Evidence map›Paper›PMID 39266016›Full record

ArticleJournal of stroke2024

Inpatient Outcomes of Cerebral Venous Thrombosis in Patients With Malignancy Throughout the United States.

Sima Vazqez, Ankita Das, Eris Spirollari, Paige Brabant, Bridget Nolan, Kevin Clare, Jose F Dominguez, Neha Dangayach, Krishna Amuluru, Shadi Yaghi and 7 more

Abstract read
In one paragraph

Article in Journal of stroke, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. 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.

Sima VazqezSchool of Medicine, New York Medical College, Valhalla, NY, USA.
Ankita DasSchool of Medicine, New York Medical College, Valhalla, NY, USA.
Eris SpirollariSchool of Medicine, New York Medical College, Valhalla, NY, USA.
Paige BrabantSchool of Medicine, New York Medical College, Valhalla, NY, USA.
Bridget NolanDepartment of Neurosurgery, Westchester Medical Center, Valhalla, NY, USA.
Kevin ClareDepartment of Neurosurgery, Westchester Medical Center, Valhalla, NY, USA.
Jose F DominguezDepartment of Neurosurgery, Westchester Medical Center, Valhalla, NY, USA.
Neha DangayachDepartment of Neurosurgery, Mount Sinai Health System, New York, NY, USA.
Krishna AmuluruGoodman Campbell Brain and Spine/Ascension St. Vincent Medical Center, Indianapolis, IN, USA.
Shadi YaghiDepartment of Neurology, Brown University, Providence, RI, USA.
Ji ChongDepartment of Neurology, Westchester Medical Center, Valhalla, NY, USA.
Chaitanya MedicherlaDepartment of Neurology, Westchester Medical Center, Valhalla, NY, USA.
Halla NuoamanDepartment of Neurology, Westchester Medical Center, Valhalla, NY, USA.
Neisha PatelDepartment of Neurology, Westchester Medical Center, Valhalla, NY, USA.
Stephan A MayerDepartment of Neurology, Westchester Medical Center, Valhalla, NY, USA.
Chirag D GandhiSchool of Medicine, New York Medical College, Valhalla, NY, USA.
Fawaz Al-MuftiSchool of Medicine, New York Medical College, Valhalla, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeCerebral venous thrombosis (CVT) is associated with a high degree of morbidity and mortality. Our objective is to elucidate characteristics, treatments, and outcomes of patients with cancer and CVT (CA-CVT).

methodsThe 2016-2019 National Inpatient Sample (NIS) database was queried for patients with a primary diagnosis of CVT. Patients with a currently active diagnosis of malignancy (CA-CVT) were then identified. Demographics and comorbidities were compared between CA-CVT and CVT patients. Subgroup analyses explored patients with hematopoietic cancer and non-hematopoietic cancers. Stroke severity and treatment were explored. Inpatient outcomes studied were discharge disposition, length of stay, and mortality.

resultsBetween 2016 and 2019, 6,140 patients had a primary diagnosis code of CVT, and 370 (6.0%) patients had a coexisting malignancy. The most common malignancy was hematopoietic (n=195, 52.7%), followed by central nervous system (n=40, 10.8%), respiratory (n=40, 10.8%), and breast (n=40, 10.8%). These patients tended to be older than non-CA-CVT and were more likely to have coexisting comorbidities. CA-CVT patients had higher severity scores on the International Study of Cerebral Vein and Dural Sinus Thrombosis Risk Score (ISCVT-RS) and increased complications. In a propensity-score matched cohort, there were no differences in inpatient outcomes.

conclusionMalignancy occurs in 6% of patients presenting with CVT and should be considered a potential comorbidity in instances where clear causes of hypercoagulabilty have not been identified. Malignancy was linked to higher mortality rates. Nonetheless, after adjusting for the severity of CVT, the outcomes for inpatients with cancer-associated CVT were comparable to those without cancer, indicating that the increased mortality associated with malignancy is probably due to more severe CVT conditions.

Indexed as

Cerebral venous thrombosisEndovascular therapyHypercoagulabilityMalignancy

Identifiers

PMID39266016
PMCPMC11471363

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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.