Accuracy of the COMPASS-CAT thrombosis risk assessment scale in predicting venous thromboembolism in cancer patients: a meta-analysis

  • 0School of Nursing, Shandong Second Medical University, Weifang, Shandong, 261000, China.

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Summary

This summary is machine-generated.

The COMPASS-CAT tool shows diagnostic value in predicting venous thromboembolism (VTE) for cancer patients. Further research is recommended for broader cancer types and larger patient cohorts.

Area Of Science

  • Oncology
  • Hematology
  • Diagnostic Accuracy

Background

  • Venous thromboembolism (VTE) is a significant complication in cancer patients.
  • Accurate prediction tools are crucial for timely intervention and management.

Purpose Of The Study

  • To systematically review and assess the diagnostic accuracy of the COMPASS-CAT tool for VTE prediction in cancer patients.

Main Methods

  • A comprehensive literature search was conducted across multiple databases up to April 2023.
  • Study quality was assessed using the QUADAS-2 tool.
  • Meta-analysis and meta-regression were performed using Stata MP 17.0.

Main Results

  • Thirteen studies with 8,665 patients were included.
  • The COMPASS-CAT score demonstrated a pooled sensitivity of 0.76 and specificity of 0.67 (AUC=0.77).
  • Higher accuracy was observed in international outpatient settings (sensitivity=0.94, AUC=0.86) compared to domestic inpatient settings (sensitivity=0.65, AUC=0.78).

Conclusions

  • The COMPASS-CAT score possesses diagnostic value for VTE in cancer patients.
  • The tool effectively identifies patients at risk, though heterogeneity exists.
  • Future research should focus on diverse cancer types and large-scale, multi-center prospective studies.