Evidence map›Paper›PMID 38762739›Full record

ArticleBMC surgery2024

Comparison of efficacy of nadroparin and fondaparinux sodium for prevention of deep vein thromboembolism in lower extremities after total hip arthroplasty and total knee arthroplasty: a retrospective study of 592 patients.

Xiang Gao, Xiaowei Jin, Rui Huang, Zhenxing Li, Hanle Zhang, Pei Fan

Abstract readComparative Study
In one paragraph

Article in BMC surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Trial
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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

6 authors.

Xiang GaoDepartment of Orthopedics, Yuying Children's Hospital, The Second Affiliated Hospital of Wenzhou Medical University, No.109, Xueyuan West Road, Wenzhou, Zhejiang, China.
Xiaowei JinDepartment of Orthopedics, Yuying Children's Hospital, The Second Affiliated Hospital of Wenzhou Medical University, No.109, Xueyuan West Road, Wenzhou, Zhejiang, China.
Rui HuangDepartment of Orthopedics, Yuying Children's Hospital, The Second Affiliated Hospital of Wenzhou Medical University, No.109, Xueyuan West Road, Wenzhou, Zhejiang, China.
Zhenxing LiDepartment of Orthopedics, Yuying Children's Hospital, The Second Affiliated Hospital of Wenzhou Medical University, No.109, Xueyuan West Road, Wenzhou, Zhejiang, China.
Hanle ZhangDepartment of Rehabilitation, Yuying Children's Hospital, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang Province, China.
Pei FanDepartment of Orthopedics, Yuying Children's Hospital, The Second Affiliated Hospital of Wenzhou Medical University, No.109, Xueyuan West Road, Wenzhou, Zhejiang, China. fanpei@wmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo compare the efficacy of nadroparin and fondaparinux sodium for prevention of deep vein thromboembolism (DVT) in lower extremities after total hip arthroplasty (THA) and total knee arthroplasty (TKA).

methodsA total of 592 patients were enrolled in the study. Clinical data of patients who underwent total hip arthroplasty (THA) and total knee arthroplasty (TKA) in our hospital from December 2021 to September 2022 were retrospectively collected, which mainly included patients' general information, surgery-related information, and DVT-related information. The patients were categorized into the nadroparin group(n = 278) and the fondaparinux sodium group(n = 314) according to the types of anticoagulants used. Anticoagulant therapy began 12-24 h after operation and continued until discharge. DVT prevalence between two groups was compared. The Statistical Package for Social Sciences (SPSS) software version 25 (SPSS, Armonk, NY, USA) was used for statistical analysis.

resultsThe prevalence of DVT in the nadroparin group and the fondaparinux sodium group was 8.3% (23/278) and 15.0% (47/314), respectively(p = 0.012). Statistical analysis showed that nadroparin group showed a lower prevalence of thrombosis than fondaparinux group (OR = 1.952, P = 0.012). Subgroup analyses showed that nadroparin group had a lower prevalence of DVT than fondaparinux group in some special patients groups such as female patients (OR = 2.258, P = 0.007), patients who are 65-79 years old (OR = 2.796, P = 0.004), patients with hypertension (OR = 2.237, P = 0.042), patients who underwent TKA (OR = 2.091, P = 0.011), and patients who underwent combined spinal-epidural anesthesia (OR = 2.490, P = 0.003) (P < 0.05).

conclusionNadroparin may have an advantage over fondaparinux sodium in preventing DVT in lower extremities after THA and TKA.

Indexed as

AnticoagulantsArthroplasty, Replacement, HipArthroplasty, Replacement, KneeFondaparinuxNadroparinPostoperative ComplicationsVenous ThromboembolismAgedFemaleHumansLower ExtremityMaleMiddle AgedRetrospective StudiesTreatment OutcomeAnticoagulantsFondaparinuxNadroparinDeep vein ThromboembolismFondaparinux SodiumNadroparinTotal hip arthroplastyTotal knee arthroplasty

Identifiers

PMID38762739
PMCPMC11102291

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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.