Anticoagulation Control with Daily Low‐Dose Vitamin K to Reduce Clinically Adverse Outcomes and International Normalized Ratio Variability: A Systematic Review and Meta‐Analysis

Difficulties managing warfarin therapy have led to speculation that daily supplementation with a low dose of vitamin K might improve anticoagulation control and clinical outcomes. Thus we sought to review the available medical literature systematically examining the effectiveness of low‐dose vitamin K supplementation for the reduction of clinically relevant adverse events due to vitamin K antagonist (VKA) use and for stabilization of the international normalized ratio (INR).

[1]  C. Lengeler,et al.  Language bias in randomised controlled trials published in English and German , 1997, The Lancet.

[2]  P. O'Malley,et al.  Treatment of excessive anticoagulation with phytonadione (vitamin K): a meta-analysis. , 2006, Archives of internal medicine.

[3]  F. Rosendaal,et al.  Vitamin K1 supplementation to improve the stability of anticoagulation therapy with vitamin K antagonists: a dose-finding study , 2011, Haematologica.

[4]  D. Altman,et al.  Statistical heterogeneity in systematic reviews of clinical trials: a critical appraisal of guidelines and practice , 2002, Journal of health services research & policy.

[5]  F. Kamali,et al.  Vitamin K supplementation can improve stability of anticoagulation for patients with unexplained variability in response to warfarin. , 2007, Blood.

[6]  S. Moll,et al.  Vitamin K supplementation to decrease variability of International Normalized Ratio in patients on vitamin K antagonists: a literature review , 2008, Current opinion in hematology.

[7]  R. Beyth,et al.  Hemorrhagic complications of anticoagulant and thrombolytic treatment: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). , 2008, Chest.

[8]  F. Marongiu,et al.  Controlled vitamin K content diet for improving the management of poorly controlled anticoagulated patients: a clinical practice proposal. , 1993, Haemostasis.

[9]  F. Rosendaal,et al.  Daily vitamin K supplementation improves anticoagulant stability , 2007, Journal of thrombosis and haemostasis : JTH.

[10]  Mark A. Crowther,et al.  The Pharmacology and Management of the Vitamin K Antagonists , 2004 .

[11]  Oral Vitamin K Versus Placebo to Correct Excessive Anticoagulation in Patients Receiving Warfarin: A Randomized Trial , 2009 .

[12]  P. Gøtzsche Reference bias in reports of drug trials. , 1987, British medical journal.

[13]  Carisi Anne Polanczyk,et al.  Improved Oral Anticoagulation After a Dietary Vitamin K–Guided Strategy: A Randomized Controlled Trial , 2009, Circulation.

[14]  W. Ageno,et al.  Evidence-Based Clinical Practice Guidelines ed: American College of Chest Physicians Therapy and Prevention of Thrombosis, 9th Oral Anticoagulant Therapy : Antithrombotic , 2012 .

[15]  D Bergqvist,et al.  Definition of major bleeding in clinical investigations of antihemostatic medicinal products in surgical patients , 2010, Journal of thrombosis and haemostasis : JTH.

[16]  S. Schulman,et al.  Definition of major bleeding in clinical investigations of antihemostatic medicinal products in non‐surgical patients , 2005, Journal of thrombosis and haemostasis : JTH.

[17]  D. Altman,et al.  Measuring inconsistency in meta-analyses , 2003, BMJ : British Medical Journal.

[18]  Mark Crowther,et al.  Pharmacology and management of the vitamin K antagonists: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). , 2008, Chest.

[19]  G. Guyatt,et al.  Grading quality of evidence and strength of recommendations , 2004, BMJ : British Medical Journal.

[20]  Jason C. Fish,et al.  Evidence-based management of anticoagulant therapy: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. , 2012, Chest.

[21]  G. Guyatt,et al.  Grading quality of evidence and strength of recommendations in clinical practice guidelines , 2009, Allergy.

[22]  L. Rohde,et al.  Role of dietary vitamin K intake in chronic oral anticoagulation: prospective evidence from observational and randomized protocols. , 2004, The American journal of medicine.

[23]  Rebecca S. Graves,et al.  Users' Guides to the Medical Literature: A Manual for Evidence-Based Clinical Practice. , 2002 .

[24]  F. Kamali,et al.  Patients with unstable control have a poorer dietary intake of vitamin K compared to patients with stable control of anticoagulation , 2005, Thrombosis and Haemostasis.

[25]  G H Guyatt,et al.  Grading quality of evidence and strength of recommendations in clinical practice guidelines: Part 2 of 3. The GRADE approach to grading quality of evidence about diagnostic tests and strategies , 2009, Allergy.

[26]  Gordon H Guyatt,et al.  GrADe : what is “ quality of evidence ” and why is it important to clinicians ? rATING quALITY of evIDeNCe AND STreNGTH of reCommeNDATIoNS , 2022 .

[27]  Mark Crowther,et al.  Oral anticoagulant therapy: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. , 2012, Chest.

[28]  Gordon H. Guyatt,et al.  Evidence-Based Management of Anticoagulant Therapy Antithrombotic Therapy and Prevention of Thrombosis , 2011 .

[29]  W. Ageno,et al.  Oral anticoagulant therapy: Antithrombotic Therapy and Prevention of Thrombosis , 2012 .