Evidence map›Paper›PMID 42177803›Full record

ArticleJournal of surgical oncology2026

Venous Thromboembolism Risk and Prevention After Gastrointestinal Cancer Surgery: Real World Evidence From a Large Integrated Healthcare System.

Tong Qi, In-Lu Amy Liu, Yi-Lin Wu, Stacy J Park, Ahmed N Dehal, Michael K Gould

Abstract read
In one paragraph

Article in Journal of surgical oncology, 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

6 authors.

Tong QiKaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, California, USA.
In-Lu Amy LiuDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, California, USA.
Yi-Lin WuDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, California, USA.
Stacy J ParkDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, California, USA.
Ahmed N DehalDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, California, USA.
Michael K GouldDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, California, USA.

Funding

Southern California Permanente Medical Group
6 · The paper itself

Abstract

BACKGROUND AND

methodsVenous thromboembolism (VTE) is common and preventable following surgery for gastrointestinal (GI) cancer. In this retrospective cohort study, we aimed to characterize VTE risk factors, prophylaxis, and outcomes among patients who underwent surgery for GI cancer between 2019 and 2021 at Kaiser Permanente Southern California. The discrimination of the Caprini and IMPROVE risk models for predicting VTE was assessed using the area under the receiver operating characteristic curve (AUC).

resultsAmong 2702 patients, the 90-day incidence of perioperative VTE was 2.1%. VTE was associated with older age, prior VTE, thrombophilia, low serum albumin, and blood transfusion, but not procedure time or surgical approach. VTE was especially common among patients with gastric cancer (4.5%). In-hospital prophylaxis was nearly universal, but post-discharge prophylaxis was uncommonly utilized (22.9%). VTE was associated with a five-fold increase in 90-day mortality. Both Caprini (AUC 0.65, 95% CI 0.57-0.72) and IMPROVE (AUC 0.65, 95% CI 0.57-0.73) models demonstrated only fair discrimination.

conclusionsDespite adherence with recommended in-hospital prophylaxis, VTE remains an important complication following GI cancer surgery, carrying with it an increased risk of mortality. DISCUSSION: Suboptimal discrimination of risk prediction models and underutilization of post-discharge prophylaxis represent ongoing opportunities for quality improvement.

Indexed as

Digestive System Surgical ProceduresGastrointestinal NeoplasmsPostoperative ComplicationsVenous ThromboembolismAgedDelivery of Health Care, IntegratedFemaleHumansIncidenceMaleMiddle AgedRetrospective StudiesRisk Factorsgastrointestinal cancerprophylaxisrisk factorsrisk modelssurgical outcomesvenous thromboembolism

Identifiers

PMID42177803
PMCPMC13427118

What OpenQuestion holds

Textmetadata
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.