{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,24]],"date-time":"2025-07-24T11:05:33Z","timestamp":1753355133543},"reference-count":18,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2022,6,24]],"date-time":"2022-06-24T00:00:00Z","timestamp":1656028800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Deutsche Derma Gesell"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p><jats:bold>Background<\/jats:bold>: We identified substantial heterogeneity in the perioperative management of antithrombotic drugs in skin surgery in Germany in 2012 and 2017 in two cross\u2010sectional surveys. The first national guideline on this subject was published in 2014 and updated in 2021. We sought to identify whether the management of these drugs had changed.<\/jats:p><jats:p><jats:bold>Methods<\/jats:bold>: We sent a paper\u2010based survey to 1115 dermatologists throughout Germany asking them about their perioperative management of antithrombotic drugs in skin surgery, as well as their familiarity with the guideline.<\/jats:p><jats:p><jats:bold>Results<\/jats:bold>: We received responses from 65 hospital\u2010 and 202 office\u2010based dermatologists. Most dermatologists reported continuing antithrombotic drugs in their patients when performing minor surgeries. A notable proportion of dermatologists reported discontinuing phenprocoumon treatment perioperatively and bridging patients with heparin when performing more invasive surgeries. Continuation was less common during combination therapies.<\/jats:p><jats:p><jats:bold>Conclusions<\/jats:bold>: The proportion of physicians in Germany who reported managing antithrombotic drugs during skin surgery in ways that are in concordance with the national guideline has increased since 2012. However, continuing antithrombotic drugs during large excisions and sentinel lymph node biopsies, abstaining from bridging patients on phenprocoumon with heparin, and continuing antithrombotic combination therapies perioperatively need to be further encouraged, especially among office\u2010based dermatologists.<\/jats:p>","DOI":"10.1111\/ddg.14758","type":"journal-article","created":{"date-parts":[[2022,6,24]],"date-time":"2022-06-24T08:27:24Z","timestamp":1656059244000},"page":"941-950","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Perioperative management of antithrombotic drugs in skin surgery \u2013 A survey of dermatologists in Germany"],"prefix":"10.1111","volume":"20","author":[{"given":"Fabian David","family":"Scherer","sequence":"first","affiliation":[{"name":"Division of Evidence\u2010Based Medicine Department of Dermatology Venereology and Allergology Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin Corporate member of Freie Universit\u00e4t Berlin Humboldt\u2010Universit\u00e4t zu Berlin and Berlin Institute of Health  Berlin Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Nast","sequence":"additional","affiliation":[{"name":"Division of Evidence\u2010Based Medicine Department of Dermatology Venereology and Allergology Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin Corporate member of Freie Universit\u00e4t Berlin Humboldt\u2010Universit\u00e4t zu Berlin and Berlin Institute of Health  Berlin Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Gaskins","sequence":"additional","affiliation":[{"name":"Division of Evidence\u2010Based Medicine Department of Dermatology Venereology and Allergology Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin Corporate member of Freie Universit\u00e4t Berlin Humboldt\u2010Universit\u00e4t zu Berlin and Berlin Institute of Health  Berlin Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ricardo Niklas","family":"Werner","sequence":"additional","affiliation":[{"name":"Division of Evidence\u2010Based Medicine Department of Dermatology Venereology and Allergology Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin Corporate member of Freie Universit\u00e4t Berlin Humboldt\u2010Universit\u00e4t zu Berlin and Berlin Institute of Health  Berlin Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Corinna","family":"Dressler","sequence":"additional","affiliation":[{"name":"Division of Evidence\u2010Based Medicine Department of Dermatology Venereology and Allergology Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin Corporate member of Freie Universit\u00e4t Berlin Humboldt\u2010Universit\u00e4t zu Berlin and Berlin Institute of Health  Berlin Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,6,24]]},"reference":[{"key":"e_1_2_8_2_1","first-page":"395","volume-title":"Antithrombotika und Antih\u00e4morrhagika","author":"Hein L","year":"2020"},{"key":"e_1_2_8_3_1","volume-title":"Robert Koch Institute, the Association of Population\u2010based Cancer Registries in Germany: Cancer in Germany 2009\/2010","year":"2014"},{"key":"e_1_2_8_4_1","unstructured":"The Global Cancer Observatory. Table \u2013 Germany. 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