Evidence map›Paper›PMID 32307632›Full record

ArticleJournal of thrombosis and thrombolysis2020

Assessment of the attitude, awareness and practice of periprocedural warfarin management among health care professional in Qatar. A cross sectional survey.

Islam Eljilany, Ahmed El-Bardissy, Arwa Nemir, Abdel-Naser Elzouki, Ihab El Madhoun, Daoud Al-Badriyeh, Hazem Elewa

Open access · hybridAbstract read
In one paragraph

Article in Journal of thrombosis and thrombolysis, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 30% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. The Dilemma of Peri-Procedural Warfarin Management: A Narrative Review.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Review
  3. 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 at 3 institutions in 1 country.

Islam EljilanyCollege of Pharmacy, QU Health, Qatar University, Doha, Qatar.ORCID http://orcid.org/0000-0001-6387-5419
Ahmed El-BardissyDepartment of Pharmacy, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar.
Arwa NemirCollege of Pharmacy, QU Health, Qatar University, Doha, Qatar.
Abdel-Naser ElzoukiDepartment of Medicine, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar.
Ihab El MadhounDepartment of Medicine, Al Wakra Hospital Hamad Medical Corporation, Al Wakra, Qatar.
Daoud Al-BadriyehCollege of Pharmacy, QU Health, Qatar University, Doha, Qatar.
Hazem ElewaCollege of Pharmacy, QU Health, Qatar University, Doha, Qatar. Hazem.elewa@qu.edu.qa.ORCID http://orcid.org/0000-0003-1594-1199
Qatar University · QAHamad General Hospital · QAWeill Cornell Medical College in Qatar · QA

Funding

Qatar University QUST-2-CPH-2019-22
6 · The paper itself

Abstract

It is estimated that 10-15% of oral anticoagulant (OAC) patients, would need to hold their OAC for scheduled surgery. Especially for warfarin, this process is complex and requires multi-layer risk assessment and decisions across different specialties. Clinical guidelines deliver broad recommendations in the area of warfarin management before surgery which can lead to different trends and practices among practitioners. To evaluate the current attitude, awareness, and practice among health care providers (HCPs) on warfarin periprocedural management. A multiple-choice questionnaire was developed, containing questions on demographics and professional information and was completed by187 HCPs involved in warfarin periprocedural management. The awareness median (IQR) score was moderate [64.28% (21.43)]. The level of awareness was associated with the practitioner's specialty and degree of education (P = 0.009, 0.011 respectively). Practice leans to overestimate the need for warfarin discontinuation as well as the need for bridging. Participants expressed interest in using genetic tests to guide periprocedural warfarin management [median (IQR) score (out of 10) = 7 (5)]. In conclusion, the survey presented a wide variation in the clinical practice of warfarin periprocedural management. This study highlights that HCPs in Qatar have moderate awareness. We suggest tailoring an educational campaign or courses towards the identified gaps.

Indexed as

Health PersonnelWarfarinWithholding TreatmentAnticoagulantsBlood Loss, SurgicalCross-Sectional StudiesFemaleHealth Knowledge, Attitudes, PracticeHumansMaleMiddle AgedNeeds AssessmentPractice Patterns, Physicians'QatarSurgical Procedures, OperativeAnticoagulantsWarfarinBridgingPeriprocedural managementQatarSurveyWarfarin

Identifiers

PMID32307632
PMCPMC7575475
OpenAlexW3016649979

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.