Evidence map›Paper›PMID 30887189›Full record

ArticleClinical oral investigations2019

Perioperative management of oral anticoagulated patients undergoing an oral, implant, or periodontal procedure: a survey of practices of members of two dental scientific societies, the PRADICO study.

Loredana Radoï, David Hajage, Caroline Giboin, Louis Maman, Virginie Monnet-Corti, Vianney Descroix, Isabelle Mahé

2 registry-linked trialsAbstract read
PubMed Publisher
In one paragraph

Article in Clinical oral investigations, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

NCT03150303 terminatednot on this map

Survey About Oral Anticoagulant Peri-procedural Management in Patients Undergoing an Oral Surgery, Implantology or Periodontology

TypeobservationalSponsorAssistance Publique - Hôpitaux de ParisRan2017 to 2020Enrolled532ConditionsOral Anticoagulants, Invasive Procedure
NCT04846114 nacompletednot on this map

Efficacy of Local Hemostatic Management in Implant Surgery in Anticoagulated Patients on Warfarin: a Randomized Clinical Study

TypeinterventionalSponsorJorge Ernesto AguilarRan2016 to 2019Enrolled71ConditionsOral Anticoagulant TherapyArmsDental implant surgery
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Loredana RadoïFaculté de chirurgie dentaire, Département de médecine orale et de chirurgie orale, Université Paris Descartes, Paris, France. loredana.radoi@parisdescartes.fr.ORCID http://orcid.org/0000-0001-9898-2521
David HajageDépartement Biostatistique Santé Publique et Information Médicale, Centre de Pharmacoépidémiologie (Cephepi), Sorbonne Université, CIC-1421, AP-HP, Hôpital Pitié Salpêtrière, Paris, France.
Caroline GiboinDépartement Biostatistique Santé Publique et Information Médicale, Centre de Pharmacoépidémiologie (Cephepi), Sorbonne Université, CIC-1421, AP-HP, Hôpital Pitié Salpêtrière, Paris, France.
Louis MamanFaculté de chirurgie dentaire, Département de médecine orale et de chirurgie orale, Université Paris Descartes, Paris, France.
Virginie Monnet-CortiDépartement de parodontologie, AP-HM, Hôpital de la Timone, Marseille, France.
Vianney DescroixDépartement d'odontologie, AP-HP, Hôpitaux Universitaires Pitié-Salpêtrière-Charles Foix, Paris, France.
Isabelle MahéFaculté de Pharmacie, Inserm UMR_S1140, Paris, France.

Funding

Bristol-Myers Squibb SRH18014Daiichi Sankyo France RAF17007Institut Français de Recherche Odontologique (IFRO) SRH18014
6 · The paper itself

Abstract

objectivesStudies on the perioperative management of patients on direct oral anticoagulants (DOACs) receiving oral invasive procedures are sparse. Moreover, the recommendations of the scientific societies on DOACs are discordant, and the practices are highly variable. We conducted a survey of general and specialized dentists in France to compare their practices concerning the management of patients receiving vitamin K antagonists (VKAs) and DOACs. MATERIALS AND

methodsMembers of two dental surgical societies were invited to participate in the survey. One hundred forty-one practitioners answered an online questionnaire focusing on the periprocedural management of oral anticoagulated patients (participation rate, 17.8%).

resultsPractitioners at hospitals or mixed practices and specialists treated significantly more anticoagulated patients and more frequently performed procedures with high hemorrhagic risk than practitioners with private practice and general dentists. Greater than 90% of practitioners did not modify the treatment for patients on VKAs and controlled the International Normalized Ratio (INR) preoperatively. Regarding DOACs, 62.9% of practitioners did not change the treatment, 70.8% did not prescribe any biological tests, and 13.9% prescribed an INR. Practitioners at hospitals and mixed practices and specialists had better training and knowledge about DOACs.

conclusionsThis survey showed that anticoagulated patients were managed mostly by specialists in private or hospital care, notably when requiring oral procedures at high hemorrhagic risk. CLINICAL RELEVANCE: A growing proportion of anticoagulated patients are being treated by dentists in primary care. Consequently, they need training, especially concerning DOACs. Additionally, consensus recommendations are necessary for better coordination of stakeholders and patient safety. Trial registration on ClinicalTrials.gov : NCT03150303.

Indexed as

Dental ImplantsAdministration, OralAnticoagulantsDentistsFemaleFranceHumansMalePerioperative CareSocieties, MedicalSocieties, ScientificSurgery, OralSurveys and QuestionnairesVitamin KAnticoagulantsDental ImplantsVitamin KAnticoagulantsDirect oral anticoagulantsOral surgeryPeriprocedural managementPracticesSurveyVitamin K antagonists

Identifiers

PMID30887189

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.