Cochrane · systematic review · CD004318

Prolonged thromboprophylaxis with low molecular weight heparin for abdominal or pelvic surgery

Felder, S, Rasmussen, MS, King, R, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library

Colorectal3 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
10
current version
GRADE rated
10
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 0 · 0%Moderate 10 · 100%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Current version only

Comparison

Population: patients undergoing abdominal or pelvic surgery
CD004318.PUB5 (current) · 6 questions
OutcomeEffectEvidenceStatus / GRADE
All VTE
OR 0.38 [0.26, 0.54]7 studies · 1728 participantsModerate
Downgraded: risk of bias, imprecision
All DVT
OR 0.39 [0.27, 0.55]7 studies · 1728 participantsModerate
Downgraded: risk of bias, imprecision
Proximal DVT
OR 0.22 [0.1, 0.47]7 studies · 1728 participantsModerate
Downgraded: risk of bias, imprecision
Symptomatic VTE
OR 0 [0.08, 1.11]7 studies · 1728 participantsModerate
Downgraded: risk of bias, imprecision
Bleeding complications
OR 1.1 [0.67, 1.81]7 studies · 2239 participantsModerate
Downgraded: risk of bias, imprecision
Mortality
OR 1.15 [0.72, 1.84]7 studies · 1881 participantsModerate
Downgraded: risk of bias, imprecision

Additional summary of findings

Population: patients undergoing abdominal or pelvic surgery
CD004318.PUB5 (current) · 4 questions
OutcomeEffectEvidenceStatus / GRADE
All VTE (subgroup analysis open only)
OR 0.42 [0.29, 0.6]6 studies · 1503 participantsModerate
Downgraded: risk of bias, imprecision
All DVT (subgroup analysis open only)
OR 0.43 [0.3, 0.62]6 studies · 1503 participantsModerate
Downgraded: risk of bias, imprecision
All VTE (sensitivity analysis unpublished)
OR 0.38 [0.27, 0.56]6 studies · 1620 participantsModerate
Downgraded: risk of bias, imprecision
All DVT (sensitivity analysis unpublished)
OR 0.4 [0.27, 0.58]6 studies · 1620 participantsModerate
Downgraded: risk of bias, imprecision

Comparison

Population: patients undergoing abdominal or pelvic surgery
CD004318.PUB4 · 6 questions
OutcomeEffectEvidenceStatus / GRADE
All VTE
OR 0.38 [0.26, 0.54]7 studies · 1728 participantsModerate
Downgraded: risk of bias, imprecision
All DVT
OR 0.39 [0.27, 0.55]7 studies · 1728 participantsModerate
Downgraded: risk of bias, imprecision
Proximal DVT
OR 0.22 [0.1, 0.47]7 studies · 1728 participantsModerate
Downgraded: risk of bias, imprecision
Symptomatic VTE
OR 0 [0.08, 1.11]7 studies · 1728 participantsModerate
Downgraded: risk of bias, imprecision
Bleeding complications
OR 1.1 [0.67, 1.81]7 studies · 2239 participantsModerate
Downgraded: risk of bias, imprecision
Mortality
OR 1.15 [0.72, 1.84]7 studies · 1881 participantsModerate
Downgraded: risk of bias, imprecision

Additional summary of findings

Population: patients undergoing abdominal or pelvic surgery
CD004318.PUB4 · 4 questions
OutcomeEffectEvidenceStatus / GRADE
All VTE (subgroup analysis open only)
OR 0.42 [0.29, 0.6]6 studies · 1503 participantsModerate
Downgraded: risk of bias, imprecision
All DVT (subgroup analysis open only)
OR 0.43 [0.3, 0.62]6 studies · 1503 participantsModerate
Downgraded: risk of bias, imprecision
All VTE (sensitivity analysis unpublished)
OR 0.38 [0.27, 0.56]6 studies · 1620 participantsModerate
Downgraded: risk of bias, imprecision
All DVT (sensitivity analysis unpublished)
OR 0.4 [0.27, 0.58]6 studies · 1620 participantsModerate
Downgraded: risk of bias, imprecision

Comparison

Population: patients undergoing abdominal or pelvic surgery
CD004318.PUB3 · 5 questions
OutcomeEffectEvidenceStatus / GRADE
All VTE
OR 0.38 [0.26, 0.54]7 studies · 1728 participantsModerate
Downgraded: risk of bias, imprecision
All DVT
OR 0.39 [0.27, 0.55]7 studies · 1728 participantsModerate
Downgraded: risk of bias, imprecision
Proximal DVT
OR 0.22 [0.1, 0.47]7 studies · 1728 participantsModerate
Downgraded: risk of bias, imprecision
Symptomatic VTE
OR 0 [0.08, 1.11]7 studies · 1728 participantsModerate
Downgraded: risk of bias, imprecision
Bleeding complications
OR 1.1 [0.67, 1.81]7 studies · 2239 participantsModerate
Downgraded: risk of bias, imprecision

Additional summary of findings

Population: patients undergoing abdominal or pelvic surgery
CD004318.PUB3 · 4 questions
OutcomeEffectEvidenceStatus / GRADE
All VTE (subgroup analysis open only)
OR 0.42 [0.29, 0.6]6 studies · 1503 participantsModerate
Downgraded: risk of bias, imprecision
All DVT (subgroup analysis open only)
OR 0.43 [0.3, 0.62]6 studies · 1503 participantsModerate
Downgraded: risk of bias, imprecision
All VTE (sensitivity analysis unpublished)
OR 0.38 [0.27, 0.56]6 studies · 1620 participantsModerate
Downgraded: risk of bias, imprecision
All DVT (sensitivity analysis unpublished)
OR 0.4 [0.27, 0.58]6 studies · 1620 participantsModerate
Downgraded: risk of bias, imprecision