Evidence map›Paper›PMID 38190984›Full record

Observational studyThrombosis and haemostasis2024

DNMT3A/TET2/ASXL1 Mutations are an Age-independent Thrombotic Risk Factor in Polycythemia Vera Patients: An Observational Study.

Adrián Segura-Díaz, Ruth Stuckey, Yanira Florido, Marta Sobas, Alberto Álvarez-Larrán, Francisca Ferrer-Marín, Manuel Pérez-Encinas, Gonzalo Carreño-Tarragona, María L Fox, Barbara Tazón Vega and 7 more

Open access · bronzeAbstract readObservational StudyMulticenter Study
In one paragraph

Observational study in Thrombosis and haemostasis, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
4.4field-weighted citation impact, top 6% 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

7 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
  2. Review
  3. Epigenetic alterations in Myeloid Malignancies.Advances in experimental medicine and biology · 2026
    Review
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  5. Review
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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 9 institutions in 2 countries.

Adrián Segura-DíazHematology Department, Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, Spain.
Ruth StuckeyHematology Department, Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, Spain.
Yanira FloridoHematology Department, Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, Spain.
Marta SobasDepartment of Hematology and Bone Marrow Transplantation, Wrocław Medical University, Wrocław, Poland.
Alberto Álvarez-LarránHematology Department, Hospital Clínic, Barcelona, Spain.
Francisca Ferrer-MarínHematology Department, Hospital Morales Messeguer, Instituto Murciano de Investigación Biosanitaria, Centro de Investigación Biomédica en Red de Enfermedades Raras, Universidad Católica San Antonio de Murcia, Murcia, Spain.
Manuel Pérez-EncinasHematology Department, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, Spain.
Gonzalo Carreño-TarragonaHematology Department, Hospital Universitario 12 de Octubre, Madrid, Spain.
María L FoxHematology Department, Hospital Vall d'Hebron, Barcelona, Spain.
Barbara Tazón VegaHematology Department, Hospital Vall d'Hebron, Barcelona, Spain.
Beatriz CuevasHematology Department, Hospital Universitario de Burgos, Burgos, Spain.
Juan F López RodríguezHematology Department, Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, Spain.
Nuria Sánchez-FaríasHematology Department, Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, Spain.
Jesús M González-MartínInvestigation Unit, Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas, Spain.
María T Gómez-CasaresHematology Department, Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, Spain.
Cristina Bilbao-SieyroHematology Department, Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, Spain.
Spanish MPN Group (GEMFIN)
Hospital Universitario de Gran Canaria Doctor Negrín · ESUniversidad de Las Palmas de Gran Canaria · ESVall d'Hebron Hospital Universitari · ESCentro de Investigación Biomédica en Red · ESComplejo Hospitalario Universitario de Santiago · ESHospital Clínic de Barcelona · ESHospital Universitario 12 De Octubre · ESHospital Universitario de Burgos · ESWroclaw Medical University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPolycythemia vera (PV) patients are classified as high or low thrombotic risk based on age and prior history of thrombosis. Despite adherence to treatment recommendations, vascular events remain frequent, leading us to question whether thrombotic risk stratification could be improved. We previously reported an association between thrombotic events and mutations in DTA genes (

methodsPV patients with a minimum follow-up of 3 years were recruited from 8 European centers. Medical history was searched for thrombotic event recorded at any time and next-generation sequencing carried out with a myeloid panel. Multivariable logistic regression evaluated the impact of variables on thrombotic risk. Kaplan-Meier thrombosis-free survival curves were compared by the log rank test. Associations in the total cohort were confirmed in a case-control study to exclude selection bias.

resultsOf the 136 patients recruited, 74 (56.1%) had a thrombotic event, with an incidence density of 2.83/100 person-years. In multivariable analysis, DTA mutation was a risk factor for thrombotic event, being predictive for shorter thrombosis-free survival in the whole cohort (

conclusionOur results support the use of molecular testing at diagnosis to help predict which PV patients are at higher risk of developing thrombosis.

Indexed as

DioxygenasesDNA-Binding ProteinsDNA (Cytosine-5-)-MethyltransferasesDNA Methyltransferase 3AMutationPolycythemia VeraProto-Oncogene ProteinsRepressor ProteinsThrombosisAdultAgedAged, 80 and overAge FactorsCase-Control StudiesEuropeFemaleASXL1 protein, humanDioxygenasesDNA-Binding ProteinsDNA (Cytosine-5-)-MethyltransferasesDNA Methyltransferase 3ADNMT3A protein, humanProto-Oncogene ProteinsRepressor ProteinsTET2 protein, human

Identifiers

PMID38190984
PMCPMC11199052
OpenAlexW4390686005

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.