Evidence map›Paper›PMID 38372861›Full record

ArticleAnnals of surgical oncology2024

Venous Thromboembolism in Peritoneal Mesothelioma: Uncovering the Hidden Risk.

Varun V Bansal, Owen Mitchell, Celyn Bregio, Hunter D D Witmer, Ankit Dhiman, Frederick A Godley, Cecilia Ong, Yaniv Berger, Biren Reddy, Jane E Churpek and 4 more

Abstract read
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In one paragraph

Article in Annals of surgical oncology, 2024. 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
1.1field-weighted citation impact, top 27% 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, 2 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

14 authors at 6 institutions in 2 countries.

Varun V BansalDivision of Surgical Oncology, Yale School of Medicine, New Haven, CT, USA.
Owen MitchellSection of Hematology/Oncology, Department of Medicine, University of Chicago Medical Center, Chicago, IL, USA.
Celyn BregioPritzker School of Medicine, University of Chicago Medical Center, Chicago, IL, USA.
Hunter D D WitmerDivision of General Surgery and Surgical Oncology, Department of Surgery, University of Chicago Medical Center, Chicago, IL, USA.
Ankit DhimanDepartment of Surgery, Medical College of Georgia, Augusta, GA, USA.
Frederick A GodleyDivision of General Surgery and Surgical Oncology, Department of Surgery, University of Chicago Medical Center, Chicago, IL, USA.
Cecilia OngDivision of General Surgery and Surgical Oncology, Department of Surgery, University of Chicago Medical Center, Chicago, IL, USA.
Yaniv BergerDepartment of Surgery, Sheba Medical Center, Tel Hashomer, Tel Aviv University, Tel Aviv, Israel.
Biren ReddyDivision of General Surgery and Surgical Oncology, Department of Surgery, University of Chicago Medical Center, Chicago, IL, USA.
Jane E ChurpekDivision of Hematology, Medical Oncology, and Palliative Care, Department of Medicine, University of Wisconsin, Madison, WI, USA.
Michael W DrazerSection of Hematology/Oncology, Department of Medicine, University of Chicago Medical Center, Chicago, IL, USA.
Oliver S EngDivision of Surgical Oncology, Department of Surgery, University of California Irvine, Orange, CA, USA.
Hedy L KindlerSection of Hematology/Oncology, Department of Medicine, University of Chicago Medical Center, Chicago, IL, USA.
Kiran K TuragaDivision of Surgical Oncology, Yale School of Medicine, New Haven, CT, USA. kiran.turaga@yale.edu.
University of Chicago Medical Center · USYale University · USAugusta University · USSheba Medical Center · ILUniversity of California, Irvine · USUniversity of Wisconsin–Madison · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionVenous thromboembolism (VTE) is a common complication in patients with abdominal malignancies. Despite known associations between pleural mesothelioma and increased VTE risk, the characteristics of VTE in patients with peritoneal mesothelioma (PeM) remain undescribed.

methodsPatients treated for PeM were retrospectively identified from our institutional database. The frequency of VTE was assessed and logistic regression modeling was employed to assess VTE risk factors. The association between VTE and overall survival was also ascertained. Recommended thromboprophylaxis for patients who underwent surgery at our institution comprised a single preoperative dose of prophylactic anticoagulation, followed by daily dosing for four weeks postoperatively.

resultsAmong 120 PeM patients, 26 (21.7%) experienced VTE, including 19/91 (20.9%) surgical patients, 4/23 (17.4%) patients who received systemic therapy, and 3/6 (50%) patients who underwent observation (p = 0.21). Most events were symptomatic (n = 16, 62%) and were attributable to pulmonary emboli (n = 16, 62%). The 90-day postoperative VTE rate was 4.4% (4/91), including 1 of 60 patients who underwent index surgical intervention at our institution and 3 patients with surgery elsewhere. A low serum albumin concentration was associated with VTE in non-surgical patients (odds ratio 0.12, confidence interval [CI] 0.02-0.72; p = 0.03). No significant difference in overall survival was observed between patients with and without VTE (median 46.0 months [CI 24.9-67.0] vs. 55.0 months [CI 27.5-82.5]; hazard ratio 0.98 [CI 0.54-1.81], p = 0.98).

conclusionsA high risk of VTE was observed in PeM patients, warranting suspicion throughout the disease trajectory. Postoperative VTE rates were within acceptable limits with 4-week thromboprophylaxis.

Indexed as

MesotheliomaMesothelioma, MalignantPulmonary EmbolismVenous ThromboembolismAnticoagulantsHumansPostoperative ComplicationsRetrospective StudiesRisk FactorsAnticoagulantsDeep vein thrombosisMesotheliomaMesothelioma, malignantPulmonary embolismVenous thromboembolism

Identifiers

PMID38372861
OpenAlexW4391945706

What OpenQuestion holds

Textmetadata
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.