Evidence map›Paper›PMID 37580338›Full record

ArticleBDJ open2023

Edoxaban use in the context of dental procedures: analysis from the EMIT-AF/VTE database.

Cathy Chen, Manish Saxena, Christian von Heymann, Thomas Vanassche, James Jin, Robert Lersch, Sabine Köhler, Amparo Santamaria, Martin Unverdorben, Paolo Colonna

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in BDJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.7field-weighted citation impact, top 28% 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.

NCT02950168 completednot on this map

Edoxaban Management in Diagnostic and Therapeutic Procedures

Typeobservational_patient_registrySponsorDaiichi SankyoRan2016 to 2018Enrolled1,197ConditionsAtrial Fibrillation, Venous ThromboembolismArmsEdoxaban
NCT02951039 completednot on this map

Non-Interventional Study on Edoxaban Treatment in Routine Clinical Practice for Patients With Non Valvular Atrial Fibrillation (NVAF)

TypeobservationalSponsorDaiichi SankyoRan2017 to 2020Enrolled3,008ConditionsAtrial FibrillationArmsEdoxaban
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Review
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

10 authors at 6 institutions in 6 countries.

Cathy ChenDaiichi Sankyo, Inc., Basking Ridge, NJ, USA.
Manish SaxenaBarts NIHR Cardiovascular Biomedical Research Centre, London, UK. m.saxena@qmul.ac.uk.ORCID http://orcid.org/0000-0001-9964-2692
Christian von HeymannDepartment of Anaesthesia & Intensive Care Medicine, Emergency Medicine, and Pain Therapy, Vivantes Klinikum im Friedrichshain, Berlin, Germany.
Thomas VanasscheDepartment of Cardiovascular Sciences, University Hospitals (UZ) Leuven, Leuven, Belgium.
James JinDaiichi Sankyo, Inc., Basking Ridge, NJ, USA.
Robert LerschDaiichi Sankyo, Inc., Basking Ridge, NJ, USA.
Sabine KöhlerSerenis GmbH, Munich, Germany.
Amparo SantamariaHematology Department, University Hospital Vinalopó y Torrevieja, Alicante, Spain.ORCID http://orcid.org/0000-0001-7727-880X
Martin UnverdorbenDaiichi Sankyo, Inc., Basking Ridge, NJ, USA.
Paolo ColonnaDepartment of Cardiology, Polyclinic of Bari - Hospital, Bari, Italy.
Daiichi Sankyo (United States) · USHospital Universitario del Vinalopó · ESKlinikum im Friedrichshain · DEUCL Biomedical Research Centre · GBUniversitair Ziekenhuis Leuven · BEUniversity of Bari Aldo Moro · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLiterature reviews support continuing anticoagulation during dental procedures. However, studies often present grouped anticoagulation data, and information on individual anticoagulant management would be helpful to dentists. The Edoxaban Management in Diagnostic and Therapeutic Procedures (EMIT-AF/VTE) programme (NCT02950168; NCT02951039) demonstrated low periprocedural bleeding and thrombotic event rates in patients with atrial fibrillation receiving edoxaban.

aimsTo report periprocedural edoxaban interruption and clinical events in patients from EMIT-AF/VTE who underwent dental procedures.

methodsDental procedures were categorised by type (cleaning/noncleaning). Edoxaban interruption, bleeding events, and thrombotic events were observed 5 days preprocedure through 29 days postprocedure.

resultsOverall, 196 patients underwent 350 cleaning and/or noncleaning procedures; most patients (171/196 [87.2%]) underwent noncleaning procedures (282/350 [80.6%]), whereas 48/196 (24.5%) underwent 68/350 (19.4%) cleaning procedures. Edoxaban was uninterrupted for most cleanings (53/68 [77.9%]). Preprocedural interruption was common for single and multiple tooth extractions (single, 67/100 [67.0%]; multiple, 16/30 [53.3%]). The only major bleeding occurred after an unrelated cleaning. Minor bleeding occurred in 1/68 (1.5%) cleaning and 4/282 (1.4%) noncleaning procedures. There were no thrombotic events.

conclusionsFor most cleanings, edoxaban was not interrupted, whereas preprocedural interruption was more common for tooth extractions. Overall, bleeding rates were low, and no thrombotic events occurred.

Identifiers

PMID37580338
PMCPMC10425372
OpenAlexW4385809785

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.