Evidence map›Paper›PMID 36053912›Full record

SynthesisEuropean journal of haematology2022

Idiopathic upper extremity deep vein thrombosis: A systematic review.

Hiu Lam Agnes Yuen, Ee Tan, Huyen Tran, Sanjeev Daya Chunilal

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in European journal of haematology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 32% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Upper extremity deep vein thrombosis: An intensivist's perspective.World journal of critical care medicine · 2023
    Review
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

4 authors at 2 institutions in 1 country.

Hiu Lam Agnes YuenMonash Haematology, Monash Health, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0001-8349-6782
Ee TanMonash Haematology, Monash Health, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0002-6026-2040
Huyen TranMonash University, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0003-1989-959X
Sanjeev Daya ChunilalMonash Haematology, Monash Health, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0002-8172-7652
Monash Health · AUMonash University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIdiopathic upper extremity deep vein thrombosis (UEDVT) management is controversial and ranges from anticoagulation alone to the addition of further interventions such as thrombolysis and decompressive surgery.

objectivesThe objective of this systematic review was to assess the effects of anticoagulation alone compared to anticoagulation with additional interventions such as thrombolysis or decompressive surgery on the incidence of recurrent UEDVT and post-thrombotic syndrome (PTS) in patients with idiopathic UEDVT (including those associated with the oral contraceptive pill). PATIENTS/

methodsA systematic search was conducted for studies which focused on acute UEDVT treatment defined as therapies starting within 4 weeks of symptom onset. We limited studies to those that recruited 10 or more subjects and involved at least 6 weeks to 12 months anticoagulation alone or together with additional interventions with at least 6-month follow-up. Primary outcomes were symptomatic recurrent radiologically confirmed UEDVT and PTS. Secondary outcomes were symptomatic venous thromboembolism, bleeding and mortality.

resultsWe found seven studies which reported recurrent UEDVT rates and five that reported PTS rates. All studies were retrospective or cross-sectional. None compared anticoagulation alone to anticoagulation with additional intervention. Study heterogeneity precluded meta-analysis and risk of bias was moderate to serious. Recurrent UEDVT occurred in 0% to 12% post-anticoagulation alone and 0% to 23% post-additional interventions. PTS rates varied from 4% to 32% without severe PTS. Only limited studies reported on our secondary outcomes.

conclusionThere is limited evidence behind idiopathic UEDVT management. Prospective comparative studies in this area are essential.

Indexed as

Upper Extremity Deep Vein ThrombosisAnticoagulantsContraceptives, OralCross-Sectional StudiesFemaleHumansProspective StudiesRetrospective StudiesRisk FactorsAnticoagulantsContraceptives, Oralanticoagulantsdeep vein thrombosisendovascular procedurespost-thrombotic syndromeupper extremity deep vein thrombosisvenous thromboembolism

Identifiers

PMID36053912
PMCPMC9804174
OpenAlexW4288855364

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.