Evidence map›Paper›PMID 36461172›Full record

ArticlePhlebology2023

Risk of recurrent thromboembolic events according to treatment duration in patients with superficial vein thrombosis treated with intermediate dose of tinzaparin.

Christos Karathanos, Stavros K Kakkos, Georgios Georgiadis, Christos Ioannou, Spyros Vasdekis, Dimitrios Chatzis, Panagiotis Latzios, Athanasios D Giannoukas, SeVEN Collaborators

Open access · hybridAbstract read
In one paragraph

Article in Phlebology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Superficial Venous Thrombosis: A Comprehensive Review.Healthcare (Basel, Switzerland) · 2024
    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

9 authors at 6 institutions in 1 country.

Christos KarathanosDepartment of Vascular Surgery, 69176University Hospital of Larissa, Larissa, Greece.ORCID 0000-0002-5274-6897
Stavros K KakkosDepartment of Vascular Surgery, 37795University Hospital of Patras, Patras, Greece.
Georgios GeorgiadisDepartment of Vascular Surgery, University Hospital of Alexandroupolis, Alexandroupolis, Greece.
Christos IoannouDepartment of Vascular Surgery, University Hospital of Heraklion, Crete, Greece.
Spyros VasdekisDepartment of Vascular Surgery, "ATTIKON" University Hospital, Athens, Greece.
Dimitrios ChatzisPrivate Vascular Surgeon, Ioannina, Greece.
Panagiotis LatziosPrivate Vascular Surgeon, Kozani, Greece.
Athanasios D GiannoukasDepartment of Vascular Surgery, 69176University Hospital of Larissa, Larissa, Greece.
SeVEN Collaborators
University Hospital of Larissa · GRGeneral University Hospital of Patras · GRUniversity General Hospital Attikon · GRUniversity Hospital of Alexandroupolis · GRUniversity Hospital of Heraklion · GRUniversity of Western Macedonia · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the risk of symptomatic venous thromboembolism (VTE) recurrence at 3 months in relation to treatment duration, according to baseline risk factor profiles, in patients with superficial vein thrombosis (SVT) treated with intermediate dose of tinzaparin.

methodsWe performed a pooled analysis on individual data from two prospective studies designed to assess the efficacy and safety of tinzaparin in intermediate dose (131 IU/kg) in patients with SVT. Treatment duration was at the treating physician's discretion. All patients were followed up for at least 3 months.

resultsA total of 956 patients (65% female, mean age 58.7 ± 13.7 years) were included. The median treatment duration was 30 days (range, 3-200 days). History of deep vein thrombosis (DVT), location of SVT above the knee, and palpable induration were the only independent factors associated with prolonged treatment duration. During follow-up, 95.9% of patients were event free. Outcomes-related adverse events occurred in 39 (4.1%) patients and their median duration of treatment was 33 days (range, 7-200 days). Recurrent VTE events occurred in 33 patients, including 22 cases of SVT recurrence, 8 cases of DVT, and 1 case of pulmonary embolism. The median time to the event was 29 (6-113) days. Recurrent thromboembolic events were not related to treatment duration as occurred in 17 patients (51.5%) treated up to 30 days and in 16 patients (48.8%) received prolong treatment (

conclusionsIntermediate dose of tinzaparin for 30 days is an effective and safe treatment for SVT. The risk of recurrent VTE events may be higher in patients with greater amount of thrombus at index event.

Indexed as

Pulmonary EmbolismVenous ThromboembolismVenous ThrombosisAgedAnticoagulantsDuration of TherapyFemaleHumansMaleMiddle AgedProspective StudiesRecurrenceRisk FactorsTinzaparinAnticoagulantsTinzaparinDeep vein thrombosislow-molecular weight heparinpulmonary embolismsuperficial vein thrombosisvenous thromboembolism

Identifiers

PMID36461172
PMCPMC10070553
OpenAlexW4310643393

What OpenQuestion holds

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LicenceCC BY-NC
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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.