Evidence map›Paper›PMID 31624738›Full record

ReviewAnnals of translational medicine2019

The use of tranexamic acid in spine surgery.

Joon S Yoo, Junyoung Ahn, Sailee S Karmarkar, Eric H Lamoutte, Kern Singh

Registry-linked trialAbstract readReview
In one paragraph

Review in Annals of translational medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06587620 (Tranexamic Acid Versus Dexmedetomidine for Improving Surgical Field Quality During Spine Surgeries), which is not on this map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
–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.

NCT06587620 nacompletednot on this mapstarted 2023, after this paper: background citation

Tranexamic Acid Versus Dexmedetomidine for Improving Surgical Field Quality During Spine Surgeries

TypeinterventionalSponsorZagazig UniversityRan2023 to 2024Enrolled78ConditionsSurgical Field Quality Improvement in Spine SurgeriesArmsTranexamic acid, Dexmedetomidine, Saline (NaCl 0,9 %) (placebo)
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Tranexamic acid dosage for spinal surgery: a meta-analysis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2022
    Pooled it
  2. Pooled it
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  5. ERAS Protocol Elements and Neurosurgery-Specific Considerations: A Narrative Review.Turkish journal of anaesthesiology and reanimation · 2026
    Article
  6. Article
  7. Article
  8. Tranexamic acid induced seizure during spine surgery: A case report.International journal of surgery case reports · 2025
    Article
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  11. Article
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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

5 authors.

Joon S YooDepartment of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.
Junyoung AhnDepartment of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.
Sailee S KarmarkarDepartment of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.
Eric H LamoutteDepartment of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.
Kern SinghDepartment of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients undergoing surgical procedures of the spine with associated large volume blood loss often require perioperative blood conservation strategies. Synthetic antifibrinolytic medications such as tranexamic acid (TXA) may reduce blood transfusion requirements and postoperative complications following spinal procedures. Studies investigating the role of TXA in spine surgery have presented promising results and have proven its safety and efficacy. However, further investigation is needed to determine the optimal dosing regimen of TXA. In this article, we provide an overview of the basic science and pharmacology of TXA. A comprehensive summary of the findings from clinical trials and a review of the literature that demonstrate the risks and benefits of TXA in spine surgery are also presented.

Indexed as

anticoagulationblood lossspine surgeryTranexamic acid (TXA)transfusion

Identifiers

PMID31624738
PMCPMC6778277

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.