Evidence map›Paper›PMID 33044699›Full record

ArticleJournal of robotic surgery2021

Risks and complications of robot-assisted radical prostatectomy (RARP) in patients receiving antiplatelet and/or anticoagulant therapy: a retrospective cohort study in a single institute.

Masashi Oshima, Satoshi Washino, Yuhki Nakamura, Tsuzumi Konishi, Kimitoshi Saito, Yoshiaki Arai, Tomoaki Miyagawa

Open access · hybridAbstract read
In one paragraph

Article in Journal of robotic surgery, 2021. 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
0.3field-weighted citation impact, top 38% 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, 6 citations in OpenAlex.

  1. 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

7 authors at 1 institution in 1 country.

Masashi OshimaDepartment of Urology, Jichi Medical University Saitama Medical Center, 1-847, Amanuma-cho, Saitama-shi, Saitama, 330-8503, Japan. m_ohshima@jichi.ac.jp.ORCID http://orcid.org/0000-0002-7365-1491
Satoshi WashinoDepartment of Urology, Jichi Medical University Saitama Medical Center, 1-847, Amanuma-cho, Saitama-shi, Saitama, 330-8503, Japan.
Yuhki NakamuraDepartment of Urology, Jichi Medical University Saitama Medical Center, 1-847, Amanuma-cho, Saitama-shi, Saitama, 330-8503, Japan.
Tsuzumi KonishiDepartment of Urology, Jichi Medical University Saitama Medical Center, 1-847, Amanuma-cho, Saitama-shi, Saitama, 330-8503, Japan.
Kimitoshi SaitoDepartment of Urology, Jichi Medical University Saitama Medical Center, 1-847, Amanuma-cho, Saitama-shi, Saitama, 330-8503, Japan.
Yoshiaki AraiDepartment of Urology, Jichi Medical University Saitama Medical Center, 1-847, Amanuma-cho, Saitama-shi, Saitama, 330-8503, Japan.
Tomoaki MiyagawaDepartment of Urology, Jichi Medical University Saitama Medical Center, 1-847, Amanuma-cho, Saitama-shi, Saitama, 330-8503, Japan.
Jichi Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The objective of the study was to evaluate the risk of bleeding complications in patients undergoing robot-assisted radical prostatectomy (RARP) while taking antiplatelet (AP) and/or anticoagulant (AC) agents. We analyzed the data of 334 patients undergoing RARP from May 2015 to May 2019. Patients were categorized into AP, AC, and control groups; the bleeding complications were compared among them. The end points were the estimated blood loss, decrease in hemoglobin level, and bleeding complications. The patient characteristics did not differ significantly among groups, with the exception of ASA scores, which were significantly higher in the AP and AC groups vs. the control group. The estimated blood loss and hemoglobin decrease were not significantly different between the AP and AC groups and the control group. The frequency of bleeding complications did not differ significantly between the AP and the control groups, but was significantly higher in the AC vs. the control group (4.3% in the AP and 23.5% in the AC group vs. 3.7% in the control group; P = 0.63 and P < 0.01, respectively). There was no significant difference in bleeding complications between the AP continuation (continuation of a single AP) and the AP interruption group or between the heparin bridging and the AC interruption group. All bleeding complications observed in the AC group occurred after resuming AC therapy. RARP can be performed safely with continuation of a single AP, and in patients taking ACs by interrupting these agents or via heparin bridging, without increasing intraoperative bleeding, whereas postoperative bleeding complications may increase after resuming ACs.

Indexed as

Prostatic NeoplasmsRoboticsRobotic Surgical ProceduresAnticoagulantsHumansMalePlatelet Aggregation InhibitorsPostoperative ComplicationsPostoperative HemorrhageProstatectomyRetrospective StudiesTreatment OutcomeAnticoagulantsPlatelet Aggregation InhibitorsAnticoagulantAntiplateletComplicationHeparinProstatectomy

Identifiers

PMID33044699
PMCPMC8295093
OpenAlexW3092241283

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.