ArticlePlastic and reconstructive surgery. Global open2016
Caprini Scores, Risk Stratification, and Rivaroxaban in Plastic Surgery: Time to Reconsider Our Strategy.
Article in Plastic and reconstructive surgery. Global open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.
- Abdominal Fascial Plication and the Risk of Venous Thromboembolism in Abdominoplasty Patients: A Systematic Review of the Literature.Annals of plastic surgery · 2025Pooled it
- Biomarkers of Coagulation Disorders-Where to from Here?Biomolecules · 2026Review
- Appert Scale (Thrombotic Risk Scale) in Aesthetic Plastic Surgery Patients: 3-year Evaluation.Plastic and reconstructive surgery. Global open · 2026Article
- Integrating 7-day D-dimer exposure into deep vein thrombosis risk prediction after gastrointestinal surgery.Scientific reports · 2025Article
- Reconsidering the value of Caprini scores and venous thromboembolism (VTE) risk mitigation methods in plastic surgery patients.Aesthetic plastic surgery · 2023Article
- Are Caprini Scores and Chemoprophylaxis Necessary to Reduce the Risk of Venous Thromboembolism after Abdominoplasty?Plastic and reconstructive surgery. Global open · 2023Article
- The Preoperative Management of Oral Contraceptive Pills in Aesthetic Plastic Surgery Practice in Saudi Arabia.Cureus · 2022Article
- A New Approach for Venous Thromboembolism Prevention in Plastic Surgery.Plastic and reconstructive surgery. Global open · 2022Article
- Invited Discussion on: Mechanical Thromboprophylaxis Alone in Body Contouring Surgery for Post Massive Weight Loss Patients: Is This Good Enough?Aesthetic plastic surgery · 2022Article
- Venous Thromboembolism Prophylaxis in Plastic Surgery Patients Undergoing Facelift.Aesthetic surgery journal. Open forum · 2022Article
- Prophylaxis of Venous Thromboembolism in Ankle and Foot Surgeries.Revista brasileira de ortopedia · 2021Article
- Ultrasound Surveillance Offers a Safe and Effective Method for Venous Thromboembolism Prevention in Plastic Surgery Patients.Aesthetic plastic surgery · 2020Article
- Reconsidering the Role of Routine Anticoagulation for Venous Thromboembolism Prevention in Plastic Surgery.Annals of plastic surgery · 2020Article
- Distal Deep Vein Thrombosis Causing Pulmonary Embolism after Outpatient Plastic Surgery: A Case Report.Plastic and reconstructive surgery. Global open · 2020Article
- The Expanding Role of Diagnostic Ultrasound in Plastic Surgery.Plastic and reconstructive surgery. Global open · 2018Article
- Venous Thromboembolism Risk Stratification and Chemoprophylaxis: A Meta-Analysis Finds No Benefit, More Risk.Plastic and reconstructive surgery. Global open · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Limited data are available regarding the pathophysiology of venous thromboembolism in plastic surgery patients. In an effort to identify patients at greater risk, some investigators promote individual risk assessment using Caprini scores. However, these scores do not correlate with relative risk values. Affected patients cannot be reliably predicted (97% false positive rate). Caprini scores make many body contouring patients candidates for chemoprophylaxis, an intervention that introduces risks related to anticoagulation. Caprini has financial conflicts with several companies that manufacture products such as enoxaparin, commonly used for chemoprophylaxis. Rivaroxaban, taken orally, has been used by some plastic surgeons as an alternative to enoxaparin injections. However, this medication is not United States Food and Drug Administration approved for venous thromboembolism prophylaxis in plastic surgery patients, and a reversal agent is unavailable. This article challenges the prevailing wisdom regarding individual risk stratification and chemoprophylaxis. Alternative methods to reduce risk for all patients include safer anesthesia methods and Doppler ultrasound surveillance. Clinical findings alone are unreliable in diagnosing deep venous thromboses. Only by using a reliable diagnostic tool such as Doppler ultrasound are we able to learn more about the natural history of this problem in our patients. Such knowledge is likely to better inform our treatment recommendations.
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.