A prior meta-analysis of three RCTs (Hokusai VTE Cancer, SELECT-D, and ADAM VTE) assessed the efficacy and safety of DOACs in patients with CAT, and revealed borderline significant results for DOACs vs. dalteparin in terms of recurrent VTE (RR: 0.51, 95% CI: 0.25–1.03) and major bleeding (RR: 1.64, 95% CI: 1.00–2.69) ( 16 ).
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Net Clinical Benefit of Direct Oral Anticoagulants in Patients With Cancer and Venous Thromboembolism: A Systematic Review and Trade-Off Analysis.
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