Meta-Analysis
Copyright ©The Author(s) 2020.
World J Meta-Anal. Oct 28, 2020; 8(5): 411-434
Published online Oct 28, 2020. doi: 10.13105/wjma.v8.i5.411
Table 1 Characteristics of included studies and participants
Ref.
Country
Research method
Location
Age (yr)
Gender male, %
So et al[49], 2019South KoreaRetrospective studyGastric lesion68.8/68.5954, 79.7%
Kishida et al[45], 2019JapanRetrospective studyColorectal lesion64/6855, 41.66%
Inoue et al[65], 2019JapanProspective observational studyGastrointestinal lesion67.4 ± 8.3201, 58.6%
Harada et al[56], 2019JapanRetrospective studyGastric lesion72.3 ± 8.82414, 69.3%
Arimoto et al[54], 2018JapanRetrospective studyColorectal lesion68.5492, 58.3%
Azumi et al[39], 2018JapanRetrospective studyGastric lesion73 (41-94)284, 64.8%
Fujita et al[67], 2018JapanRetrospective studyColorectal lesion72.2 ± 7.4/72.9 ± 8.363, 73.8%
Horikawa et al[58], 2018JapanRetrospective studyGastric lesion78 (56-89)77, 77%
Izumikawa et al[40], 2018JapanRetrospective studyGastric lesion-255, 75.25%
Kono et al[41], 2018JapanRetrospective studyGastric lesion72 (66-78)652, 74.77%
Oh et al[60], 2018South KoreaRetrospective studyGastric lesion70 (49-85)173, 80.47%
Park et al[63], 2018South KoreaProspective observationalstudyColorectal lesion55.8 ± 11.9/52.4 ± 12.32661, 68.46%
Sanomura et al[59], 2018JapanRetrospective studyGastric lesion69.8 ± 9.2719, 70%
Seo et al[55], 2018South KoreaRetrospective studyColorectal lesion63 (55-69.5)723, 60.8%
Sakai et al[64], 2018JapanRetrospective studyColorectal lesion n72.6 ± 7.2/69.1 ± 10.9669, 66.63%
Yamashita et al[36], 2018JapanRetrospective studyColorectal lesion66.6 ± 10.6373, 57.4%
Yanagisawa et al[35], 2018JapanRetrospective studyGastrointestinal lesion-314, 72.02%
Matsumoto et al[46], 2018JapanRetrospective studyColorectal lesion70/65551, 65.44%
Harada et al[61], 2017JapanProspective observational studyGastric lesion76.8 ± 6.0/72.7 ± 7.940, 88.88%
Yano et al[33], 2017JapanRetrospective studyGastric lesion72 (33-94)1319, 74.65%
Ueki et al[14], 2017JapanRetrospective cohort studyGastric lesion71.2 ± 8.4264, 72.5%
Yoshio et al[78], 2017JapanRetrospective studyGastric lesion75/7690, 90.91%
Gotoda et al[15], 2017JapanRetrospective studyGastric lesion75, 68.8-81.0410, 77.5%
Furuhata et al[17], 2017JapanRetrospective studyGastric lesion691377, 77.3%
Shibuya et al[1], 2017JapanRetrospective studyColonic lesion-Unclear
Bronsgeest et al[42], 2017HollandRetrospective studyColorectal lesion67.4 ± 8.3201, 58.6%
Ishigami et al[34], 2017JapanRetrospective studyLower gastrointestinal lesion64.9 ± 11.1526, 68%
Pigò et al[3], 2017ItalyRetrospective studyColorectal lesion65.4385, 63.2%
Kono et al[76], 2017JapanProspective observationalstudyUpper gastrointestinal lesion74 ± 8.344, 89.8%
Lin et al[75], 2017United StatesRetrospective studyColorectal lesion-Unclear
Sato et al[38], 2017JapanRetrospective studyGastric lesion71.11786, 75.1%
Igarashi et al[27], 2017JapanRetrospective studyGastric lesion72.4758, 77.7%
Amato et al[31], 2016ItalyProspective observational studyGastrointestinal lesion59 ± 12.154.3%
Kubo et al[32], 2016JapanRetrospective studyGastrointestinal lesion63.9467,59.3%
Shindo et al[25], 2016JapanRetrospective studyGastric lesion71 ± 8, 32-87190, 72.5%
Yoshida et al[52], 2016JapanRetrospective studyColorectal lesion68.2 ± 10.3Unclear
Ninomiya et al[53], 2015JapanRetrospective studyColorectal lesion67 ± 11.1410, 70.4%
Al-Mammari et al[4], 2015United KingdomProspective observational studyOesophageal lesion71, 65-7885, 72.6%
Odagiri et al[16], 2015JapanRetrospective cohort studyColorectal lesion-4495, 59.4%
Namasivayam et al[5], 2014United StatesRetrospective studyGastrointestinal lesion69Unclear
Terasaki et al[21], 2014JapanRetrospective studyColorectal lesion66.9 ± 11.2233, 64.2%
Tounou et al[50], 2014JapanRetrospective studyGastric lesion71.8, 36-92257, 73.4%
Suzuki et al[18], 2014JapanRetrospective studyColorectal lesion65.5, 29-86183, 57.7%
Matsumura et al[23], 2014JapanRetrospective studyGastric lesion72.1 ± 8.6302, 71.1%
Beppu et al[74], 2014JapanRetrospective studyColorectal lesion59.5 ± 11.6176, 84.6%
Inoue et al[77], 2014JapanRetrospective studyColorectal lesion69.295, 81.2%
Sanomura et al[66], 2014JapanRetrospective studyGastric lesion73.7 ± 8.964, 82.1%
Yoshio et al[47], 2013JapanRetrospective studyGastric lesion70951, 76.1%
Takeuchi et al[29], 2013JapanRetrospective studyGastric lesion5.2477, 57.2%
Koh et al[37], 2013JapanRetrospective studyGastric lesion70.3 ± 8.6817, 74%
Mukai et al[6], 2012JapanRetrospective studyGastric lesion72.4 ± 8.8116, 72%
Lim et al[51], 2012South KoreaRetrospective studyGastric lesion62.61143, 71.8%
Miyahara et al[48], 2012JapanRetrospective studyGastric lesion71.7 ± 8.9, 36-92763, 70.5%
Cho et al[57], 2012South KoreaRetrospective studyColorectal lesion62.2385, 74.9%
Toyokawa T et al[24], 2011JapanRetrospective studyGastric lesion26-95811, 72.2%
Higashiyama et al[19], 2011JapanRetrospective studyGastric lesion69, 29-91702, 76%
Metz et al[2], 2011AustraliaProspective observational studyColonic lesion68, 26-93Unclear
Tokioka et al[30], 2011JapanRetrospective studyGastric lesion69.4378, 73.4%
Okada K et al[22], 2011JapanRetrospective studyGastric lesion68.4, 33-94425, 73%
Mannen et al[20], 2010JapanRetrospective studyGastric lesion71.6 ± 8.6, 36-91323, 74.1%
Goto et al[13], 2010JapanRetrospective studyGastric lesion68.3347, 76.4%
Witt et al[44], 2009United StatesRetrospective cohort studyColorectal lesion69.6691, 56.4%
Ono et al[28], 2019JapanRetrospective studyGastric lesion67Unclear
Takizawa et al[26], 2008JapanRetrospective studyGastric lesion66 ± 10, 29-93779, 80.5%
Sawhney et al[62], 2007United StatesRetrospective studyColorectal lesion65.1169, 97.7%
Yousfi et al[43], 2004United StatesRetrospective studyGastrointestinal lesion70.5, 45-91100, 61.7%
Table 2 Number of cases with or without antithrombotic agents and hemorrhagic outcome
Ref.
Resection method
Total
Drug
Post-bleeding
No bleeding
So et al[48], 2019ER1197Antithrombotic agent (+/-)40/50359/748
Continued antithrombotic agent (+/-)11/769/138
Discontinued antithrombotic agent (+/-)29/43330/657
HR (+)59
Kishida et al[45],2019Polypectomy6382Antithrombotic agent (+/-)15/40986/5341
Single APT (+)4683
Single anticoagulants (+)285
Multiple APT (+)3163
Multiple antithrombotic agents (+)239
Single antithrombotic agent (+)13947
HR (+)416
Inoue et al[65], 2019EMR102VKA (+)1273
Discontinued VKA (+)04
Continued VKA (+)02
HR (+)1598
DOAC (+)314
Discontinued DOAC (+)03
Inoue et al[65], 2019ESD54VKA (+)1431
Discontinued VKA (+)12
Continued VKA (+)01
HR (+)1331
DOAC (+)27
Discontinued DOAC (+)24
Harada et al[56], 2019ESD597Antithrombotic agent (-)21422
Single-LDA (+)1085
DAPT (+)1049
Continued LDA (+)1580
Discontinued APT (+)554
Arimoto et al[54], 2018ESD919Antithrombotic agent (-)26757
APT (+)5131
Discontinued APT (+)5105
Continued APT (+)026
Azumi et al[39], 2018ESD438Antithrombotic agent (+/-)6/1572/345
Fujita et al[67], 2018EMR84Discontinued anticoagulants (+)142
HR (+)437
Horikawa et al[58], 2018ESD100Antithrombotic agent (-)149
Continued LDA149
Izumikawa et al[40], 2018ESD273Antithrombotic agent (+/-)15/1166/207
Kono et al[41], 2018ESD872Antithrombotic agent (+/-)23/38159/652
Single antithrombotic agent12130
Multiple antithrombotic agents (+)1129
Discontinued antithrombotic agent (+)8120
Discontinued
Single APT (+)388
Multiple APT (+)316
Single anticoagulants (+)113
Continued
Single APT (+)116
Multiple APT (+)42
Single anticoagulants (+)713
HR (+)1021
Oh et al[60], 2018ESD215Single APT (+)14147
Multiple APT (+)1539
LDA (+)1282
Thienopyridine (+)254
Continued APT (+)23130
Discontinued APT (+)656
Park et al[63], 2018Polypectomy3887APT (+)12339
Anticoagulants (+)015
Sanomura et al[58], 2018ESD1243Antithrombotic agent (-)401127
Anticoagulants (+)1165
Warfarin (+)532
DOAC (+)414
Seo et al[55], 2018ESD1189Antithrombotic agent (-)26945
APT (+)7175
Aspirin (+)2139
Warfarin (+)010
DOAC (+)12
Single antithrombotic agent (+)10326
Multiple antithrombotic agents (+)023
Discontinued antithrombotic agent (+)7206
Continued antithrombotic agent (+)05
Sakai et al[64], 2018Polypectomy1004Discontinued anticoagulants (+)120
HR (+)870
Warfarin (+)755
DOAC (+)115
Yamashita et al[36], 2018ESD650Antithrombotic agent (+/-)7/1821/652
Warfarin (+)514
DOAC27
Yanagisawa et al[35], 2018Polypectomy436Antithrombotic agent (+/-)30/2188/216
Discontinued anticoagulants (+)023
Continued anticoagulants (+)1083
HR (+)2082
Continued warfarin (+)241
Continued DOAC (+)842
Warfarin (+)20125
DOAC (+)1063
Matsumoto et al[46], 2018Polypectomy1003Antithrombotic agent (+/-)2/2184/815
Harada et al[61], 2017ESD45Continued warfarin (+)220
HR518
Yano et al[33], 2017ESD144Antithrombotic agent (+/-)47/103287/1330
Ueki et al[14], 2017ESD364Antithrombotic agent (+/-)7/1767/273
Discontinued antithrombotic agent (-)767
Discontinued single APT (+)457
Discontinued single anticoagulants (+/-)24
Aspirin (+)443
Thienopyrindine (+)07
Yoshio et al[78], 2017ESD97Warfarin (+)1855
DOAC519
Gotoda et al[15], 2017ESD529Antithrombotic agent (+/-)12/1496/407
APT (+)880
Single antithrombotic agent (+)680
Multiple antithrombotic agents (+)717
Single APT (+)369
Multiple APT (+)511
Warfarin (+)311
Aspirin (+)233
Thienopyridine (+)010
Furuhata et al[17], 2017ESD1781Antithrombotic agent (+/-)33/68220/1460
Single antithrombotic agent (+)11139
Multiple antithrombotic agents (+)630
Continued single APT (+)114
HR (+)1537
Shibuya et al[1], 2017ESD259Antithrombotic agent (+/-)4/632/217
Shibuya et al[1], 2017EMR3018Antithrombotic agent (+/-)16/15510/2477
Shibuya et al[1], 2017Polypectomy892Antithrombotic agent (+/-)3/5163/721
Bronsgeest et al[42], 2017EMRAntithrombotic agent (+/-)13/15107/277
APT (+)453
Anticoagulants (+)443
Ishigami et al[34], 2017ER773Antithrombotic agent (+/-)10/1435/714
HR (+)1035
Pigò et al[3], 2017Polypectomy609Antithrombotic agent (+/-)38/3272/467
Single APT1457
Multiple APT38
HR (+)217
Aspirin (+)1032
Thienopyridine425
Kono et al[76], 2017ESD/EMR49Single antithrombotic agent (+)424
Multiple antithrombotic agents (+)714
Discontinued antithrombotic agent (+)520
Continued antithrombotic agent (+)618
HR (+)412
Lin et al[75], 2017Polypectomy4923Aspirin (+)363897
Thienopyridine (+)5590
Sato et al[38], 2017ESD2378Antithrombotic agent (+/-)46/76401/1855
APT (+)35270
Anticoagulants (+)233
HR (+)633
Aspirin (+)12199
Thienopyridine (+)019
Warfarin (+)116
DOAC (+)117
Igarashi et al[27], 2017ESD976Antithrombotic agent (+/-)35/30332/692
Discontinued antithrombotic agent (+)26250
Continued antithrombotic agent (+)549
HR433
Multiple antithrombotic agents (+) 970
Single antithrombotic agent (+)26262
Continued aspirin (+)429
Discontinue aspirin (+)19152
Continued thienopyridine (+)117
Discontinued thienopyridine (+)963
Continued anticoagulants (+)111
Discontinued anticoagulants (+)327
Amato et al[31], 2016ER2692Antithrombotic agent (+/-)16/16595/2069
APT (+)11461
Anticoagulants (+)5134
Kubo et al[32], 2016ER788Antithrombotic agent (+/-)16/13194/565
APT (+)8146
Anticoagulants (+)1172
HR (+)1063
Shindo et al[25], 2016ESD262Antithrombotic agent (+/-)10/1338/201
Discontinued antithrombotic agent (+)025
Continued APT (+)28
HR (+)85
Yoshida et al[52], 2016ESD678Antithrombotic agent (-)10585
APT (+)360
Anticoagulants (+)317
Ninomiya et al[53], 2015ESD609Antithrombotic agent (-)28537
Discontinued APT (+)211
Continued APT (+)526
Al-Mammari et al[4], 2015EMR117Antithrombotic agent (+/-)1/114/101
Odagiri et al[16], 2015ESD7567Antithrombotic agent (+/-)49/282440/6796
Namasivayam et al[5],2014EMR1712Antithrombotic agent (+/-)4/10772/912
APT (+)3521
Anticoagulants (+)089
Single antithrombotic agent (+)1617
Multiple antithrombotic agents (+)3111
Thienopyridine (+/-)0/1017/912
Terasaki et al[21], 2014ESD363Antithrombotic agent (+/-)4/2036/303
Tounou et al[50], 2014ESD350Antithrombotic agent (-)16245
Discontinued single APT (+)737
Continued single APT (+)212
Dual APT (+)1120
Aspirin (+)944
Thienopyridine (+)05
Suzuki et al[18], 2014ESD317Antithrombotic agent (+/-)1/1327/276
HR06
Matsumura et al[23], 2014ESD425Antithrombotic agent (+/-)10/1077/328
Discontinued antithrombotic agent (+)239
Continued antithrombotic agent (+), HR (-)322
HR (+)516
Beppu et al[74], 2014ER208APT (+)918
Anticoagulants (+)129
Aspirin (+)611
Thienopyridine (+)37
Inoue et al[77], 2014Polypectomy117Discontinued antithrombotic agent (+)171
HR (+)936
Sanomura et al[66], 2014ESD78Continued LDA (+) 127
Discontinued LDA (+)363
Yoshio et al[47], 2013ESD1250Antithrombotic agent (-)45972
Discontinued antithrombotic agent (-)12197
HR (+)915
Takeuchi et al[29], 2013ESD833Antithrombotic agent (+/-)21/1569/728
Koh et al[37], 2013ESD1166Antithrombotic agent (+/-)17/45158/946
Mukai et al[6], 2012 ESD161Antithrombotic agent (+/-)4/1729/111
Lim et al[51], 2012ESD1591Antithrombotic agent (-)681249
Discontinued APT (+)696
Continued APT (+)20152
Miyahara et al[48], 2012ESD1082Antithrombotic agent (-)68883
Discontinued antithrombotic agent (+)7124
Cho et al[57], 2012ESD514Antithrombotic agent (-)15424
Discontinued APT (+)254
Continued APT (+)415
Toyokawa et al[24], 2011ESD1123Antithrombotic agent (+/-)8/48175/892
Higashiyama et al[19], 2011ESD924Antithrombotic agent (+/-)123/7733/25
Metz et al[2], 2011EMR269Antithrombotic agent (+/-)8/1130/220
APT (+)618
Anticoagulants (+)110
HR (+)12
Aspirin (+)512
Thienopyridine (+)16
Tokioka et al[30], 2011ESD515Antithrombotic agent (+/-)3/2337/452
Okada et al[22], 2011ESD582Antithrombotic agent (+/-)4/2470/484
Mannen et al[20], 2010ESD436Antithrombotic agent (+/-)1/3832/365
Goto et al[13],2010ESD454Antithrombotic agent (+/-)5/2152/376
Witt et al[44], 2009Polypectomy1225Antithrombotic agent (+/-)11/2414/798
Ono et al[28], 2019ESD444Antithrombotic agent (+/-)6/2050/368
Takizawa et al[26], 2008ESD968Antithrombotic agent (+/-)3/6074/831
Sawhney et al[62], 2007Polypectomy173APT (+)1751
Anticoagulants (+)1412
Yousfi et al[43], 2004Polypectomy162Antithrombotic agent (+/-)32/4927/54
APT (+)3227
Table 3 The quality assessment of included studies
Ref.Selection
ComparabilityOutcome/exposure
Stars
1
2
3
4
1
2
3
So et al[49], 2019*********9
Kishida et al[45], 2019******6
Inoue et al[65], 2019********8
Harada et al[56], 2019********8
Arimoto et al[54], 2018********8
Azumi et al[39], 2018********8
Fujita et al[67], 2018********8
Horikawa et al[58], 2018********8
Izumikawa et al[40], 2018******6
Kono et al[41], 2018*******7
Oh et al[60], 2018******6
Park et al[63], 2018********8
Sanomura et al[59], 2018*******7
Seo et al[55], 2018********8
Sakai et al[64], 2018*******7
Yamashita et al[36], 2018*******7
Yanagisawa et al[35], 2018********8
Matsumoto et al[46], 2018******6
Harada et al[61], 2017*******7
Yano et al[33], 2017*******7
Ueki et al[14], 2017*******7
Yoshio et al[78], 2017********8
Gotoda et al[15], 2017******6
Furuhata et al[17], 2017********8
Shibuya et al[1], 2017********8
Bronsgeest et al[42], 2017********8
Ishigami et al[34], 2017*******7
Pigò et al[3], 2017*******7
Kono et al[76], 2017********8
Lin et al[75], 2017*******7
Sato et al[38], 2017********8
Igarashi et al[27], 2017*******7
Amato et al[31], 2016*******7
Kubo et al[32], 2016*******7
Shindo et al[25], 2016******6
Yoshida et al[52], 2016******6
Ninomiya et al[53], 2015******6
Al-Mammari et al[4], 2015*******7
Odagiri et al[16], 2015*******7
Namasivayam et al[5], 2014******6
Terasaki et al[21], 2014*******7
Tounou et al[50], 2014*******7
Suzuki et al[18], 2014*******7
Matsumura et al[23], 2014******6
Beppu et al[74], 2014********8
Inoue et al[77], 2014********8
Sanomura et al[66], 2014********8
Yoshio et al[47], 2013*******7
Takeuchi et al[29], 2013********8
Koh et al[37], 2013********8
Mukai et al[6], 2012******6
Lim et al[51], 2012********8
Miyahara et al[48], 2012********8
Cho et al[57], 2012********8
Toyokawa T et al[24], 2011*******7
Higashiyama et al[19], 2011*******7
Metz et al[2], 2011********8
Tokioka et al[30], 2011********8
Okada K et al[22], 2011******6
Mannen et al[20], 2010******6
Goto et al[13], 2010********8
Witt et al[44], 2009*******7
Ono et al[28], 2019*******7
Takizawa et al[26], 2008********8
Sawhney et al[62], 2007********8
Yousfi et al[43], 2004*********9