Evidence map›Paper›PMID 40510088›Full record

ReviewCureus2025

The Role of Direct Oral Anticoagulants (DOACs) in Cancer-Associated Thrombosis: A Comprehensive Review of the Literature.

Muzammil R Qureshi, Marian Barsoum, Danyal Salim, Sese Ekolle Mbonde Mudika, Aly Barakat, Neeraja Reghu Nair, Tanzeela F Ahmed, Shirish Nayyar, Aya H Dahleh, Sidra Ambreen and 2 more

Abstract readReview
In one paragraph

Review in Cureus, 2025. 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. Review
  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

12 authors.

Muzammil R QureshiInternal Medicine, Avalon University School of Medicine, Willemstad, CUW.
Marian BarsoumGraduate Medical Education, Faculty of Medicine, Assiut University, Assiut, EGY.
Danyal SalimInternal Medicine, "Grigore T. Popa" University of Medicine and Pharmacy, Lasi, ROU.
Sese Ekolle Mbonde MudikaGeneral Medicine, University of Yaoundé 1, Yaoundé, CMR.
Aly BarakatInternal Medicine, Medway Maritime Hospital NHS Foundation Trust, Gillingham, GBR.
Neeraja Reghu NairGeneral Medicine, Shridevi Institute of Medical Sciences and Research Hospital, Tumkur, IND.
Tanzeela F AhmedGeneral Medicine, Shree Haridev Joshi General Hospital, Dungarpur, IND.
Shirish NayyarInternal Medicine, King's College Hospital, London, GBR.
Aya H DahlehInternal Medicine, Royal College of Surgeons in Ireland, Dublin, IRL.
Sidra AmbreenMedical Education, The University of Texas Health Science Center at Houston, Houston, USA.
Aamanda NoelEmergency Medicine, Arima General Hospital, Arima, TTO.
Muteeba FayyazEmergency Medicine, Norfolk and Norwich University Hospital NHS Foundation Trust, Norwich, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Venous thromboembolism (VTE) is a frequent and serious complication observed in patients with malignancy. The management of cancer-associated thrombosis (CAT) remains complex and multifactorial, influenced by cancer type, stage, comorbidities, and ongoing therapeutic regimens. Among anticoagulation strategies, direct oral anticoagulants (DOACs) have gained increasing attention as potential alternatives to low-molecular-weight heparins (LMWHs) in selected oncology populations. This narrative review evaluates the role of DOACs in the treatment of CAT, focusing on their clinical efficacy, safety considerations, and practical advantages, including oral administration and patient adherence. However, their use may be limited in certain cancer types and patients with renal or hepatic impairment. DOACs have also raised concerns regarding bleeding risks, drug interactions, and individualized dosing strategies. This review also highlights ongoing challenges such as optimal treatment duration, real-world applicability, and patient-specific considerations. The discussion aims to assess current data and clinical guidance while identifying future directions for integrating DOACs into standard oncology practice.

Indexed as

anticoagulation in cancerapixabanbleeding risk in malignancycancer-associated thrombosis (cat)chemotherapy-induced thrombosisdirect oral anticoagulants (doacs)low-molecular-weight heparin (lmwh)rivaroxabanthromboprophylaxisvenous thromboembolism (vte)

Identifiers

PMID40510088
PMCPMC12158818

What OpenQuestion holds

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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.