Evidence map›Paper›PMID 36427171›Full record

ArticleJournal of assisted reproduction and genetics2022

Risk of thrombosis in women with cancer undergoing controlled ovarian hyperstimulation for fertility preservation.

Valeria D Melo, Olivia Y Liseth, Walker M Schmidt, Rajiv K Pruthi, Ariela L Marshall, Chandra C Shenoy

Open access · greenAbstract read
In one paragraph

Article in Journal of assisted reproduction and genetics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 30% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

6 authors at 3 institutions in 1 country.

Valeria D MeloAlix School of Medicine, Mayo Clinic, Rochester, MN, USA.
Olivia Y LisethAlix School of Medicine, Mayo Clinic, Rochester, MN, USA.
Walker M SchmidtAlix School of Medicine, Mayo Clinic, Rochester, MN, USA.
Rajiv K PruthiDivision of Hematology, Mayo Clinic, Rochester, MN, USA.
Ariela L MarshallDivision of Hematology, University of Pennsylvania, Philadelphia, PA, USA.
Chandra C ShenoyDivision of Reproductive Endocrinology and Infertility, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA. Shenoy.Chandra@mayo.edu.ORCID http://orcid.org/0000-0002-2537-3482
Mayo Clinic in Arizona · USMayo Clinic · USUniversity of Pennsylvania · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe study aims to evaluate the risk factors and incidence of thromboembolic events among adult women with cancer who underwent controlled ovarian hyperstimulation (COH) for fertility preservation.

methodsRetrospective, descriptive cohort analysis of patient demographics, medical history, cancer type/treatment, laboratory values, thrombosis within 6 months of COH.

results4 of 127 study participants experienced a venous thromboembolic event within 6 months of COH. The median time between oocyte aspiration and the event was 0.25 years (range = 0.10-0.50). The average age at time of event was 25.3 years (SD = 5.3). Three of four thrombotic patients had ovarian cancer, one had breast cancer. All had received surgery and chemotherapy for treatment. All underwent an antagonist cycle ovarian stimulation protocol - none developed ovarian hyperstimulation syndrome. The average anti-mullerian hormone level at the time of hyperstimulation in the thrombosis group was 1.6 (SD = 1.3), compared to 3.6 in the non-thrombosis group. The average max estradiol level reached during ovarian stimulation was 1281.3 (SD = 665.3) in the thrombosis group and 1839.1 (SD = 1513.9) in the non-thrombosis group. Thromboembolic events were not directly associated with mortality.

conclusionsWithin this small descriptive study, the incidence of thromboembolic events in women with cancer undergoing COH for fertility preservation is high. Cancer may play a greater role than COH in thrombosis risk. Ovarian cancer patients who undergo ovarian stimulation may have an increased risk compared to other cancer types. These findings may inform future, prospective studies to determine the role of thromboprophylaxis.

Indexed as

Fertility PreservationOvarian Hyperstimulation SyndromeOvarian NeoplasmsVenous ThromboembolismAnticoagulantsFemaleHumansOvulation InductionProspective StudiesRetrospective StudiesAnticoagulantsCancerControlled ovarian hyperstimulationFertility preservationThrombosis risk

Identifiers

PMID36427171
PMCPMC9790832
OpenAlexW4310080078

What OpenQuestion holds

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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.