Clinical Study

Different Finite Durations of Anticoagulation and Outcomes following Idiopathic Venous Thromboembolism: A Meta-Analysis

Table 3

Qualitative analysis.

TrialDesignPopulationFollow-up (months)Recurrence (% idiopathic)

Agnelli et al. [6]RCTPE, enrolled after 3 mos No cancer/thrombophilia screening INR 2-3 (83%) New cancer 11 patients3, 6, 12 after randomization, then q684.8%
Agnelli et al. [7] RCTDVT, enrolled after 3 mos No cancer/thrombophilia screening INR 2-3 (81%) New cancer 5 patients3, 6, 12 after randomization, then q6100%
Farraj [20] RCTDVT and PE, enrolled after event No cancer/thrombophilia screeningq4 for 12 mos after cessation100% 1 event on therapy (INR = 1.8, dose missed during travel)
Legnani et al. [24] CohortDVT (71%), PE (29%) enrolled after 3 mos No cancer/thrombophilia screening 15 patients (2.4%) protein C, S def3 mos after cessation, then q6 mos86%
Kyrle et al. [22] CohortDVT (58%) and PE (42%) enrolled after 3 mos No cancer screening, had systematic thrombophilia screening HRT/OCP not excluded (175 used OCPs, 61 on HRT), females encouraged to stop after VTE New cancer in 14 patients Distal and axillary DVT includedq3 mos for first year, then q6 mosNot specified
Palareti [19] et al. *RCTProx DVT (62%) and PE (38%) enrolled after 3 mos ATIII+APA screening, no cancer screen New cancer in 13 patientsq3-6 mos intervalsNot specified
Palareti et al. [25] CohortDVT and PE, enrolled after 3 mos No cancer/thrombophilia screening Distal DVT included D-dimer elevated in 49.3%3 mos after cessation, then q6 mosNot specified
Schulman et al. [21] RCTDVT (86%) and PE (14%), enrolled after event Prot C,S, ATIII screening, no cancer screen INR goal (2.0–2.85)1.5, 3, 6, 9, 12, and 24 mosNot specified
Poli et al. [23]CohortDVT and PE, enrolled after 6 mos Prot C,S, ATIII, APA screening (only APA excluded), no cancer screen D-dimer elevated in 38%Two in first year, one thereafter97%

Enrolled after 3 months means that they were not recruited until after they had at least 3 months of therapy, as opposed to being recruited at the time of the initial event. All known cancer/thrombophilia was excluded; trials only got credit for systematic screening. INR range included for patients who had a period on therapy included. *Includes data from follow-up study by Cosmi et al. [18]