Evidence map›Paper›PMID 37174043›Full record

ReviewCancers2023

Systematic Review and Meta-Analysis of Oral Anticoagulant Therapy in Atrial Fibrillation Cancer Patients.

Alberto Cereda, Stefano Lucreziotti, Antonio Gabriele Franchina, Alessandra Laricchia, Valentina De Regibus, Barbara Conconi, Matteo Carlà, Andrea Spangaro, Matteo Rocchetti, Luca Ponti and 7 more

Open access · goldAbstract readReview
In one paragraph

Review in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 14% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Review
  6. Cancer, Inflammation, and Thrombosis: Drivers of Atrial Fibrillation in Oncology Patients.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    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

17 authors at 2 institutions in 1 country.

Alberto CeredaCardiovascular Department, Association Socio Sanitary Territorial Santi Paolo e Carlo, 20153 Milano, Italy.ORCID 0000-0001-7325-4229
Stefano LucreziottiCardiovascular Department, Association Socio Sanitary Territorial Santi Paolo e Carlo, 20153 Milano, Italy.
Antonio Gabriele FranchinaCardiovascular Department, Association Socio Sanitary Territorial Santi Paolo e Carlo, 20153 Milano, Italy.
Alessandra LaricchiaCardiovascular Department, Association Socio Sanitary Territorial Santi Paolo e Carlo, 20153 Milano, Italy.
Valentina De RegibusCardiovascular Department, Association Socio Sanitary Territorial Santi Paolo e Carlo, 20153 Milano, Italy.
Barbara ConconiCardiovascular Department, Association Socio Sanitary Territorial Santi Paolo e Carlo, 20153 Milano, Italy.ORCID 0000-0002-7320-1511
Matteo CarlàCardiovascular Department, Association Socio Sanitary Territorial Santi Paolo e Carlo, 20153 Milano, Italy.
Andrea SpangaroCardiovascular Department, Association Socio Sanitary Territorial Santi Paolo e Carlo, 20153 Milano, Italy.
Matteo RocchettiCardiovascular Department, Association Socio Sanitary Territorial Santi Paolo e Carlo, 20153 Milano, Italy.ORCID 0009-0007-8844-4042
Luca PontiCardiovascular Department, Association Socio Sanitary Territorial Santi Paolo e Carlo, 20153 Milano, Italy.
Alessandro MinardiCardiovascular Department, Association Socio Sanitary Territorial Santi Paolo e Carlo, 20153 Milano, Italy.
Elena SalaCardiovascular Department, Association Socio Sanitary Territorial Santi Paolo e Carlo, 20153 Milano, Italy.
Giuseppe Massimo SangiorgiDivision of Cardiology, "Tor Vergata" University Hospital, 00133 Rome, Italy.ORCID 0000-0001-5862-1967
Gabriele TumminelloCardiology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Department of Clinical Science and Community Health, University of Milan, 20122 Milan, Italy.ORCID 0000-0003-3121-8400
Lucia BarbieriCardiology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Department of Clinical Science and Community Health, University of Milan, 20122 Milan, Italy.
Stefano CarugoCardiology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Department of Clinical Science and Community Health, University of Milan, 20122 Milan, Italy.ORCID 0000-0002-5166-0899
Paolo AseniDepartment of Emergency, ASST Grande Ospedale Metropolitano Niguarda, 20162 Milan, Italy.ORCID 0000-0001-6811-9305
University of Milan · ITUniversity of Rome Tor Vergata · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

(1) Introduction: Cancer and atrial fibrillation (AF) are increasingly coexisting medical challenges. These two conditions share an increased thrombotic and bleeding risk. Although optimal regimens of the most suitable anti-thrombotic therapy are now affirmed in the general population, cancer patients are still particularly understudied on the matter; (2) Aims And Methodology: This metanalysis (11 studies (incl. 266,865 patients)) aims at evaluating the ischemic-hemorrhagic risk profile of oncologic patients with AF treated with oral anticoagulants (vitamin K antagonists vs. direct oral anticoagulants); (3) Results: In the oncological population, DOACs confer a benefit in terms of the reduction in ischemic, hemorrhagic and venous thromboembolic events. However, ischemic prevention has a non-insignificant bleeding risk, lower than Warfarin but significant and higher than the non-oncological patients; (4) Conclusions: Anticoagulation with DOACs provides a higher safety profile with respect to VKAs in terms of stroke reduction and a relative bleeding reduction risk. Further studies are needed to better assess the optimal anticoagulation strategy in cancer patients with AF.

Indexed as

anticoagulantsatrial fibrillation in cancer patientscardio-oncological prevention

Identifiers

PMID37174043
PMCPMC10177228
OpenAlexW4367843722

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.