Evidence map›Paper›PMID 40492254›Full record

ArticleResearch and practice in thrombosis and haemostasis2025

Oral anticoagulant periprocedural management in patients undergoing an oral, dental implant or periodontal surgery: a prospective national observational survey.

Isabelle Mahé, David Hajage, Virginie Monnet-Corti, Société Française de Parodontologie et d’Implantologie, Louis Maman, Société Française de Chirurgie Orale, Vianney Descroix, Yann De Rycke, Loredana Radoï, PRatiques Anticoagulants oraux DIrects Chirurgie Orale group

Registry-linked trialAbstract read
In one paragraph

Article in Research and practice in thrombosis and haemostasis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03150303 (Survey About Oral Anticoagulant Peri-procedural Management in Patients Undergoing an Oral Surgery, Implantology or Periodontology), which is not on this 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.

NCT03150303 terminatednot on this map

Survey About Oral Anticoagulant Peri-procedural Management in Patients Undergoing an Oral Surgery, Implantology or Periodontology

TypeobservationalSponsorAssistance Publique - Hôpitaux de ParisRan2017 to 2020Enrolled532ConditionsOral Anticoagulants, Invasive Procedure
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. 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.

Isabelle MahéParis Cité University, AP-HP, Hôpital Louis Mourier, Service de Médecine Interne, Colombes, France.
David HajageSorbonne Université, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique, Paris, France.
Virginie Monnet-CortiFaculté des Sciences Médicales et Paramédicales, École de Médecine Dentaire, Aix-Marseille Univ, Marseille, France.
Société Française de Parodontologie et d’Implantologie
Louis MamanUniversité Paris Cité, UFR d'Odontologie, Hôpital Charles Foix, Paris, France.
Société Française de Chirurgie Orale
Vianney DescroixService Médecine Bucco-Dentaire, Institut de chirurgie dentaire-Hôpital Pitié Salpêtrière, AP-HP, LabNOF (Laboratoire de Neurobiologie OroFaciale, EA7543), Paris, France.
Yann De RyckeSorbonne Université, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique, Paris, France.
Loredana RadoïUniversité Paris Cité, UFR d'Odontologie, AP-HP, Hôpital Louis Mourier, Colombes, France.
PRatiques Anticoagulants oraux DIrects Chirurgie Orale group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Oral surgery is a frequent invasive procedure in patients on oral anticoagulants. In usual care, the periprocedural management of these patients is questioned, with conflicting guidelines for patients on direct oral anticoagulants (DOACs). Objectives: To assess the risk of hemorrhagic and thromboembolic events during the periprocedural period (5 days before and 30 days after the oral invasive procedure). Methods: The PRatiques Anticoagulants oraux DIrects Chirurgie Orale Study (NCT03150303) is a prospective noninterventional national study including patients receiving long-term oral anticoagulants (duration of treatment of at least 1 month) and referred to dental surgeons for an invasive procedure. Hemorrhagic and thromboembolic events and death on days 2, 7, and 30 were reported and analyzed according to anticoagulant management (interruption/continuation). Bleedings were classified according to the International Society on Thrombosis and Haemostasis classification after blinded review. Results: Overall, between July 2017 and December 2019, 523 patients (mean age 74) were recruited (345 on DOACs and 178 on vitamin K antagonists [VKAs]). During the periprocedural period, 62 events (11.8 events per 100 person-month [PM]) occurred, all local bleedings, in 50 patients (90.3% during the 7 days). The incidence of postoperative bleeding was greater in patients who continued on DOACs compared with patients who continued on VKAs (15.9/100 PM vs 5.9/100 PM; Conclusion: In patients on anticoagulants undergoing an invasive oral procedure, the risk of bleeding occurs mainly within the 7 days following the procedure. Our data suggest the benefit of short perioperative discontinuation of DOACs.

Indexed as

anticoagulantatrial fibrillationbleedingoral surgeryvenous thromboembolism

Identifiers

PMID40492254
PMCPMC12148435

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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.