Evidence map›Paper›PMID 37559115›Full record

ArticleThrombosis journal2023

Education and clinical pharmacist-led management strategies for the risk and prophylaxis of venous thromboembolism in general surgery.

Zeynep Karaburç Kiracı, Nadir Yalçın, Ömer Cennet, Kutay Demirkan, Kaya Yorgancı

Open access · goldAbstract read
In one paragraph

Article in Thrombosis journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 pooled it
2.2field-weighted citation impact, top 12% 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

10 citing papers in PubMed, 3 syntheses or guidelines pooled it, 8 citations in OpenAlex.

  1. Effect of pharmacist care on clinical outcomes and therapy optimization in perioperative settings: A systematic review.American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists · 2024
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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

5 authors at 1 institution in 1 country.

Zeynep Karaburç KiracıDepartment of Clinical Pharmacy, Faculty of Pharmacy, Hacettepe University, Ankara, 06230, Türkiye.ORCID http://orcid.org/0000-0001-5273-5568
Nadir YalçınDepartment of Clinical Pharmacy, Faculty of Pharmacy, Hacettepe University, Ankara, 06230, Türkiye. nadir.yalcin@hacettepe.edu.tr.ORCID http://orcid.org/0000-0002-2280-8727
Ömer CennetDepartment of General Surgery, Faculty of Medicine, Hacettepe University, Ankara, 06230, Türkiye.ORCID http://orcid.org/0000-0002-7430-1610
Kutay DemirkanDepartment of Clinical Pharmacy, Faculty of Pharmacy, Hacettepe University, Ankara, 06230, Türkiye.ORCID http://orcid.org/0000-0002-6427-5826
Kaya YorgancıDepartment of General Surgery, Faculty of Medicine, Hacettepe University, Ankara, 06230, Türkiye.ORCID http://orcid.org/0000-0003-4346-289X
Hacettepe University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite the risks of venous thromboembolism (VTE) in surgical patients are well defined, primary thromboprophylaxis (TP) can be neglected. The aim of this study was to evaluate the risk of VTE and appropriateness of TP and to assess the effects of education and clinical pharmacy (CP) services.

methodsThis study was conducted in a total of 3 periods (n = 800): pre-education (n = 340), post-education (n = 269) and CP intervention period (n = 191) and the risk of VTE and the appropriateness of TP were evaluated. At the end of pre-education period, patients were re-evaluated after education was given about the guidelines on TP and an educative poster was posted in the services (post-education period). During the CP intervention period, the CP made recommendations in terms of optimal TP use to the physicians in charge.

resultsWhile there was no significant difference in the optimal TP rate administered to the patients before and after education (138/340, 40.6% vs. 122/269, 45.4%; p = 0.238); this rate was increased to 113/191 (59.2%) in the CP intervention period (p = 0.004). High-risk patients who received one type of TP constituted the majority of patients who did not receive optimal TP. While the ratio of high-risk patients undergoing a single type of TP in the pre- and post-education periods (104/340, 30.6% vs. 83/269, 30.9%), was similar (p = 0.819); with the CP interventions, this rate was reduced to 35/191 (18.3%) (p = 0.001).

conclusionEven though education has positive influence on surgeons, the implementation of CP practices is more effective especially in terms of maintaining optimal TP.

Indexed as

Clinical pharmacistGeneral surgeryProphylaxisThromboprophylaxisVenous thromboembolism

Identifiers

PMID37559115
PMCPMC10413499
OpenAlexW4385698519

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.