Evidence map›Paper›PMID 34439106›Full record

ArticleCancers2021

The Safety and Efficacy of Tranexamic Acid in Oncology Patients Undergoing Endoprosthetic Reconstruction and a ROTEM-Based Evaluation of Their Hemostatic Profile: A Pilot Study.

Andreas G Tsantes, Ioannis G Trikoupis, Dimitrios V Papadopoulos, Stavros Goumenos, Daniele Piovani, Georgios K Nikolopoulos, Argyri Gialeraki, Stefanos Bonovas, Panayiotis J Papagelopoulos, Vasilios A Kontogeorgakos and 1 more

Abstract read
In one paragraph

Article in Cancers, 2021. 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
–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

10 citing papers in PubMed.

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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

11 authors.

Andreas G TsantesLaboratory of Haematology and Blood Bank Unit, "Attiko" Hospital, School of Medicine, National and Kapodistrian University of Athens, 12462 Athens, Greece.ORCID 0000-0002-3695-0759
Ioannis G TrikoupisFirst Department of Orthopaedics, School of Medicine, National and Kapodistrian University of Athens, 12462 Athens, Greece.
Dimitrios V PapadopoulosDepartment of Orthopaedic Surgery, University of Pittsburgh, Orthopedic Specialists-UPMC, Pittsburgh, PA 15237, USA.
Stavros GoumenosFirst Department of Orthopaedics, School of Medicine, National and Kapodistrian University of Athens, 12462 Athens, Greece.
Daniele PiovaniDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, 20090 Milan, Italy.ORCID 0000-0002-1414-6639
Georgios K NikolopoulosMedical School, University of Cyprus, Nicosia 1678, Cyprus.ORCID 0000-0002-3307-0246
Argyri GialerakiLaboratory of Haematology and Blood Bank Unit, "Attiko" Hospital, School of Medicine, National and Kapodistrian University of Athens, 12462 Athens, Greece.
Stefanos BonovasDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, 20090 Milan, Italy.ORCID 0000-0001-6102-6579
Panayiotis J PapagelopoulosFirst Department of Orthopaedics, School of Medicine, National and Kapodistrian University of Athens, 12462 Athens, Greece.
Vasilios A KontogeorgakosFirst Department of Orthopaedics, School of Medicine, National and Kapodistrian University of Athens, 12462 Athens, Greece.
Argirios E TsantesLaboratory of Haematology and Blood Bank Unit, "Attiko" Hospital, School of Medicine, National and Kapodistrian University of Athens, 12462 Athens, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAn endoprosthetic reconstruction in musculoskeletal oncology patients is associated with significant blood loss. The purpose of this study is to evaluate the safety and efficacy of tranexamic acid (TXA) for these patients and to assess any changes in their hemostatic profile using rotational thromboelastometry (ROTEM).

methodsA retrospective observational study was performed including 61 patients with primary or metastatic bone tumors who underwent surgery. Group A (

resultsThe median difference in blood loss between the two groups was 548.5 mL, indicating a 29.2% reduction in the 72 h blood loss following TXA administration (

conclusionTranexamic acid was associated with a significant reduction in perioperative blood loss and transfusion requirements without a complete shutdown of the fibrinolysis. Larger studies are warranted to assess the frequency of these outcomes in musculoskeletal oncology patients.

Indexed as

blood lossendoprosthetic reconstructionhemostasismusculoskeletal oncologyrotational thromboelastometrytranexamic acid

Identifiers

PMID34439106
PMCPMC8392365

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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.