Evidence map›Paper›PMID 42734692›Full record

ArticleCardiovascular drugs and therapy2026

Apixaban Versus LMWH in CAT/VTE: A Comment on Clinical and Methodological Heterogeneity.

Chenchen Wu

Abstract readLetter
PubMed Publisher
In one paragraph

Article in Cardiovascular drugs and therapy, 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

1 author.

Chenchen WuCollege of Integrated Traditional Chinese and Western Medicine Clinical Medicine, Tongde Hospital of Zhejiang Province, Affiliated to Zhejiang Chinese Medical University, Hangzhou, Zhejiang, 310012, China. 2390175881@qq.com.ORCID https://orcid.org/0009-0002-5111-2216

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We commend Huang et al. for separating treatment from postoperative prophylaxis in CAT/VTE. However, the pooled analysis still combines clinically distinct exposure patterns, heterogeneous LMWH comparators, and studies with different follow-up windows, which limits interpretability of the reported risk ratios. Observational before-after and quality-improvement studies are also vulnerable to secular trend bias, and acute treatment should not be merged with extended therapy. Future meta-analyses should use drug-specific stratification, time-standardized or hazard-based methods, concurrent controls, and phase-specific analyses to better estimate apixaban's effect while preserving clinically meaningful differences between indications and treatment phases in cancer-associated thrombosis across settings and improving decision-making in practice.

Indexed as

ApixabanCancer-associated thrombosisLow-molecular-weight heparinMeta-analysisSecular trend bias

Identifiers

PMID42734692

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.