Evidence map›Paper›PMID 36902626›Full record

ArticleJournal of clinical medicine2023

A Retrospective Analysis of the American Thrombosis and Hemostasis Network Dataset Describing Outcomes of Dental Extractions in Persons with Hemophilia.

Heather Messenger, Roshni Kulkarni, Michael Recht, Chunla He

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Article in Journal of clinical medicine, 2023. 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

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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.

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4 · The record

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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

4 authors.

Heather MessengerDepartment of Pediatrics and Human Development, Michigan State University, East Lansing, MI 48824, USA.ORCID 0000-0001-7268-4235
Roshni KulkarniDepartment of Pediatrics and Human Development, Michigan State University, East Lansing, MI 48824, USA.
Michael RechtAmerican Thrombosis and Hemostasis Network, Rochester, NY 14626, USA.ORCID 0000-0002-2805-1016
Chunla HeAmerican Thrombosis and Hemostasis Network, Rochester, NY 14626, USA.

Funding

American Thrombosis and Hemostasis Network ATHN2020- CARE1-442-1Novo Nordisk Foundation ATHN2020- CARE1-442-1
6 · The paper itself

Abstract

introductiondental extractions (DEs) in persons with hemophilia A or B (PWH-A or PWH-B) are often associated with bleeding and needing hemostatic therapies (HTs).

aimto analyze the American Thrombosis and Hemostasis Network (ATHN) dataset (ATHNdataset) to assess trends, uses and impacts of HT on bleeding outcomes following DEs.

methodsPWH seen at ATHN affiliates who underwent DEs and opted to share their data with the ATHNdataset between 2013-2019 were identified. The type of DEs, use of HT and bleeding outcomes were assessed.

resultsAmong 19,048 PWH ≥2 years of age, 1157 underwent 1301 episodes of DE. Those on prophylaxis experienced a nonsignificant reduction in dental bleeding episodes. Standard half-life factor concentrates were used more often than extended half-life products. PWHA were more likely to undergo DE in the first 30 years of life. Those with severe hemophilia were less likely to undergo DE than those with a mild disease (OR: 0.83; 95% CI: 0.72-0.95). PWH with inhibitors had statistically significantly increased odds of dental bleeding (OR: 2.09, 95% CI; 1.21-3.63).

conclusionour study showed that persons with mild hemophilia and younger age were more likely to undergo DE; the presence of inhibitors increased the likelihood of bleeding, while those with prophylaxis and receiving HT experienced a non-statistically significant reduction in bleeding.

Indexed as

ATHNdatasetdental extractionemicizumabepsilon aminocaproic acidpostoperative bleedingtranexamic acid

Identifiers

PMID36902626
PMCPMC10002874

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