Evidence map›Paper›PMID 41000253›Full record

ReviewEJHaem2025

Reduced Versus Full-Dose Direct Oral Anticoagulants for Venous Thromboembolism in Cancer Patients: A Systematic Review and Meta-Analysis.

Danyal Bakht, Muhammad Arham, Zarwa Rashid, Maaz Amir, Zarish Nasir, Mustabeen Zahra Naqvi, Maleeha Tahir, Musab Khalil, Esha Gulzar, Hafiz Muhammad Haris and 4 more

Abstract readReview
In one paragraph

Review in EJHaem, 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. 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

14 authors.

Danyal BakhtKing Edward Medical University Mayo Hospital Lahore Punjab Pakistan.
Muhammad ArhamSheikh Zayed Medical College Rahim Yar Khan Punjab Pakistan.
Zarwa RashidKing Edward Medical University Mayo Hospital Lahore Punjab Pakistan.
Maaz AmirKing Edward Medical University Mayo Hospital Lahore Punjab Pakistan.
Zarish NasirKing Edward Medical University Mayo Hospital Lahore Punjab Pakistan.
Mustabeen Zahra NaqviKing Edward Medical University Mayo Hospital Lahore Punjab Pakistan.
Maleeha TahirKing Edward Medical University Mayo Hospital Lahore Punjab Pakistan.
Musab KhalilKing Edward Medical University Mayo Hospital Lahore Punjab Pakistan.
Esha GulzarKing Edward Medical University Mayo Hospital Lahore Punjab Pakistan.
Hafiz Muhammad HarisKing Edward Medical University Mayo Hospital Lahore Punjab Pakistan.
Kinza BakhtSheikh Zayed Medical College Rahim Yar Khan Punjab Pakistan.
Allah DadSheikh Zayed Medical College Rahim Yar Khan Punjab Pakistan.
Haseeb TareenHenry Ford Health Jackson Michigan USA.
Muhammad Numan AwaisShaheed Ziaur Rahman Medical College and Hospital Bogura Bangladesh.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Venous thromboembolism (VTE) is a serious complication in cancer patients, with malignancy increasing the risk significantly. Direct oral anticoagulants (DOACs) have emerged as a convenient alternative to traditional therapies, though optimal dosing remains uncertain. Methods: We performed a systematic review and meta-analysis on three studies. A comprehensive literature search was performed on PubMed, Embase, the Cochrane Library, and ScienceDirect till April 2025. Analysis was carried out on RevMan 5.4. The risk of bias was assessed via RoB 2.0. Results: A total of three studies with 2416 participants were identified, including 1495 patients in the reduced-dose group and 1232 patients in the full-dose group. No significant difference was observed in recurrent VTE (OR 0.70, 95% CI 0.45-1.09, Conclusions: In terms of venous thromboembolism, bleeding events, and all-cause mortality, reduced-dose DOACs demonstrated a safety profile that was either superior or comparable to that of full-dose DOACs. Trial Registration: The authors have confirmed clinical trial registration is not needed for this submission.

Identifiers

PMID41000253
PMCPMC12459301

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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.