Evidence map›Paper›PMID 37935936›Full record

ArticleJournal of cancer research and clinical oncology2023

Assessing the risk of venous thromboembolism in patients with haematological cancers using three prediction models.

Hanaa Ali El-Sayed, Maha Othman, Hanan Azzam, Regan Bucciol, Mohamed Awad Ebrahim, Mohammed Ahmed Mohammed Abdallah El-Agdar, Yousra Tera, Doaa H Sakr, Hayam Rashad Ghoneim, Tarek El-Sayed Selim

Open access · greenAbstract read
In one paragraph

Article in Journal of cancer research and clinical oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.0field-weighted citation impact, top 8% of its field
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

9 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Anticoagulants in hematologic malignancies: what is the data?Hematology. American Society of Hematology. Education Program · 2025
    Review
  3. Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. Article
  9. 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

10 authors at 2 institutions in 2 countries.

Hanaa Ali El-SayedClinical Pathology Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Maha OthmanClinical Pathology Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt. Othman@queensu.ca.ORCID http://orcid.org/0000-0001-7562-203X
Hanan AzzamClinical Pathology Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Regan BucciolDepartment of Biomedical and Molecular Sciences, School of Medicine, Queen's University, Kingston, ON, Canada.ORCID http://orcid.org/0009-0005-5052-9150
Mohamed Awad EbrahimOncology Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Mohammed Ahmed Mohammed Abdallah El-AgdarOncology Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Yousra TeraClinical Pathology Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Doaa H SakrOncology Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Hayam Rashad GhoneimClinical Pathology Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Tarek El-Sayed SelimClinical Pathology Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Mansoura University · EGQueen's University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAssessment of individual VTE risk in cancer patients prior to chemotherapy is critical for determining necessity of interventions. Risk assessment models (RAM) are available but have not been validated for haematological malignancy. We aimed to assess the validity of the Vienna Cancer and Thrombosis Study (V-CATS) score in prediction of VTE in a variety of haematological malignancies.

methodsThis is a prospective cohort study conducted on 81 newly diagnosed cancer patients undergoing chemotherapy. Demographic, clinical and cancer related data were collected, patients were followed up for 6 months, and VTE events were recorded. Khorana score (KS) was calculated. Plasma D-dimer and sP-selectin were measured, and then, V-CATS score was calculated. Receiver operator curve (ROC) was used to assess the sensitivity and specificity of RAMs. A modified V-CATS was generated and subsequently assessed by using new cut-off levels of d-dimer and sP-selectin based on ROC curve of the patients' results and compared the probability of VTE occurrence using all three RAMs.

resultsAmong the 81 patients included in this study, a total of 2.7% were diagnosed with advanced metastatic cancer. The most frequent cancer was non-Hodgkin lymphoma (39.5%), and 8 patients (9.8%) developed VTE events. The calculated probability of VTE occurrence using KS, V-CATS and modified V-CATS scores at cut-off levels ≥ 3 was 87.5%, 87.5% and 100%, respectively. The AUC in ROC curve of modified Vienna CATS score showed significant difference when compared to that of V-CATS and KS (P = 0.047 and 0.029, respectively).

conclusionThe findings of our study highlight the value of three VTE risk assessment models in haematological malignancies. The modified V-CATS score demonstrated higher specificity compared to both V-CATS and KS, while all three scores exhibited similar sensitivity. We encourage the implementation of RAMs in haematological cancers for an appropriate use of thromboprophylaxis.

Indexed as

Hematologic NeoplasmsNeoplasmsVenous ThromboembolismAnticoagulantsHumansProspective StudiesRetrospective StudiesRisk AssessmentRisk FactorsSelectinsAnticoagulantsSelectinsCancerHaematological malignancyKhorana scoreVenous thromboembolismVienna CATS

Identifiers

PMID37935936
PMCPMC11797160
OpenAlexW4388465288

What Socratic 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 Socratic graph.