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Research Letter
December 2016

Bridging Anticoagulation Before ColonoscopyResults of a Multispecialty Clinician Survey

Author Affiliations
  • 1Frankel Cardiovascular Center, Department of Internal Medicine, University of Michigan, Ann Arbor
  • 2Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor
  • 3Division of Gastroenterology, Department of Internal Medicine, University of Michigan, Ann Arbor
  • 4VA Ann Arbor Center for Clinical Management Research, Ann Arbor, Michigan
  • 5Department of Internal Medicine, Henry Ford Hospital, Ann Arbor, Michigan
JAMA Cardiol. 2016;1(9):1076-1077. doi:10.1001/jamacardio.2016.2409

Long-term anticoagulant therapy is essential for stroke prevention among patients with atrial fibrillation, but increasing evidence also points to substantial risk for adverse events, especially when anticoagulation is temporarily interrupted.1,2 The recently published Effectiveness of Bridging Anticoagulation for Surgery Trial confirmed prior observational evidence that using short-acting anticoagulants periprocedurally increases bleeding risk without any reduction in stroke risk.3 Little is known about how medical specialists coordinate the complex decision of which patients to bridge. To investigate this question, we conducted a regional multispecialty, multicenter survey study regarding bridging practices.

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