Evidence map›Paper›PMID 40826994›Full record

ReviewClinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis

Coagulation Abnormalities in Lung Cancer: Diagnostic Challenges and Therapeutic Perspectives.

Athena Myrou, Athanasios Penopoulos, Konstantinos Barmpagiannos, Styliani Ouzouni, Fotios Girtovitis

Abstract readReview
In one paragraph

Review in Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
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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

5 authors.

Athena MyrouDepartment of Internal Medicine, AHEPA University General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.ORCID 0000-0002-2629-1841
Athanasios PenopoulosDepartment of Internal Medicine, AHEPA University General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Konstantinos BarmpagiannosDepartment of Internal Medicine, AHEPA University General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Styliani OuzouniDepartment of Internal Medicine, AHEPA University General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Fotios GirtovitisNational Blood Center Unit, AHEPA University General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lung cancer is frequently complicated by coagulation abnormalities, primarily presenting as venous thromboembolism (VTE) but also including bleeding events in select patients. This hypercoagulable state arises from a multifaceted interplay between tumor-derived procoagulants, systemic inflammation, endothelial dysfunction, autoimmune mechanisms, and treatment-associated effects. These disruptions not only elevate thrombotic risk but also influence prognosis and therapeutic decisions. Furthermore, the presence of antiphospholipid antibodies or acquired coagulation inhibitors, such as lupus anticoagulant and anti-Factor VIII antibodies, poses a unique clinical challenge by increasing the risk of both thrombosis and hemorrhage. Recent data highlight the expanding role of tumor-derived extracellular vesicles, immune-mediated coagulopathies, and prothrombotic effects of immune checkpoint inhibitors in lung cancer-associated thrombosis. Novel biomarkers-such as prothrombin fragment 1 + 2, integrin β2- positive extracellular vesicles, and endothelial activation markers-are being investigated for risk stratification and personalized treatment decisions. Diagnostic approaches-including coagulation assays, biomarker profiling, and imaging-are discussed alongside emerging tools for individualized anticoagulation and management of acquired inhibitors. Early recognition and tailored management of cancer-associated coagulopathy are essential to improve patient outcomes. This review aims to provide practical insights for clinicians navigating the thrombohemorrhagic spectrum in lung cancer care.

Indexed as

Blood Coagulation DisordersLung NeoplasmsBlood CoagulationHumansanticoagulationcancer-associated thrombosiscoagulopathydiagnostic biomarkersimmune-mediated thrombosislung cancervenous thromboembolism

Identifiers

PMID40826994
PMCPMC12365440

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Registered trials

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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.