Evidence map›Paper›PMID 36399711›Full record

ArticleBlood2023

Determining venous thromboembolism risk in patients with adult-type diffuse glioma.

Kirsten Bell Burdett, Dusten Unruh, Michael Drumm, Alicia Steffens, Jonathan Lamano, Jonathan Judkins, Margaret Schwartz, Rodrigo Javier, Christina Amidei, Eric S Lipp and 7 more

Open access · greenAbstract read
In one paragraph

Article in Blood, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
5.6field-weighted citation impact, top 3% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
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  9. Cancers · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 7 institutions in 1 country.

Kirsten Bell BurdettDepartment of Preventive Medicine, Northwestern University, Chicago, IL.ORCID 0000-0002-3720-2795
Dusten UnruhBio-Techne, Minneapolis, MN.
Michael DrummDepartment of Neurological Surgery, Northwestern University, Chicago, IL.
Alicia SteffensDepartment of Neurological Surgery, Northwestern University, Chicago, IL.
Jonathan LamanoDepartment of Neurosurgery, Stanford University, Stanford, CA.
Jonathan JudkinsDepartment of Medicine, Oregon Health and Science University, Portland, OR.
Margaret SchwartzDepartment of Neurological Surgery, Northwestern University, Chicago, IL.
Rodrigo JavierUniversity of Chicago Pritzker School of Medicine, Chicago, IL.
Christina AmideiDepartment of Neurological Surgery, Northwestern University, Chicago, IL.ORCID 0000-0003-4558-8664
Eric S LippThe Preston Robert Tisch Brain Tumor Center, Department of Neurosurgery, Duke University Medical Center, Durham, NC.ORCID 0000-0002-4372-5533
Katherine B PetersThe Preston Robert Tisch Brain Tumor Center, Department of Neurosurgery, Duke University Medical Center, Durham, NC.
Albert LaiDepartment of Neurology, University of California, Los Angeles, CA.
Blaine S C EldredDepartment of Neurology, University of California, Los Angeles, CA.ORCID 0000-0002-3351-3895
Amy B HeimbergerDepartment of Neurological Surgery, Northwestern University, Chicago, IL.ORCID 0000-0002-9970-8695
Kathleen McCortneyDepartment of Neurological Surgery, Northwestern University, Chicago, IL.ORCID 0000-0001-7085-830X
Denise M ScholtensDepartment of Preventive Medicine, Northwestern University, Chicago, IL.
Craig HorbinskiDepartment of Neurological Surgery, Northwestern University, Chicago, IL.ORCID 0000-0001-8340-9992
Northwestern University · USDuke Medical Center · USUniversity of California, Los Angeles · USOregon Health & Science University · USR&D Systems (United States) · USStanford University · USUniversity of Chicago · US

Funding

Tumor Environment and Metastasis (TEAM) Research ProgramP30CA060553 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Daniela E Matei · 1993 to 2026
$153.9M
UCLA SPORE in Brain CancerP50CA211015 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI David A. Nathanson · 2017 to 2026
$25.2M
STINGing GBM: A First-in- Man Clinical Trial in Surgical Resectable Recurrent GBMP50CA221747 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Pouya Jamshidi · 2018 to 2026
$21.4M
Targeting IDH mutations to improve seizure control in glioma patientsR01NS118039 · NINDS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI HORBINSKI, CRAIG MICHAEL, SWANSON, GEOFFREY T · 2020 to 2024
$2.2M
Tissue Factor as a Key Determinant of IDH1 Mutant versus IDH1 Wild-type Glioma Thrombosis and MalignancyR01NS102669 · NINDS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI HORBINSKI, CRAIG MICHAEL · 2017 to 2021
$1.7M
Interaction between Tissue Factor, Junctional Adhesion Molecule-A, and Integrin B1 to drive self-renewal in glioblastomaR01NS117104 · NINDS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI HORBINSKI, CRAIG MICHAEL, LATHIA, JUSTIN D. · 2020 to 2024
$1.5M
The Significance of Isocitrate Dehydrogenase Mutations in GliomasK08CA155764 · NCI · UNIVERSITY OF KENTUCKY · PI HORBINSKI, CRAIG MICHAEL · 2011 to 2015
$857k
Tissue Factor/Protease-Activated Receptor 2 in IDH1 wild-type and IDH1 mutant gliomasF32CA216996 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI UNRUH, DUSTEN · 2018 to 2020
$192k
NCI NIH HHS F32 CA216996NCI NIH HHS K08 CA155764NCI NIH HHS P30 CA060553NCI NIH HHS P50 CA211015NCI NIH HHS P50 CA221747NINDS NIH HHS R01 NS102669NINDS NIH HHS R01 NS117104NINDS NIH HHS R01 NS118039
6 · The paper itself

Abstract

Venous thromboembolism (VTE) is a life-threating condition that is common in patients with adult-type diffuse gliomas, yet thromboprophylaxis is controversial because of possible intracerebral hemorrhage. Effective VTE prediction models exist for other cancers, but not glioma. Our objective was to develop a VTE prediction tool to improve glioma patient care, incorporating clinical, blood-based, histologic, and molecular markers. We analyzed preoperative arterial blood, tumor tissue, and clinical-pathologic data (including next-generation sequencing data) from 258 patients with newly diagnosed World Health Organization (WHO) grade 2 to 4 adult-type diffuse gliomas. Forty-six (17.8%) experienced VTE. Tumor expression of tissue factor (TF) and podoplanin (PDPN) each positively correlated with VTE, although only circulating TF and D-dimers, not circulating PDPN, correlated with VTE risk. Gliomas with mutations in isocitrate dehydrogenase 1 (IDH1) or IDH2 (IDHmut) caused fewer VTEs; multivariable analysis suggested that this is due to IDHmut suppression of TF, not PDPN. In a predictive time-to-event model, the following predicted increased VTE risk in newly diagnosed patients with glioma: (1) history of VTE; (2) hypertension; (3) asthma; (4) white blood cell count; (5) WHO tumor grade; (6) patient age; and (7) body mass index. Conversely, IDHmut, hypothyroidism, and MGMT promoter methylation predicted reduced VTE risk. These 10 variables were used to create a web-based VTE prediction tool that was validated in 2 separate cohorts of patients with adult-type diffuse glioma from other institutions. This study extends our understanding of the VTE landscape in these tumors and provides evidence-based guidance for clinicians to mitigate VTE risk in patients with glioma.

Indexed as

Brain NeoplasmsGliomaVenous ThromboembolismAdultAnticoagulantsBiomarkersHumansIsocitrate DehydrogenaseMutationAnticoagulantsBiomarkersIsocitrate Dehydrogenase

Identifiers

PMID36399711
PMCPMC10082363
OpenAlexW4309412886

What OpenQuestion holds

Textmetadata
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.