Intended for healthcare professionals

Minerva

Anticoagulants after arthroplasty . . . and other stories

BMJ 2018; 363 doi: https://doi.org/10.1136/bmj.k4709 (Published 14 November 2018) Cite this as: BMJ 2018;363:k4709

Preventing venous thromboembolism after arthroplasty

Venous thromboembolism is a well recognised risk after knee arthroplasty, but there’s no consensus on the best prophylaxis. A large retrospective register based analysis from Michigan reports that patients given aspirin alone fared no worse than those given non-aspirin anticoagulants or a combination of the two, and a great deal better than those who received no prophylaxis (JAMA Surg doi:10.1001/jamasurg.2018.3858). The problem here is that the various anticoagulants weren’t allocated at random and the lack of difference between them might be due to confounding by indication.

Pancreatic cancer following acute pancreatitis

A nationwide survey of Swedish residents who …

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