Metastatic brain cancer is defined as a pathology report confirming systemic solid cancer and an imaging report confirming brain metastases. Primary brain tumors will be defined as a pathology report documenting aggressive glioma (anaplastic oligodendroglioma, anaplastic Astrocytoma, glioblastoma multiforme) or primary CNS lymphoma. Active brain cancer will be defined as newly diagnosed brain cancer and/or active anti-cancer therapy and/or a progressive metastastic disease, at study index. A
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Active high-grade glioma or confirmed presence of brain metastases 2) DOAC or LMWH prescribed at therapeutic doses in the presence of active brain cancer, for any indication and any duration 3) At least two neuroimaging studies (computed tomography (CT) or magnetic resonance imaging (MRI)) from index day until the end of 12-month follow-up, unless death occurs first.
Exclusion criteria
Exclusion criteria: 1) Intracranial hemorrhage before initiation of anticoagulation 2) Lack of follow-up data
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Major, non-traumatic ICH at 12 months after study index. | — |
Secondary
| Measure | Time frame |
|---|---|
| * Any ICH * VTE and stroke or systemic atrial thromboembolism and * In patients with an index ICH recurrent ICH during 90-days follow up post-ICH * In patients with an index ICH functional status at 90-days post-ICH (Karnofsky Performance Status and FUNC score) | — |
Contacts
Amsterdam University Medical Centers - location AMC