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Blood, 28 May 2009, Vol. 113, No. 22, pp. 5617-5623. Prepublished online as a Blood First Edition Paper on March 9, 2009; DOI 10.1182/blood-2008-12-196014. This Article Full Text Full Text (PDF) All Versions of this Article: blood-2008-12-196014v1 113/22/5617    most recent Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Rights and Permissions Citing Articles Citing Articles via HighWire Citing Articles via CrossRef Google Scholar Articles by Dentali, F. Articles by Ageno, W. PubMed PubMed Citation Articles by Dentali, F. Articles by Ageno, W. Related Collections Free Research Articles Myeloid Neoplasia Thrombosis and Hemostasis Clinical Trials and Observations Social Bookmarking                   What's this?  Previous Article  |  Table of Contents  |  Next Article  THROMBOSIS AND HEMOSTASIS JAK2V617F mutation for the early diagnosis of Ph– myeloproliferative neoplasms in patients with venous thromboembolism: a meta-analysis Francesco Dentali1, Alessandro Squizzato1, Lorenza Brivio1, Lorena Appio1, Leonardo Campiotti1, Mark Crowther2, Anna Maria Grandi1, and Walter Ageno1 1 Department of Clinical Medicine, University of Insubria, Varese, Italy; and 2 Department of Medicine, McMaster University, Hamilton, ON Recent studies suggested that JAK2V617F mutation is frequent in patients with splanchnic vein thrombosis (SVT) but not in patients with other venous thromboembolic events (VTE). However, whether screening for the JAK2V617F mutation in VTE patients is justified remains unclear. Therefore, we performed a systematic review to assess the frequency of JAK2 mutation in VTE patients and the role of JAK2V617F mutation in the diagnosis of myeloproliferative neoplasms. MEDLINE and EMBASE databases were searched. Two reviewers independently performed study selection and extracted study characteristics. Pooled odds ratios of case-control studies and weighted mean proportion of the prevalence of JAK2V617F mutation of uncontrolled series were calculated. Twenty-four studies involving 3123 patients were included. Mean prevalence of JAK2 mutation was 32.7% (95% confidence interval, 25.5%-35.9%) in SVT patients. JAK2 mutation was associated with increased risk of SVT (odds ratio, 53.98; 95% confidence interval, 13.10-222.45). Mean prevalence of JAK2 mutation in other VTE patients was low (range, 0.88%-2.57%). Presence of JAK2V617F mutation in SVT patients was associated with a subsequent diagnosis of myeloproliferative neoplasm in many patients. JAK2 mutation is strongly associated with SVT, and routine screening of JAK2 mutation appears to be indicated in these patients. CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this? This article has been cited by other articles: JAK2 and Venous Thrombosis Journal Watch Oncology and Hematology, July 7, 2009; 2009(707): 1 - 1. [Full Text]

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