To Continue or Interrupt DOAC Therapy? The Evidence Remains Unclear – RPTH Journal
RPTH Journal shared on LinkedIn about a recent article by Alexander Xiang et al, adding:
”For patients undergoing minimal bleeding-risk procedures, this systematic review and meta-analysis suggests the answer may not be so straightforward.
In a new RPTH Journal State of the Art review, across 24 studies involving 8,663 patients, continuous DOAC therapy was associated with fewer thrombotic and major bleeding events in the overall analysis.
However, when the authors focused on the highest-quality randomized trials, those apparent benefits disappeared, showing no significant differences in thrombotic events, major bleeding, minor bleeding, complications, or mortality between continuing and interrupting DOAC therapy.
The take-home message?
Current evidence suggests that either strategy appears acceptable for minimal bleeding-risk procedures, but better randomized studies are still needed to define the optimal approach.”
Title: Continuous vs interrupted direct oral anticoagulants for minimal bleeding-risk surgical procedures—a systematic review and meta-analysis
Authors: Alexander Xiang, Shakil Popatia, Sarah Lopes Sadafi, Megha Rao, Asim Shaikh, Mehrad Nowrouzi, Allen Li, Ali Eshaghpour, Mark Crowther

Stay updated on all scientific advances with Hemostasis Today.
-
Sep 29, 2026, 17:31Rajnikant Patel: Bridging Ayurvedic Concepts and Modern Toxin-Mediated Disease
-
Sep 29, 2026, 17:13Nicholas Lang։ A Meaningful Case of Immune Thrombocytopenia
-
Sep 29, 2026, 16:55Ayatullah Gamal Wahab: When the CBC Lies
-
Sep 29, 2026, 16:35Jonathan Douxfils: Navigating the VTE Risk Continuum in Reproductive Medicine
-
Sep 29, 2026, 16:35Chaima Rajeh: Types of Anemia and Their Laboratory Features
-
Sep 29, 2026, 16:27Scott Isaacs: How GLP-1 RAs Target Systemic Inflammation to Drive Cardio, Autoimmune, and Gut Health
-
Sep 29, 2026, 16:21Yitshak Kreiss: From Treating Patients to Defining the Standard of Knowledge
-
Sep 29, 2026, 16:18Edward Lee Carter: Why Periprocedural DOAC Guidance Needs a Common Output Standard
-
Sep 29, 2026, 16:07Yasmine Laraba: Deep Vein Thrombosis Causes, Signs and Management