Evidence map›Paper›PMID 42594225›Full record

ArticleAnnals of medicine2026

Association of erythropoiesis-stimulating agents and red blood cell transfusion with venous thrombosis in patients with cancer: a nationwide case-crossover study.

Byung-Hyun Lee, Yeonju Yu, Jinny Park, Se Ryeon Lee, Hwa Jung Sung, Juneyoung Lee

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Article in Annals of medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Byung-Hyun LeeDepartment of Internal Medicine, Korea University College of Medicine, Anam Hospital, Seoul, Korea.
Yeonju YuDepartment of Biostatistics, Korea University College of Medicine, Seoul, Korea.
Jinny ParkDepartment of Internal Medicine, Korea University College of Medicine, Anam Hospital, Seoul, Korea.
Se Ryeon LeeDepartment of Internal Medicine, Korea University College of Medicine, Anam Hospital, Seoul, Korea.
Hwa Jung SungDepartment of Internal Medicine, Korea University College of Medicine, Anam Hospital, Seoul, Korea.
Juneyoung LeeDepartment of Biostatistics, Korea University College of Medicine, Seoul, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCancer-associated anemia is commonly managed with erythropoiesis-stimulating agents (ESAs) and red blood cell (RBC) transfusions; however, their relative thrombotic risks remain uncertain.

methodsWe conducted a nationwide population-based case-crossover study using the Korean National Health Insurance Database. Adult patients with newly diagnosed cancer between 2011 and 2020 who developed incident venous thrombosis were included. Exposure to ESAs and other time-varying risk factors was assessed during a 12-week hazard period preceding thrombosis and compared with a matched 12-week control period, separated by a 24-week washout interval. Conditional logistic regression was used to estimate odds ratios (ORs).

resultsAmong 710,910 patients with cancer, several clinical exposures occurred more frequently during the hazard period than during the control period, including RBC transfusion (6.85% vs 1.79%), hospitalization (11.79% vs 2.77%), surgery (5.70% vs 2.00%), and central venous catheter insertion (3.34% vs 0.74%) (all

conclusionsRBC transfusion was associated with an increased risk of venous thrombosis in patients with cancer, whereas ESA therapy was not independently associated with thrombotic complications after adjustment. These findings suggest that RBC transfusion may contribute to thrombotic risk in patients with cancer and highlight the need for careful consideration when managing cancer-associated anaemia.

Indexed as

AnemiaErythrocyte TransfusionHematinicsNeoplasmsVenous ThrombosisAdultAgedCross-Over StudiesDatabases, FactualFemaleHumansMaleMiddle AgedRepublic of KoreaRisk FactorsHematinicscancererythropoiesis-stimulating agentsThrombosistransfusion

Identifiers

PMID42594225
PMCPMC13474530

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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.