Evidence map›Paper›PMID 31929785›Full record

ArticleGastroenterology research and practice2019

Multicenter Study of the Hemorrhage Risk after Endoscopic Mucosal Resection Associated with Direct Oral Anticoagulants.

Ritsu Yasuda, Naohisa Yoshida, Takaaki Murakami, Ryohei Hirose, Ken Inoue, Osamu Dohi, Yuji Naito, Yutaka Inada, Takashi Okuda, Daisuke Hasegawa and 6 more

Open access · goldAbstract read
In one paragraph

Article in Gastroenterology research and practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.2field-weighted citation impact, top 18% 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

10 citing papers in PubMed, 14 citations in OpenAlex.

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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

16 authors at 5 institutions in 1 country.

Ritsu YasudaDepartment of Molecular Gastroenterology and Hepatology, Kyoto Prefectural University of Medicine, Graduate School of Medical Science, Kyoto, Japan.
Naohisa YoshidaDepartment of Molecular Gastroenterology and Hepatology, Kyoto Prefectural University of Medicine, Graduate School of Medical Science, Kyoto, Japan.ORCID https://orcid.org/0000-0001-6167-9705
Takaaki MurakamiDepartment of Gastroenterology, JCHO Kyoto Kuramaguchi Medical Center, Kyoto, Japan.ORCID https://orcid.org/0000-0002-1398-3988
Ryohei HiroseDepartment of Molecular Gastroenterology and Hepatology, Kyoto Prefectural University of Medicine, Graduate School of Medical Science, Kyoto, Japan.ORCID https://orcid.org/0000-0003-0418-1390
Ken InoueDepartment of Molecular Gastroenterology and Hepatology, Kyoto Prefectural University of Medicine, Graduate School of Medical Science, Kyoto, Japan.
Osamu DohiDepartment of Molecular Gastroenterology and Hepatology, Kyoto Prefectural University of Medicine, Graduate School of Medical Science, Kyoto, Japan.ORCID https://orcid.org/0000-0002-0498-0144
Yuji NaitoDepartment of Molecular Gastroenterology and Hepatology, Kyoto Prefectural University of Medicine, Graduate School of Medical Science, Kyoto, Japan.
Yutaka InadaDepartment of Gastroenterology, North Medical Center Kyoto Prefectural University of Medicine, Kyoto, Japan.
Takashi OkudaDepartment of Gastroenterology, Fukuchiyama City Hospital, Kyoto, Japan.
Daisuke HasegawaDepartment of Gastroenterology, Ayabe City Hospital, Kyoto, Japan.
Kotaro OkudaDepartment of Gastroenterology, Kyoto Kujo Hospital, Kyoto, Japan.
Kiyoshi OgisoDepartment of Gastroenterology, Osaka General Hospital of West Japan Railway Company, Osaka, Japan.ORCID https://orcid.org/0000-0001-9301-8434
Yoshikazu InagakiDepartment of Gastroenterology, Nishijin Hospital, Kyoto, Japan.
Koichi SogaDepartment of Gastroenterology, Nishijin Hospital, Kyoto, Japan.ORCID https://orcid.org/0000-0003-2916-2268
Akira TomieDepartment of Gastroenterology, Kyoto Yamashiro General Medical Center, Kyoto, Japan.
Yoshito ItohDepartment of Molecular Gastroenterology and Hepatology, Kyoto Prefectural University of Medicine, Graduate School of Medical Science, Kyoto, Japan.
Kyoto Prefectural University of Medicine · JPKyoto Medical Center · JPNishijin Hospital · JPFukuyama City Hospital · JPKyoto City Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUNDS AND

aimsRecently, direct oral anticoagulants (DOACs) have become widely used for preventing thromboembolism. However, postoperative hemorrhage (POH) is a major complication associated with endoscopic mucosal resection (EMR) for colorectal lesions. In this multicenter study, we analyzed the incidence of POH after EMR associated with DOACs and explored the associated risk factors. MATERIALS AND

methodsThis study was a multicenter retrospective cohort study conducted at 8 Japanese institutions. A total of 2062 cases that underwent EMR for colorectal lesions at these 8 institutions from October 2016 to September 2017 were analyzed. The cases were divided into 4 groups: the DOAC group (63 cases), warfarin group (34 cases), antiplatelet group (185 cases), and no antithrombotics group (1780 cases). In all lesions of the DOAC and warfarin groups, endoscopic clipping was performed after EMR. The rate of POH in the DOAC group, patients' clinical characteristics, the risk factors of POH, and the rate of thromboembolism due to stopping DOACs were compared with other groups.

resultsThe rates of POH were 7.9%

conclusionsPatients receiving DOACs had significantly higher rates of POH after EMR than those without antithrombotics.

Identifiers

PMID31929785
PMCPMC6935785
OpenAlexW2995932001

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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.