Perioperative management of chronic anticoagulation therapy in urological patients: a cross-sectional survey of practice

Davis, Niall F.; Fanning, Deirdre Mary; McGuire, Barry B.; Carroll, G. T.; Flood, Hugh D.

doi:10.1007/s11845-011-0738-9

Cited by 10 publications

(10 citation statements)

References 21 publications

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“…The perioperative management of these medications remains a challenge for most dermatologists. In dermatology but also in other disciplines, health care research has shown large heterogeneity in the perioperative management of anticoagulation . In a cross‐sectional study in Germany, 40% of the dermatologists working in dermatosurgery in hospitals would recommend stopping low‐dose (<100 mg) aspirin prior to large excision, whereas 54% would recommend to continue the treatment (no answer 6.2%).…”

Section: Introductionmentioning

confidence: 99%

“…In dermatology but also in other disciplines, health care research has shown large heterogeneity in the perioperative management of anticoagulation. [2][3][4] In a cross-sectional study in Germany, 40% of the dermatologists working in dermatosurgery in hospitals would recommend stopping low-dose (<100 mg) aspirin prior to large excision, whereas 54% would recommend to continue the treatment (no answer 6.2%). With respect to VKA, 63% of hospital-based dermatologists would recommend stopping or bridging with heparin, whereas 33.8% would recommend to continue with the treatment (no answer: 3.1%).…”

Section: Introductionmentioning

confidence: 99%

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Risk of complications due to anticoagulation during dermatosurgical procedures: a systematic review and meta‐analysis

Nast

Ernst

Rosumeck

et al. 2014

Acad Dermatol Venereol

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Background Management of anticoagulation and anti-platelet drugs during cutaneous surgery is still a challenge for many dermatologists and standards of care with respect to stopping, continuing or bridging vary widely. Methods We performed a systematic review (Medline, Cochrane Library, until August 27th, 2013) of studies assessing the risk of complications due to anticoagulation during cutaneous surgery. Primary outcomes were mild-moderate and severe postsurgical bleeding. The secondary outcomes were excessive and uncontrollable intraoperative bleeding and other postsurgical complications as wound dehiscence, erythema, wound infection. Results 1.287 publications were identified and 10 studies were included into the review. The frequencies of bleeding in the control groups in general were low (about 1%). In patients on aspirin, increased risks were seen neither with respect to mild-moderate postoperative bleeding (RR 1.1, CI 0.5-2.3), nor with respect to severe bleeding (RR 0.9, CI 0.2-4.6). The studies with patients on warfarin showed a risk for mild-moderate bleeding that was three times as high as in controls (RR 3.2, CI 1.4-7.1) and for severe bleeding that was 15 times higher (RR 14.8, CI 2.7-80.4). In general the study sizes were small and the methodological quality low. Conclusion The risk of bleeding due to a medication with aspirin seems to be negligible. With warfarin, the risk is increased; an exact estimate of the risk increase is difficult to give, because of the lack of sufficient high quality studies. A two-fold increase appears likely, the 15-fold increase is most likely due to statistical reasons arising from the rareness of the event in the small number of included patients. Stopping, bridging or continuing a medication should always be an individual decision. In accordance with guidelines from internal medicine for most patients it will be recommendable to continue with the medication.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Risk of complications due to anticoagulation during dermatosurgical procedures: a systematic review and meta‐analysis

Nast

Ernst

Rosumeck

et al. 2014

Acad Dermatol Venereol

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“…Dabei zeigen sich in der Dermatologie wie auch in anderen Fachrichtungen große Unterschiede im Umgang mit antithrombotischen Mitteln bei chirurgischen Eingriffen . Im Jahre 2012 wurde dieser im Rahmen einer Befragung in dermatologischen Praxen und Kliniken in Deutschland untersucht .…”

Section: Einführungunclassified

Umgang mit Antithrombotika bei Operationen an der Haut vor und nach Publikation der entsprechenden S3‐Leitlinie

Gaskins

Dittmann

Eisert

et al. 2018

J Deutsche Derma Gesell

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“…In dermatology, as in other specialties, there are large differences with respect to perioperative management of antithrombotic agents . In 2012, we investigated this issue in a survey of office‐ and hospital‐based dermatologsts in Germany .…”

Section: Introductionmentioning

confidence: 99%

Management of antithrombotic agents in dermatologic surgery before and after publication of the corresponding German evidence‐based guideline

Gaskins

Dittmann

Eisert

et al. 2018

J Deutsche Derma Gesell

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Perioperative management of chronic anticoagulation therapy in urological patients: a cross-sectional survey of practice

Cited by 10 publications

References 21 publications

Risk of complications due to anticoagulation during dermatosurgical procedures: a systematic review and meta‐analysis

Risk of complications due to anticoagulation during dermatosurgical procedures: a systematic review and meta‐analysis

Umgang mit Antithrombotika bei Operationen an der Haut vor und nach Publikation der entsprechenden S3‐Leitlinie

Management of antithrombotic agents in dermatologic surgery before and after publication of the corresponding German evidence‐based guideline

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