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The role of heparin bridging in lung cancer surgery: a nationwide database analysis
- Source :
- Surgery Today. 51:923-930
- Publication Year :
- 2020
- Publisher :
- Springer Science and Business Media LLC, 2020.
-
Abstract
- There is little evidence to demonstrate the impact of heparin bridging (HB) in major surgery. This study aimed to evaluate the benefits and risks of HB in lung cancer surgery by comparing HB and non-HB (NHB) groups. We extracted patients who were taking an anticoagulant, were diagnosed with lung cancer, and underwent lung resection between April 2014 and March 2018 from a nationwide database in Japan. We compared the HB and NHB groups to determine the benefits and risks of HB. The proportion of postoperative thromboembolism and bleeding events between the HB and NHB groups was the primary outcome. We performed propensity score matching to remove any HB assignment bias. We selected 2416 patients, and among these, 1068 patients had HB and 1348 did not. Propensity score matching extracted 1500 patients: 750 with HB and 750 without HB. After matching, a Chi-square test showed no significant difference in the incidence of postoperative thromboembolism (1.5% vs 0.9%, p value = 0.343) and bleeding events (5.9% vs 4.0%, p value = 0.124) between the two groups. There was no significant difference in the incidence of postoperative thromboembolism and bleeding in the patients with and those without HB.
- Subjects :
- Data Analysis
Male
medicine.medical_specialty
Lung Neoplasms
medicine.drug_class
Hemorrhage
03 medical and health sciences
Postoperative Complications
0302 clinical medicine
Japan
Surgical oncology
Thromboembolism
Internal medicine
medicine
Humans
Propensity Score
Lung cancer
Aged
Aged, 80 and over
Lung cancer surgery
Chi-Square Distribution
Heparin
business.industry
Incidence
Incidence (epidemiology)
Anticoagulant
Nationwide database
Anticoagulants
General Medicine
medicine.disease
030220 oncology & carcinogenesis
Propensity score matching
Female
030211 gastroenterology & hepatology
Surgery
business
medicine.drug
Subjects
Details
- ISSN :
- 14362813 and 09411291
- Volume :
- 51
- Database :
- OpenAIRE
- Journal :
- Surgery Today
- Accession number :
- edsair.doi.dedup.....2fc298d3f9524a1161f5d666fdc0e08f