Evidence map›Paper›PMID 32583306›Full record

Observational studyJournal of thrombosis and thrombolysis2020

Cancer associated thrombosis in everyday practice: perspectives from GARFIELD-VTE.

Jeffrey I Weitz, Sylvia Haas, Walter Ageno, Samuel Z Goldhaber, Alexander G G Turpie, Shinya Goto, Pantep Angchaisuksiri, Jørn Dalsgaard Nielsen, Gloria Kayani, Alfredo E Farjat and 6 more

Registry-linked trialAbstract readComparative StudyMulticenter StudyObservational Study
PubMed Publisher
In one paragraph

Observational study in Journal of thrombosis and thrombolysis, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02155491 (Global Anticoagulant Registry in the Field Observing Treatment and Outcomes in Patients With Treated Acute Venous Thromboembolic Events in the Real World), which is not on this map. Cited by 47 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 2 pooled it
–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.

NCT02155491 completednot on this map

Global Anticoagulant Registry in the Field Observing Treatment and Outcomes in Patients With Treated Acute Venous Thromboembolic Events in the Real World

Typeobservational_patient_registrySponsorThrombosis Research InstituteRan2014 to 2020Enrolled10,679ConditionsVenous Thromboembolism, Deep Vein Thrombosis, Pulmonary Embolism
3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  6. Direct oral anticoagulantsWorld journal of methodology · 2026
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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

16 authors.

Jeffrey I WeitzThrombosis and Atherosclerosis Research Institute, McMaster University, 237 Barton Street East, Hamilton, ON, L8L 2X2, Canada. weitzj@taari.ca.
Sylvia HaasTechnical University of Munich, Munich, Germany.
Walter AgenoDepartment of Medicine and Surgery, University of Insubria, Varese, Italy.
Samuel Z GoldhaberBrigham and Women's Hospital and Harvard Medical School, Boston, USA.
Alexander G G TurpieMcMaster University, Hamilton, Canada.
Shinya GotoDepartment of Medicine (Cardiology), Tokai University School of Medicine, Tokyo, Japan.
Pantep AngchaisuksiriDepartment of Medicine, Ramathibodi Hospital, Mahidol University, Salaya, Thailand.
Jørn Dalsgaard NielsenCopenhagen University Hospital, Copenhagen, Denmark.
Gloria KayaniThrombosis Research Institute, London, UK.
Alfredo E FarjatThrombosis Research Institute, London, UK.
Sebastian SchellongMedical Department 2, Municipal Hospital Dresden, Dresden, Germany.
Henri BounameauxFaculty of Medicine, University Hospital of Geneva, Geneva, Switzerland.
Lorenzo G MantovaniIRCCS Multimedica, Milan, Italy.
Paolo PrandoniArianna Foundation on Anticoagulation, Bologna, Italy.
Ajay K KakkarThrombosis Research Institute, London, UK.
GARFIELD-VTE investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Venous thromboembolism (VTE) is common in cancer patients and is an important cause of morbidity and mortality. The Global Anticoagulant Registry in the FIELD (GARFIELD)-VTE (ClinicalTrials.gov: NCT02155491) is a prospective, observational study of 10,684 patients with objectively diagnosed VTE from 415 sites in 28 countries. We compared baseline characteristics, VTE treatment patterns, and 1-year outcomes (mortality, recurrent VTE and major bleeding) in 1075 patients with active cancer, 674 patients with a history of cancer, and 8935 patients without cancer. Patients with active cancer and history of cancer were older than cancer-free patients, with median ages of 64.8, 68.9, and 58.4 years, respectively. The most common sites of active cancer were lung (14.5%), colorectal (11.0%), breast (10.6%), and gynaecological (10.3%). Active cancer patients had a higher incidence of upper limb and vena cava thrombosis than cancer-free patients (9.0% vs 4.8% and 5.1% vs 1.4%, respectively), and were more likely to receive parenteral anticoagulation as monotherapy than cancer-free patients (57.8% vs 12.1%), and less likely to receive DOACs (14.2% vs 50.6%). Rates of death, recurrent VTE, and major bleeding were higher in active cancer patients than in cancer-free patients, with hazard ratios (95% confidence intervals) of 14.2 (12.1-16.6), 1.6 (1.2-2.0) and 3.8 (2.9-5.0), respectively. VTE was the second most common cause of death in patients with active cancer or history of cancer. In patients with VTE, those with active cancer are at higher risk of death, recurrence, and major bleeding than those without cancer.

Indexed as

AdultAgedAged, 80 and overAnticoagulantsCause of DeathFemaleFibrinolytic AgentsHemorrhageHumansMaleMiddle AgedNeoplasmsProspective StudiesPulmonary EmbolismRecurrenceRegistriesAnticoagulantsFibrinolytic AgentsAnticoagulationCancerMalignancyRegistryVenous thromboembolism

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

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 Socratic graph.