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The efficacy of tranexamic acid in reducing blood loss in total shoulder arthroplasty: A meta-analysis
The purpose of this meta-analysis is to compare the efficacy of tranexamic acid (TXA) versus placebo after a total shoulder arthroplasty (TSA). In April 2017, a systematic computer-based search was conducted in the databases of PubMed, Embase, Web of Science, Cochrane Library, and Google. Studies co...
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Published in: | Medicine (Baltimore) 2017-09, Vol.96 (37), p.e7880-e7880 |
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description | The purpose of this meta-analysis is to compare the efficacy of tranexamic acid (TXA) versus placebo after a total shoulder arthroplasty (TSA).
In April 2017, a systematic computer-based search was conducted in the databases of PubMed, Embase, Web of Science, Cochrane Library, and Google. Studies comparing TXA versus placebo in reducing blood loss after TSA were included. The endpoints were the need for transfusion, blood loss in drainage, hemoglobin drop, and total blood loss. Stata 12.0 software was used for the meta-analysis.
Six studies involving a total of 637 patients met the inclusion criteria. The meta-analysis revealed that, compared with control groups, treatment with TXA could decrease the need for transfusion (P |
doi_str_mv | 10.1097/MD.0000000000007880 |
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In April 2017, a systematic computer-based search was conducted in the databases of PubMed, Embase, Web of Science, Cochrane Library, and Google. Studies comparing TXA versus placebo in reducing blood loss after TSA were included. The endpoints were the need for transfusion, blood loss in drainage, hemoglobin drop, and total blood loss. Stata 12.0 software was used for the meta-analysis.
Six studies involving a total of 637 patients met the inclusion criteria. The meta-analysis revealed that, compared with control groups, treatment with TXA could decrease the need for transfusion (P < .00001), blood loss in drainage (P = .000), hemoglobin drop (P = .001), and total blood loss (P = .000).
TXA can decrease the need for transfusion as well as total blood loss in TSA patients. There was a negative correlation between the TXA dose and the need for transfusion and blood loss in drainage. Because the administration route and the dose of TXA were different, more studies are needed in order to identify the optimal dose and route.</description><identifier>ISSN: 0025-7974</identifier><identifier>EISSN: 1536-5964</identifier><identifier>DOI: 10.1097/MD.0000000000007880</identifier><identifier>PMID: 28906369</identifier><language>eng</language><publisher>United States: The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved</publisher><subject>Antifibrinolytic Agents - therapeutic use ; Arthroplasty, Replacement, Shoulder ; Blood Loss, Surgical - prevention & control ; Humans ; Systematic Review and Meta-Analysis ; Tranexamic Acid - therapeutic use ; Treatment Outcome</subject><ispartof>Medicine (Baltimore), 2017-09, Vol.96 (37), p.e7880-e7880</ispartof><rights>The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved.</rights><rights>Copyright © 2017 the Author(s). Published by Wolters Kluwer Health, Inc. 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2851-ab6407f0736d9d8a6638789e1bdf5a4140a26f5c1b0427ae5f116ed8f157ece43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5604638/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5604638/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,882,27905,27906,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28906369$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>He, Jing</creatorcontrib><creatorcontrib>Wang, Xi-e</creatorcontrib><creatorcontrib>Yuan, Guo-Hong</creatorcontrib><creatorcontrib>Zhang, Lian-Hai</creatorcontrib><title>The efficacy of tranexamic acid in reducing blood loss in total shoulder arthroplasty: A meta-analysis</title><title>Medicine (Baltimore)</title><addtitle>Medicine (Baltimore)</addtitle><description>The purpose of this meta-analysis is to compare the efficacy of tranexamic acid (TXA) versus placebo after a total shoulder arthroplasty (TSA).
In April 2017, a systematic computer-based search was conducted in the databases of PubMed, Embase, Web of Science, Cochrane Library, and Google. Studies comparing TXA versus placebo in reducing blood loss after TSA were included. The endpoints were the need for transfusion, blood loss in drainage, hemoglobin drop, and total blood loss. Stata 12.0 software was used for the meta-analysis.
Six studies involving a total of 637 patients met the inclusion criteria. The meta-analysis revealed that, compared with control groups, treatment with TXA could decrease the need for transfusion (P < .00001), blood loss in drainage (P = .000), hemoglobin drop (P = .001), and total blood loss (P = .000).
TXA can decrease the need for transfusion as well as total blood loss in TSA patients. There was a negative correlation between the TXA dose and the need for transfusion and blood loss in drainage. Because the administration route and the dose of TXA were different, more studies are needed in order to identify the optimal dose and route.</description><subject>Antifibrinolytic Agents - therapeutic use</subject><subject>Arthroplasty, Replacement, Shoulder</subject><subject>Blood Loss, Surgical - prevention & control</subject><subject>Humans</subject><subject>Systematic Review and Meta-Analysis</subject><subject>Tranexamic Acid - therapeutic use</subject><subject>Treatment Outcome</subject><issn>0025-7974</issn><issn>1536-5964</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNpdUU1v1DAQtRCILoVfgIR85JJiJ_7kgFS1fEmtuJSzNXHGjcEbL3ZC2X9PypaqMJeRZt68NzOPkJecnXBm9ZvL8xP2ILQx7BHZcNmpRlolHpMNY61stNXiiDyr9RtjvNOteEqOWmOZ6pTdkHA1IsUQoge_pznQucCEv2AbPQUfBxonWnBYfJyuaZ9yHmjKtd6W5zxDonXMSxqwUCjzWPIuQZ33b-kp3eIMDUyQ9jXW5-RJgFTxxV0-Jl8_vL86-9RcfPn4-ez0ovGtkbyBXgmmA9OdGuxgQKnOaGOR90OQILhg0KogPe-ZaDWgDJwrHEzgUqNH0R2Tdwfe3dJvcfA4rfcktytxC2XvMkT3b2eKo7vOP51UTKxiK8HrO4KSfyxYZ7eN1WNK61fyUh23nTHCGmNXaHeA-rJ-pGC4l-HM3TrkLs_d_w6tU68ebng_89eSFSAOgJucZiz1e1pusLgRIc3jHz6pbdu0jGtmuWTNWml59xsFV51C</recordid><startdate>20170901</startdate><enddate>20170901</enddate><creator>He, Jing</creator><creator>Wang, Xi-e</creator><creator>Yuan, Guo-Hong</creator><creator>Zhang, Lian-Hai</creator><general>The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved</general><general>Wolters Kluwer Health</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20170901</creationdate><title>The efficacy of tranexamic acid in reducing blood loss in total shoulder arthroplasty: A meta-analysis</title><author>He, Jing ; Wang, Xi-e ; Yuan, Guo-Hong ; Zhang, Lian-Hai</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2851-ab6407f0736d9d8a6638789e1bdf5a4140a26f5c1b0427ae5f116ed8f157ece43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Antifibrinolytic Agents - therapeutic use</topic><topic>Arthroplasty, Replacement, Shoulder</topic><topic>Blood Loss, Surgical - prevention & control</topic><topic>Humans</topic><topic>Systematic Review and Meta-Analysis</topic><topic>Tranexamic Acid - therapeutic use</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>He, Jing</creatorcontrib><creatorcontrib>Wang, Xi-e</creatorcontrib><creatorcontrib>Yuan, Guo-Hong</creatorcontrib><creatorcontrib>Zhang, Lian-Hai</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Medicine (Baltimore)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>He, Jing</au><au>Wang, Xi-e</au><au>Yuan, Guo-Hong</au><au>Zhang, Lian-Hai</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The efficacy of tranexamic acid in reducing blood loss in total shoulder arthroplasty: A meta-analysis</atitle><jtitle>Medicine (Baltimore)</jtitle><addtitle>Medicine (Baltimore)</addtitle><date>2017-09-01</date><risdate>2017</risdate><volume>96</volume><issue>37</issue><spage>e7880</spage><epage>e7880</epage><pages>e7880-e7880</pages><issn>0025-7974</issn><eissn>1536-5964</eissn><abstract>The purpose of this meta-analysis is to compare the efficacy of tranexamic acid (TXA) versus placebo after a total shoulder arthroplasty (TSA).
In April 2017, a systematic computer-based search was conducted in the databases of PubMed, Embase, Web of Science, Cochrane Library, and Google. Studies comparing TXA versus placebo in reducing blood loss after TSA were included. The endpoints were the need for transfusion, blood loss in drainage, hemoglobin drop, and total blood loss. Stata 12.0 software was used for the meta-analysis.
Six studies involving a total of 637 patients met the inclusion criteria. The meta-analysis revealed that, compared with control groups, treatment with TXA could decrease the need for transfusion (P < .00001), blood loss in drainage (P = .000), hemoglobin drop (P = .001), and total blood loss (P = .000).
TXA can decrease the need for transfusion as well as total blood loss in TSA patients. There was a negative correlation between the TXA dose and the need for transfusion and blood loss in drainage. Because the administration route and the dose of TXA were different, more studies are needed in order to identify the optimal dose and route.</abstract><cop>United States</cop><pub>The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved</pub><pmid>28906369</pmid><doi>10.1097/MD.0000000000007880</doi><oa>free_for_read</oa></addata></record> |
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subjects | Antifibrinolytic Agents - therapeutic use Arthroplasty, Replacement, Shoulder Blood Loss, Surgical - prevention & control Humans Systematic Review and Meta-Analysis Tranexamic Acid - therapeutic use Treatment Outcome |
title | The efficacy of tranexamic acid in reducing blood loss in total shoulder arthroplasty: A meta-analysis |
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