Evidence map›Paper›PMID 36831475›Full record

ArticleCancers2023

Precautions during Direct Oral Anticoagulant Introduction in Gynecologic Malignancies: A Single-Center Retrospective Cohort Study.

Takanori Shimizu, Noriyuki Iwama, Hideki Tokunaga, Shun Endo, Shuko Miyahara, Asami Toki, Zen Watanabe, Junko Minato, Chiaki Hashimoto, Masumi Ishibashi and 3 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 98% 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

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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 2 institutions in 1 country.

Takanori ShimizuDepartment of Obstetrics and Gynecology, Tohoku University Hospital, 1-1, Seiryomachi, Sendai 980-8574, Japan.ORCID 0000-0002-3318-7559
Noriyuki IwamaDepartment of Obstetrics and Gynecology, Tohoku University Hospital, 1-1, Seiryomachi, Sendai 980-8574, Japan.ORCID 0000-0002-6808-0911
Hideki TokunagaDepartment of Obstetrics and Gynecology, Tohoku University Hospital, 1-1, Seiryomachi, Sendai 980-8574, Japan.ORCID 0000-0002-1622-3810
Shun EndoDepartment of Obstetrics and Gynecology, Tohoku University Hospital, 1-1, Seiryomachi, Sendai 980-8574, Japan.
Shuko MiyaharaDepartment of Obstetrics and Gynecology, Tohoku University Hospital, 1-1, Seiryomachi, Sendai 980-8574, Japan.ORCID 0000-0002-7753-636X
Asami TokiDepartment of Obstetrics and Gynecology, Tohoku University Hospital, 1-1, Seiryomachi, Sendai 980-8574, Japan.
Zen WatanabeDepartment of Obstetrics and Gynecology, Tohoku University Hospital, 1-1, Seiryomachi, Sendai 980-8574, Japan.
Junko MinatoDepartment of Obstetrics and Gynecology, Tohoku University Hospital, 1-1, Seiryomachi, Sendai 980-8574, Japan.
Chiaki HashimotoDepartment of Obstetrics and Gynecology, Tohoku University Hospital, 1-1, Seiryomachi, Sendai 980-8574, Japan.
Masumi IshibashiDepartment of Obstetrics and Gynecology, Tohoku University Hospital, 1-1, Seiryomachi, Sendai 980-8574, Japan.ORCID 0000-0003-4112-8716
Shogo ShigetaDepartment of Obstetrics and Gynecology, Tohoku University Hospital, 1-1, Seiryomachi, Sendai 980-8574, Japan.ORCID 0000-0001-8447-8826
Muneaki ShimadaDepartment of Obstetrics and Gynecology, Tohoku University Hospital, 1-1, Seiryomachi, Sendai 980-8574, Japan.
Nobuo YaegashiDepartment of Obstetrics and Gynecology, Tohoku University Hospital, 1-1, Seiryomachi, Sendai 980-8574, Japan.
Tohoku University Hospital · JPTohoku University · JP

Funding

JSPS KAKENHI JP21K09531, JP17K11265, JP21K09486, JP19H03795National Cancer Center Research and Development Fund 2020-J-3
6 · The paper itself

Abstract

The risk factors for venous thromboembolism (VTE) recurrence/exacerbation or a change from a direct oral anticoagulant (DOAC) to another anticoagulant in patients with gynecologic cancer using DOACs have not been thoroughly elucidated. Here, we aimed to investigate the risk factors for a composite primary outcome, including VTE recurrence/exacerbation, or a change from a DOAC to another anticoagulant, in this population. A total of 63 patients were analyzed. Risk factors for a primary outcome within 2 years after DOAC initiation were investigated using multiple logistic regression analysis. Among the 63 patients, 10 developed a primary outcome. Clear cell carcinoma of the ovary (adjusted odds ratio (aOR), 18.9; 95% confidence interval (CI), 2.25-350.74), pulmonary embolism (PE) or proximal deep vein thrombosis without PE (aOR, 55.6; 95% CI, 3.29-11,774.66), and D-dimer levels in the third tertile (≥7.6 μg/dL) when VTE was first diagnosed (aOR, 6.37; 95% CI, 1.17-66.61) were associated with increased odds of a primary outcome in patients with gynecologic cancer using DOACs. Patients with one or more risk factors for a primary outcome require careful follow-up after DOAC initiation for the early recognition of treatment failure.

Indexed as

D-dimerdirect oral anticoagulantsgynecologic cancerrisk factorsvenous thromboembolism

Identifiers

PMID36831475
PMCPMC9954552
OpenAlexW4319924571

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.