Evidence map›Paper›PMID 40745408›Full record

SynthesisJournal of thrombosis and thrombolysis2026

The abnormal coagulation status in endometriosis patients: a systematic review and meta-analysis.

Xue Zeng, Jinling Zhang, Yijuan Peng, Ke Zhuang, Yan Huang

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Journal of thrombosis and thrombolysis, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Xue Zeng *Department of Nursing, West China Second University Hospital, Sichuan University and West China School of Nursing, Sichuan University, No. 20 Third Section, Renmin South Road, Chengdu, 610041, Sichuan Province, China.
Jinling Zhang *Department of Nursing, West China Second University Hospital, Sichuan University and West China School of Nursing, Sichuan University, No. 20 Third Section, Renmin South Road, Chengdu, 610041, Sichuan Province, China.
Yijuan PengDepartment of Nursing, West China Second University Hospital, Sichuan University and West China School of Nursing, Sichuan University, No. 20 Third Section, Renmin South Road, Chengdu, 610041, Sichuan Province, China.
Ke ZhuangDepartment of Nursing, West China Second University Hospital, Sichuan University and West China School of Nursing, Sichuan University, No. 20 Third Section, Renmin South Road, Chengdu, 610041, Sichuan Province, China.
Yan HuangDepartment of Nursing, West China Second University Hospital, Sichuan University and West China School of Nursing, Sichuan University, No. 20 Third Section, Renmin South Road, Chengdu, 610041, Sichuan Province, China. huangyan_hx@scu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to comprehensively examine coagulation parameters in patients with endometriosis versus those without to determine hematologic alterations associated with endometriosis.

methodsEmbase, PubMed, CINAHL, Web of Science, the Cochrane Library, CBM, CNKI, VIP, and Wanfang Database were searched through June 2024. The Newcastle-Ottawa Scale was used to evaluate the quality of the studies. Statistical analyses were performed using Stata 16.0 software.

results22 studies with 6,258 participants were included. The results showed significant abnormalities in coagulation parameters in patients with endometriosis compared to those without. Specifically, fibrinogen (FIB) (SMD = 0.57; 95%CI, 0.45 ~ 0.69; P < 0.001), D-dimer (D-D) (SMD = 0.62; 95%CI, 0.27 ~ 0.96; P < 0.001), and platelet count (PLT) (SMD = 0.28; 95%CI, 0.11 ~ 0.45; P = 0.001) were significantly elevated, while activated partial thromboplastin time (APTT) (SMD = -0.13; 95%CI, -0.22~-0.03; P = 0.010), prothrombin time (PT) (SMD = -0.31; 95%CI, -0.54~-0.08; P = 0.009), and thrombin time (TT) (SMD = -0.41; 95%CI, -0.63~-0.20; P < 0.001) were significantly reduced. Moreover, FIB (SMD = 0.47; 95%CI, 0.23 ~ 0.71; P < 0.001), D-D (SMD = 0.38; 95%CI, 0.10 ~ 0.66; P = 0.009), PT (SMD = -0.21; 95%CI, -0.41~-0.02; P = 0.030), and TT (SMD = -0.20; 95%CI, -0.38 ~ 0.01; P = 0.037) also vary between patients with stage I-II and stage III-IV endometriosis.

conclusionMultiple coagulation parameters were abnormal in endometriosis patients, indicating a hypercoagulable state, particularly pronounced in those with stage III-IV endometriosis. Large, globally representative prospective cohorts are needed to elucidate the causal relationship between endometriosis and hypercoagulability.

Indexed as

Blood CoagulationBlood Coagulation DisordersEndometriosisFemaleFibrin Fibrinogen Degradation ProductsHumansFibrin Fibrinogen Degradation ProductsCoagulation parametersEndometriosisMeta-analysisSystematic review

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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.