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

Management of antithrombotic agents in dermatologic surgery before and after publication of the... IntroductionThere has been a steady rise in the number of patients requiring therapy with anticoagulants or antiplatelet agents for various acute and chronic conditions. In dermatologic surgery patients, perioperative management of these drugs continues to be a challenge . For Germany, it is estimated that 1,000,000 individuals were on long‐term antithrombotic treatment in 2010 . At the same time, rising life expectancy and greater UV exposure due to changes in recreational behavior have resulted in an increase in the incidence of many types of skin cancer and thus in the need for dermatosurgical procedures . Since 1970, for example, there has been a tenfold increase in the incidence of melanoma in Germany .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 . Our results suggested that patterns of practice were highly heterogeneous, especially for moderate and major procedures. For instance, 36.3 % (61/168) of office‐based dermatologists surveyed reported not discontinuing low‐dose aspirin (≤ 100 mg) when performing large excisions, whereas 42.9 % reported doing so prior to surgery. Similarly, 63.1 % (41/65) of hospital‐based dermatologists discontinued phenprocoumon prior http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal Der Deutschen Dermatologischen Gesellschaft Wiley

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

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Publisher
Wiley Subscription Services, Inc., A Wiley Company
Copyright
© 2018 Deutsche Dermatologische Gesellschaft (DDG). Published by John Wiley & Sons Ltd.
ISSN
1610-0379
eISSN
1610-0387
D.O.I.
10.1111/ddg.13459
Publisher site
See Article on Publisher Site

Abstract

IntroductionThere has been a steady rise in the number of patients requiring therapy with anticoagulants or antiplatelet agents for various acute and chronic conditions. In dermatologic surgery patients, perioperative management of these drugs continues to be a challenge . For Germany, it is estimated that 1,000,000 individuals were on long‐term antithrombotic treatment in 2010 . At the same time, rising life expectancy and greater UV exposure due to changes in recreational behavior have resulted in an increase in the incidence of many types of skin cancer and thus in the need for dermatosurgical procedures . Since 1970, for example, there has been a tenfold increase in the incidence of melanoma in Germany .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 . Our results suggested that patterns of practice were highly heterogeneous, especially for moderate and major procedures. For instance, 36.3 % (61/168) of office‐based dermatologists surveyed reported not discontinuing low‐dose aspirin (≤ 100 mg) when performing large excisions, whereas 42.9 % reported doing so prior to surgery. Similarly, 63.1 % (41/65) of hospital‐based dermatologists discontinued phenprocoumon prior

Journal

Journal Der Deutschen Dermatologischen GesellschaftWiley

Published: Jan 1, 2018

References

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