Evidence map›Paper›PMID 31640900›Full record

SynthesisBrazilian journal of anesthesiology (Elsevier)

[Efficacy and safety of antifibrinolytics in oncological surgery: a systematic review and meta-analysis].

Aline Menezes Sampaio, Gabriel Magalhães Nunes Guimarães, Germano Pinheiro Medeiros, Germana Medeiros Mendes Damasceno, Ricardo Martins de Abreu Silva, Rogean Rodrigues Nunes, Hermano Alexandre Lima Rocha, José Carlos Rodrigues Nascimento

Open access · diamondAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Brazilian journal of anesthesiology (Elsevier). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 32% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Perioperative hyperfibrinolysis - physiology and pathophysiology.Brazilian journal of anesthesiology (Elsevier)
    Review
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

8 authors at 5 institutions in 2 countries.

Aline Menezes SampaioHospital Geral de Fortaleza (HGF), Departamento de Anestesia, Fortaleza, CE, Brasil.
Gabriel Magalhães Nunes GuimarãesUniversidade de Brasília (UnB), Centro de Anestesiologia, Brasília, DF, Brasil.
Germano Pinheiro MedeirosHospital Geral de Fortaleza (HGF), Departamento de Anestesia, Fortaleza, CE, Brasil.
Germana Medeiros Mendes DamascenoHospital Geral de Fortaleza (HGF), Departamento de Anestesia, Fortaleza, CE, Brasil.
Ricardo Martins de Abreu SilvaUniversidade Federal do Pernambuco (UFPE), Centro de Informática (CIn), Recife, PE, Brasil.
Rogean Rodrigues NunesHospital Geral de Fortaleza (HGF), Departamento de Anestesia, Fortaleza, CE, Brasil.
Hermano Alexandre Lima RochaUniversidade Federal do Ceará (UFC), Departamento de Saúde Materno Infantil, Fortaleza, CE, Brasil; Chan School of Public Health, Harvard T.H., Boston, Estados Unidos.
José Carlos Rodrigues NascimentoHospital Geral de Fortaleza (HGF), Departamento de Anestesia, Fortaleza, CE, Brasil; Universidade Federal do Ceará (UFC), Escola de Medicina, Departamento de Morfologia e Instituto de Biomedicina, Ontogenia e Nutrição, Fortaleza, CE, Brasil. Electronic address: jcr.nascimento@hotmail.com.
Hospital Geral de Fortaleza · BRHarvard University · USUniversidade de Brasília · BRUniversidade Federal de Pernambuco · BRUniversidade Federal do Ceará · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesThe administration of antifibrinolytics has been shown to be effective in reducing blood loss and the need for transfusions in surgeries. However, few studies have evaluated these drugs in cancer surgery. The objective was to review the efficacy and safety of the treatment with antifibrinolytics in patients who underwent oncologic surgeries. CONTENTS: An electronic bibliographic research was conducted in PubMed, OVID, MEDLINE, EMBASE, EBSCO and in the Cochrane Library data basis in order to identify randomized clinical trials performed in any type of oncologic surgery. The data evaluated were blood loss, need for transfusion and incidence of arteriovenous thromboembolism. Five randomized controlled trials evaluating 838 patients met the inclusion requirements. In the analysis of the incidence of thromboembolic events in the five RCTs, there was no statistically significant difference between the administration of tranexamic acid when compared with the placebo (OR=0.36, 95% IC: 0.11-1.19, p=0.09, I

conclusionsThis meta-analysis found no evidence that the administration of antifibrinolytics increases the risk of thromboembolic complications in patients submitted to oncologic surgery, and has shown evidence that it is effective in reducing total perioperative blood loss and the need for blood transfusion.

Indexed as

Antifibrinolytic AgentsHumansNeoplasmsPostoperative ComplicationsThromboembolismTreatment OutcomeAntifibrinolytic AgentsAgentes antifibrinolíticosAntifibrinolytic agentsBlood lossCancer surgeryCirurgia oncológicaPerda sanguíneaThromboembolismTromboembolismo

Identifiers

PMID31640900
PMCPMC9391867
OpenAlexW2973136724

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.