThromboembolismVenous ThrombosisAnticoagulantsCommunicationHemorrhageHumansRisk FactorsAnticoagulantsanticoagulant treatmentmajor bleedingprediction modelrisk assessmentvenous thromboembolism

Identifiers

PMID35735219
PMCPMC9545751
OpenAlexW4281884873

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.