Evidence map›Paper›PMID 33672130›Full record

ReviewMedicina (Kaunas, Lithuania)2021

Perioperative Management of Chronic Antithrombotic Agents in Elective Hip and Knee Arthroplasty.

Daniel C Santana, Matthew J Hadad, Ahmed Emara, Alison K Klika, Wael Barsoum, Robert M Molloy, Viktor E Krebs, Michael R Bloomfield, Nicolas S Piuzzi

Abstract readReview
In one paragraph

Review in Medicina (Kaunas, Lithuania), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. 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

9 authors.

Daniel C SantanaDepartment of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH 44195, USA.ORCID 0000-0003-4697-1665
Matthew J HadadDepartment of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH 44195, USA.
Ahmed EmaraDepartment of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH 44195, USA.
Alison K KlikaDepartment of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH 44195, USA.
Wael BarsoumHealthcare Outcomes Performance Company (HOPCo), Phoenix, AZ 85023, USA.
Robert M MolloyDepartment of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH 44195, USA.
Viktor E KrebsDepartment of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH 44195, USA.
Michael R BloomfieldDepartment of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH 44195, USA.
Nicolas S PiuzziDepartment of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH 44195, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Total hip and knee arthroplasty are common major orthopedic operations being performed on an increasing number of patients. Many patients undergoing total joint arthroplasty (TJA) are on chronic antithrombotic agents due to other medical conditions, such as atrial fibrillation or acute coronary syndrome. Given the risk of bleeding associated with TJAs, as well as the risk of thromboembolic events in the post-operative period, the management of chronic antithrombotic agents perioperatively is critical to achieving successful outcomes in arthroplasty. In this review, we provide a concise overview of society guidelines regarding the perioperative management of chronic antithrombotic agents in the setting of elective TJAs and summarize the recent literature that may inform future guidelines. Ultimately, antithrombotic regimen management should be patient-specific, in consultation with cardiology, internal medicine, hematology, and other physicians who play an essential role in perioperative care.

Indexed as

Arthroplasty, Replacement, HipArthroplasty, Replacement, KneeAtrial FibrillationElective Surgical ProceduresFibrinolytic AgentsHemorrhageHumansFibrinolytic Agentsanticoagulationarthroplastymajor bleedingsurgical complicationsvenous thromboembolism

Identifiers

PMID33672130
PMCPMC7927106

What OpenQuestion holds

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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.