Evidence map›Paper›PMID 40910473›Full record

SynthesisClinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis

Efficacy of Factor Xa Inhibitors Versus Placebo in Thromboprophylaxis for Cancer-Associated Thromboembolism: A Systematic Review and Meta-analysis.

Amna Kamil, Sandhiya Prem Kumar, Rumaisa Zulfiqar, Eiman Araib, Bibi Samia Khan, Muhammad Saad Khan, Muhammad Mohsin Khan, Umaimah Naeem, Aminath Waafira

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis. 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

9 authors.

Amna KamilJinnah Sindh Medical University, Karachi, Pakistan.
Sandhiya Prem KumarPeople's University of Medical and Health Sciences for Women, Nawabshah, Sindh, Pakistan.ORCID 0009-0009-8760-4256
Rumaisa ZulfiqarKarachi Medical and Dental University, Karachi, Pakistan.
Eiman AraibDow University of Health Sciences, Karachi, Pakistan.
Bibi Samia KhanHamdard College of Medicine and Dentistry, Karachi Pakistan.
Muhammad Saad KhanJinnah Sindh Medical University, Karachi, Pakistan.ORCID 0009-0002-4228-6476
Muhammad Mohsin KhanJinnah Sindh Medical University, Karachi, Pakistan.
Umaimah NaeemJinnah Sindh Medical University, Karachi, Pakistan.ORCID 0009-0004-2317-6866
Aminath WaafiraThe Maldives National University, Rahdhebai Hingun, Malé.ORCID 0009-0000-3283-1982

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundCancer patients are at significantly increased risk of venous thromboembolism (VTE), a leading cause of morbidity and mortality in this population. While traditional anticoagulants like low-molecular-weight heparin (LMWH) and vitamin K antagonists (VKAs) are commonly used, their limitations have prompted growing interest in direct oral anticoagulants (DOACs), particularly Factor Xa inhibitors. However, concerns about bleeding risks persist. This meta-analysis aims to evaluate the efficacy of Factor Xa inhibitors versus placebo for thromboprophylaxis in cancer-associated VTE.MethodsThis systematic review and meta-analysis followed PRISMA guidelines and was registered with PROSPERO (CRD42024574869). A comprehensive search of PubMed, Cochrane Library, Scopus, Google Scholar, and ClinicalTrials.gov was conducted without language or demographic restrictions. Data were extracted independently by two reviewers and analyzed using a random-effects model.ResultsSix RCTs with a total of 2330 participants met the inclusion criteria. The pooled analysis showed a non-significant reduction in VTE incidence with Factor Xa inhibitors (RR = 0.33, 95% CI: 0.05-2.10,

Indexed as

Factor Xa InhibitorsNeoplasmsVenous ThromboembolismHumansFactor Xa Inhibitorsanticoagulationapixabancancer-associated thrombosisfactor Xa inhibitorsrandomized controlled trialsrivaroxabanthromboprophylaxisvenous thromboembolism

Identifiers

PMID40910473
PMCPMC12413517

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.