Evidence map›Paper›PMID 40616642›Full record

SynthesisJournal of thrombosis and thrombolysis2025

Incidence of thrombosis in patients with hepatocellular carcinoma: systematic review and meta-analysis.

Le Liu, Dan Liu, Wenjing He, Wan Zhang

Abstract readSystematic ReviewMeta-AnalysisReview
PubMed Publisher
In one paragraph

Synthesis in Journal of thrombosis and thrombolysis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

4 authors.

Le Liu *Deparment of Hepatobiliary Surgery, Xianyang Central Hospital, Shaanxi, Xianyang, 712000, China.
Dan Liu *Department of Critical Care Medicine, Yantai Qishan hospital, Shandong, Yantai, 264001, China.
Wenjing HeDepartment of Nursing, Xianyang Central Hospital, Shaanxi, Xianyang, 712000, China.
Wan ZhangDepartment of Cancer center and Hospice, Xianyang Central Hospital, Shaanxi, Xianyang, 712000, China. zhangwan198908@outlook.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHepatocellular carcinoma (HCC) is a major global health concern, associated with substantial morbidity and mortality. Thrombosis, including venous thromboembolism, deep vein thrombosis, and portal vein thrombosis, further exacerbates the clinical burden in liver cancer patients. However, the incidence rate thrombosis in this population remains incompletely estimated. The main aim of systematic review and meta-analysis is estimating the incidence of thrombotic events in patients with liver cancer.

methodsWe conducted a comprehensive search of databases, including PubMed, Scopus, Web of Science, and Embase, for studies (from inception to January 30, 2025) reporting thrombotic events in liver cancer patients. Pooled estimates of thrombosis incidence were calculated using random effect models, and subgroup analyses were performed based on the follow-up periods and presence of cirrhosis with HCC versus HCC alone.

resultsA total of 24 studies comprising 935,639 liver cancer patients were included in the analysis. The pooled incidence of thrombotic events in liver cancer patients was 35.85 per 1,000 patients (95% CI: 24.49–52.47). The incidence rate varied by follow-up period, with rates of 28.99 (95% CI: 11.34–74.4), 21.16 (95% CI: 9.96–44.93), and 47.19 (95% CI: 22.16–98.19) for 6-month, 12-month, and > 12-month follow-ups, respectively. The incidence in patients with cirrhosis and HCC was higher than those with HCC alone: 229.56 per 1,000 patients (95% CI: 166.40–316.69) versus 26.61 per 10,000 patients (95% CI: 18.71–37.84), respectively.

conclusionPatients with HCC are at significant increased risk of thrombosis. This meta-analysis highlights the importance of monitoring thrombotic risk in liver cancer management. Future research should focus on targeted prevention and treatment strategies to reduce thromboembolic complications in this high-risk population.

Indexed as

Carcinoma, HepatocellularLiver NeoplasmsThrombosisHumansIncidenceRisk FactorsVenous ThrombosisHepatocellular carcinomaIncidencePortal vein thrombosisThrombosisVenous thromboembolism

Identifiers

PMID40616642

What Socratic holds

Textmetadata
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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 Socratic graph.