Evidence map›Paper›PMID 41891315›Full record

ArticleAmerican journal of hematology2026

The Impact of Anticoagulation in Patients With Isolated Cancer-Associated Splanchnic Vein Thrombosis: A Dual-Center Cohort Study.

Abhilasha Borad, Michael Andersen, Danielle Guffey, Hanqing Shang, Jun Y Jiang, Maria J Fernandez Turizo, Jonathan Berry, Jeffrey I Zwicker, Rushad Patell, Ang Li

Abstract readMulticenter Study
In one paragraph

Article in American journal of hematology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Abhilasha BoradDepartment of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.ORCID 0000-0002-3348-4262
Michael AndersenDivision of Hematology-Oncology, University of Washington, Fred Hutchinson Cancer Center, Seattle, WA, USA.
Danielle GuffeyInstitute for Clinical & Translational Research, Baylor College of Medicine, Houston, Texas, USA.
Hanqing ShangDivision of Hematology-Oncology, Keck School of Medicine of University of Southern California, Los Angeles, California, USA.
Jun Y JiangDivision of Hematology-Oncology, Keck School of Medicine of University of Southern California, Los Angeles, California, USA.
Maria J Fernandez TurizoHematology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Jonathan BerryDivision of Hematology and Hematologic Malignancies, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
Jeffrey I ZwickerHematology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Rushad PatellDivision of Hematology and Hematologic Malignancies, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
Ang LiSection of Hematology-Oncology, Department of Medicine, Baylor College of Medicine, Houston, Texas, USA.ORCID 0000-0002-8455-2309

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
Multi-modal dynamic risk prediction of thrombosis and bleeding in patients with cancerR01HL180402 · NHLBI · BAYLOR COLLEGE OF MEDICINE · PI Ang Li · 2025 to 2026
$1.4M
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
NCI NIH HHS P30 CA008748NHLBI NIH HHS K23 HL159271NHLBI NIH HHS R01 HL180402
6 · The paper itself

Abstract

Data to guide management of isolated bland cancer-associated splanchnic vein thrombosis (CA-SpVT) are limited. We aimed to assess the role of anticoagulation (AC) and bleeding and thrombosis in patients with CA-SpVT. We conducted a dual-center retrospective cohort study of adults with incident, isolated, bland CA-SpVT from 2011 to 2020. The primary outcome was major bleeding (MB); other outcomes included usual-site venous thromboembolism (VTE) recurrence and progression/recanalization of CA-SpVT. Time-to-event outcomes were analyzed with weighted Cox models adjusting for cancer type, stage, SpVT location, and whether symptomatic. For SpVT recanalization/progression, differences were estimated using weighted average treatment effects (ATEs). After excluding tumor thrombus, we included 437 patients with notable characteristics of median age 60 years, portal vein thrombosis (81.2%), and underlying hepatocellular cancer (35.9%). Of these, 29.5% received therapeutic AC. At 6 months, there were 11.9% MB and 6.4% incident usual-site VTE events. Among 308 patients with follow-up imaging, the 1-year thrombus progression rate was 19.8% and thrombus recanalization was 28.6%. In the adjusted analysis, there were numerically higher rates of MB with AC (adjusted hazard ratio [aHR] 1.93, 95% confidence interval [CI] 0.97-3.87) and no significant difference in the incidence of VTE (aHR 1.41, 95% CI 0.56-3.51). AC was associated with significantly higher likelihood of venous recanalization (ATE +24% 95% CI 13%-35%) and significantly lower likelihood of thrombus progression (ATE -14% 95% CI -23% to -5%). In patients with isolated bland CA-SpVT, AC was associated with thrombus recanalization and limited thrombus progression; effects were offset by a potentially higher risk of MB.

Indexed as

AnticoagulantsNeoplasmsVenous ThrombosisAdultAgedCohort StudiesFemaleHemorrhageHumansMaleMiddle AgedPortal VeinRetrospective StudiesSplanchnic CirculationVenous ThromboembolismAnticoagulantsanticoagulantshemorrhageneoplasmsportal veinvenous thrombosis

Identifiers

PMID41891315
PMCPMC13107186

What OpenQuestion holds

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LicenceCC BY
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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.