Evidence map›Paper›PMID 39341370›Full record

ArticleJournal of thrombosis and haemostasis : JTH2025

Circulating tumor DNA predicts venous thromboembolism in patients with cancers.

Shengling Ma, Jun Yang Jiang, Rock Bum Kim, Elizabeth Chiang, Joyce Wan Theng Tiong, Justine Ryu, Danielle Guffey, Raka Bandyo, Heidi Dowst, Kaitlin N Swinnerton and 3 more

Abstract read
In one paragraph

Article in Journal of thrombosis and haemostasis : JTH, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Review
  6. Review
  7. Advancements in programmed cell death research in antitumor therapy: a comprehensive overview.Apoptosis : an international journal on programmed cell death · 2025
    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

13 authors.

Shengling MaSection of Hematology & Oncology, Department of Medicine, Baylor College of Medicine, Houston, Texas, USA.
Jun Yang JiangSection of Hematology & Oncology, Department of Medicine, Baylor College of Medicine, Houston, Texas, USA.
Rock Bum KimSection of Hematology & Oncology, Department of Medicine, Baylor College of Medicine, Houston, Texas, USA.
Elizabeth ChiangSchool of Medicine, Baylor College of Medicine, Houston, Texas, USA.
Joyce Wan Theng TiongSchool of Medicine, Baylor College of Medicine, Houston, Texas, USA.
Justine RyuSection of Hematology, Department of Medicine, Yale School of Medicine, New Haven, Connecticut, USA; Cardiovascular Disease Initiative, Broad Institute of the Massachusetts Institute of Technology and Harvard, Cambridge, Massachusetts, USA.
Danielle GuffeyInstitute for Clinical & Translational Research, Baylor College of Medicine, Houston, Texas, USA.
Raka BandyoHarris Health System, Houston, Texas, USA.
Heidi DowstDuncan Cancer Center-Bioinformatics, Baylor College of Medicine, Houston, Texas, USA.
Kaitlin N SwinnertonMassachusetts Veterans Epidemiology Research and Information Center, Veterans Affairs Boston Healthcare System, Boston, Massachusetts, USA.
Nathanael R FillmoreMassachusetts Veterans Epidemiology Research and Information Center, Veterans Affairs Boston Healthcare System, Boston, Massachusetts, USA; Department of Medicine, Harvard Medical School, Boston, Massachusetts, USA.
Jennifer LaMassachusetts Veterans Epidemiology Research and Information Center, Veterans Affairs Boston Healthcare System, Boston, Massachusetts, USA; Department of Medicine, Harvard Medical School, Boston, Massachusetts, USA.
Ang LiSection of Hematology & Oncology, Department of Medicine, Baylor College of Medicine, Houston, Texas, USA. Electronic address: ang.li2@bcm.edu.

Funding

AIM-AHEAD Coordinating Center - All Four CoresOT2OD032581 · OD · UNIVERSITY OF NORTH TEXAS HLTH SCI CTR · PI Paul Avillach, Bettina M. Beech · 2021 to 2026
$168.7M
Epidemiology and Biomarkers in Transplant Associated Thrombotic Microangiopathy (TA-TMA): A Prospective Validation Cohort StudyK23HL159271 · NHLBI · BAYLOR COLLEGE OF MEDICINE · PI Ang Li · 2022 to 2026
$835k
NHLBI NIH HHS K23 HL159271NIH HHS OT2 OD032581
6 · The paper itself

Abstract

backgroundDespite rapid advances in liquid biopsy for circulating tumor DNA (ctDNA), its prognostic value for venous thromboembolism (VTE) in patients with cancer is underexplored, particularly in underserved and minoritized populations.

objectivesTo evaluate the role of ctDNA in risk stratification for cancer-associated VTE.

methodsWe analyzed data from 1038 cancer patients who underwent ctDNA measurement for oncologic care at a large safety-net hospital system in the United States. We investigated the association between ctDNA and VTE after adjusting for cancer type, stage, treatment, and time from initial diagnosis using Fine-Gray models. We further assessed the discrimination of the genetic, clinical-only, and combined models using the area under the time-dependent receiver operating characteristic curve (AUC).

resultsThe presence of pathogenic ctDNA was independently associated with VTE after adjusting for clinical variables. Independent of tumor type, the number of pathogenic ctDNA mutations was predictive of future VTE risk (adjusted subdistribution hazard ratios of 2.75, 1.94, and 1.38 for ≥3, 2, and 1 pathogenic mutation, respectively, compared with none; P < .0001). The association was primarily driven by mutations in KRAS, PTEN, CDKN2A, NF1, and EGFR genes. Compared with the clinical-only model (AUC, 0.71; 95% CI, 0.64-0.76), the combined clinical and ctDNA model had a numerically higher time-dependent AUC (AUC, 0.74; 95% CI, 0.67-0.80).

conclusionctDNA testing may serve as an adjunctive tool to clinical risk assessment models in cancer patients to improve personalized VTE risk assessment and management.

Indexed as

Biomarkers, TumorCirculating Tumor DNANeoplasmsVenous ThromboembolismAdultAgedFemaleGenetic Predisposition to DiseaseHumansLiquid BiopsyMaleMiddle AgedMutationPredictive Value of TestsPrognosisRetrospective StudiesBiomarkers, TumorCirculating Tumor DNAcirculating tumor DNAliquid biopsyvenous thromboembolismvulnerable populations

Identifiers

PMID39341370
PMCPMC12045112

What OpenQuestion holds

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LicenceTDM
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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.