Evidence map›Paper›PMID 35924068›Full record

ArticleHemaSphere2022

EHA Guidelines on Management of Antithrombotic Treatments in Thrombocytopenic Patients With Cancer.

Anna Falanga, Avi Leader, Chiara Ambaglio, Zsuzsa Bagoly, Giancarlo Castaman, Ismail Elalamy, Ramon Lecumberri, Alexander Niessner, Ingrid Pabinger, Sebastian Szmit and 3 more

Open access · goldAbstract read
In one paragraph

Article in HemaSphere, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 3 pooled it
16.3field-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

64 citing papers in PubMed, 3 syntheses or guidelines pooled it, 90 citations in OpenAlex.

  1. Personalized Antithrombotic Therapy After Percutaneous Coronary Intervention: A Systematic Review of Risk-Stratified Approaches.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2026
    Pooled it
  2. Guideline
  3. [Concise guidelines for the clinical management of thrombocytopenia in cirrhosis].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2024
    Guideline
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4 more citing papers are in PubMed but not listed here.

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

13 authors at 11 institutions in 10 countries.

Anna FalangaUniversity of Milano Bicocca, School of Medicine, Monza, Italy.
Avi LeaderInstitute of Hematology, Davidoff Cancer Center, Rabin Medical Center, Petah Tikva, Israel.
Chiara AmbaglioDepartment of Transfusion Medicine and Hematology, Hospital Papa Giovanni XXIII, Bergamo, Italy.
Zsuzsa BagolyFaculty of Medicine, Department of Laboratory Medicine, Division of Clinical Laboratory Sciences, University of Debrecen, Hungary.
Giancarlo CastamanCenter for Bleeding Disorders and Coagulation, Careggi University Hospital, Florence, Italy.
Ismail ElalamyHematology and Thrombosis Center, Hôpital Tenon, Hôpitaux Universitaires de l'Est Parisien, Assistance Publique Hôpitaux de Paris, Faculté de Médecine, Sorbonne Université, Paris, France.
Ramon LecumberriHematology Service, Clínica Universidad de Navarra, Pamplona, Spain.
Alexander NiessnerDepartment of Internal Medicine II, Division of Cardiology, Medical University of Vienna, Austria.
Ingrid PabingerDepartment of Medicine I, Clinical Division of Hematology and Hemostaseology, Medical University of Vienna, Austria.
Sebastian SzmitDepartment of Pulmonary Circulation, Thromboembolic Diseases and Cardiology, Centre of Postgraduate Medical Education, Otwock, Poland.
Alice TrincheroDepartment of Medical Oncology and Haematology Clinic, University Hospital Zurich, Switzerland.
Hugo Ten CateDepartment of Internal Medicine, Thrombosis Expertise Center, Maastricht University Medical Center and CARIM School for Cardiovascular Diseases, Maastricht, the Netherlands.
Bianca RoccaDepartment of Safety and Bioethics, Section of Pharmacology, Catholic University School of Medicine, Rome, Italy.
Medical University of Vienna · ATAzienda Ospedaliero-Universitaria Careggi · ITCentro de Investigación en Red en Enfermedades Cardiovasculares · ESInserm · FRInstytut Hematologii i Transfuzjologi · PLOspedale Papa Giovanni XXIII · ITTel Aviv University · ILUniversity Hospital of Zurich · CHUniversity Medical Center of the Johannes Gutenberg University Mainz · DEUniversity of Debrecen · HUUniversity of Milano-Bicocca · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In cancer patients, thrombocytopenia can result from bone marrow infiltration or from anticancer medications and represents an important limitation for the use of antithrombotic treatments, including anticoagulant, antiplatelet, and fibrinolytic agents. These drugs are often required for prevention or treatment of cancer-associated thrombosis or for cardioembolic prevention in atrial fibrillation in an increasingly older cancer population. Data indicate that cancer remains an independent risk factor for thrombosis even in case of thrombocytopenia, since mild-to-moderate thrombocytopenia does not protect against arterial or venous thrombosis. In addition, cancer patients are at increased risk of antithrombotic drug-associated bleeding, further complicated by thrombocytopenia and acquired hemostatic defects. Furthermore, some anticancer treatments are associated with increased thrombotic risk and may generate interactions affecting the effectiveness or safety of antithrombotic drugs. In this complex scenario, the European Hematology Association in collaboration with the European Society of Cardiology has produced this scientific document to provide a clinical practice guideline to help clinicians in the management of patients with cancer and thrombocytopenia. The Guidelines focus on adult patients with active cancer and a clear indication for anticoagulation, single or dual antiplatelet therapy, their combination, or reperfusion therapy, who have concurrent thrombocytopenia because of either malignancy or anticancer medications. The level of evidence and the strength of the recommendations were discussed according to a Delphi procedure and graded according to the Oxford Centre for Evidence-Based Medicine.

Identifiers

PMID35924068
PMCPMC9281983
OpenAlexW4285084297

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.