Evidence map›Paper›PMID 31755732›Full record

ReviewAnnals of the Royal College of Surgeons of England2020

Antiplatelet drugs: a review of pharmacology and the perioperative management of patients in oral and maxillofacial surgery.

H Mahmood, I Siddique, A McKechnie

Open access · bronzeAbstract readReview
In one paragraph

Review in Annals of the Royal College of Surgeons of England, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 19% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Flavonoids: Antiplatelet Effect as Inhibitors of COX-1.Molecules (Basel, Switzerland) · 2022
    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

3 authors at 3 institutions in 1 country.

H MahmoodDepartment of Oral & Maxillofacial Surgery, School of Clinical Dentistry, University of Sheffield, Sheffield, UK.
I SiddiqueDepartment of Oral & Maxillofacial Surgery, Bradford Royal Infirmary, Bradford, UK.
A McKechnieDepartment of Oral & Maxillofacial Surgery, Leeds Dental Institute, Leeds, UK.
Bradford Royal Infirmary · GBLeeds Dental Hospital · GBUniversity of Sheffield · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAn increasing number of patients are taking oral antiplatelet agents. As a result, there is an important patient safety concern in relation to the potential risk of bleeding complications following major oral and maxillofacial surgery. Surgeons are increasingly likely to be faced with a dilemma of either continuing antiplatelet therapy and risking serious haemorrhage or withholding therapy and risking fatal thromboembolic complications. While there are national recommendations for patients taking oral antiplatelet drugs undergoing invasive minor oral surgery, there are still no evidence-based guidelines for the management of these patients undergoing major oral and maxillofacial surgery.

methodsMEDLINE and EMBASE databases were searched to retrieve all relevant articles published to 31 December 2017.

findingsA brief outline of the commonly used antiplatelet agents including their pharmacology and therapeutic indications is discussed, together with the haemorrhagic and thromboembolic risks of continuing or altering the antiplatelet regimen in the perioperative period. Finally, a protocol for the management of oral and maxillofacial patients on antiplatelet agents is presented.

conclusionsMost current evidence to guide decision making is based upon non-randomised observational studies, which attempts to provide the safest possible management of patients on antiplatelet therapy. Large randomised clinical trials are lacking.

Indexed as

Administration, OralAnticoagulantsBleeding TimeBlood Loss, SurgicalDrug SubstitutionDrug Therapy, CombinationHumansOral Surgical ProceduresOrthognathic Surgical ProceduresPatient SafetyPlatelet Aggregation InhibitorsRisk FactorsThromboembolismAnticoagulantsPlatelet Aggregation InhibitorsAntiplateletsAspirinClopidogrelHaemorrhagePerioperativeThrombosis

Identifiers

PMID31755732
PMCPMC6937600
OpenAlexW2991172174

What OpenQuestion holds

Textmetadata
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.