Evidence map›Paper›PMID 23999974›Full record

ReviewClinical research in cardiology : official journal of the German Cardiac Society2014

Drug adherence in patients taking oral anticoagulation therapy.

Sebastian Ewen, Volker Rettig-Ewen, Felix Mahfoud, Michael Böhm, Ulrich Laufs

Abstract readReview
PubMed Publisher
In one paragraph

Review in Clinical research in cardiology : official journal of the German Cardiac Society, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
6.5field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 51 citations in OpenAlex.

  1. Pooled it
  2. The effect of placebo adherence on reducing cardiovascular mortality: a meta-analysis.Clinical research in cardiology : official journal of the German Cardiac Society · 2014
    Pooled it
  3. Review
  4. Article
  5. Article
  6. Patients' knowledge on oral anticoagulant treatment in Hungary.International journal of clinical pharmacy · 2017
    Article
  7. Article
  8. Article
  9. Observational
  10. Article
  11. Observational
  12. Article
  13. General practitioners' adherence to chronic heart failure guidelines regarding medication: the GP-HF study.Clinical research in cardiology : official journal of the German Cardiac Society · 2016
    Article
  14. Article
  15. Physical activity, symptoms, medication and subjective health among veteran endurance athletes with atrial fibrillation.Clinical research in cardiology : official journal of the German Cardiac Society · 2016
    Article
  16. Article
  17. Observational
  18. Article
  19. Article
  20. Analyses of drugs stored at home by elderly patients with chronic heart failure.Clinical research in cardiology : official journal of the German Cardiac Society · 2015
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Sebastian EwenKlinik für Innere Medizin III, Kardiologie, Angiologie und Internistische Intensivmedizin, Universitätsklinikum des Saarlandes, Kirrberger Str., Geb. 40, 66421, Homburg/Saar, Germany, Sebastian.Ewen@uks.eu.
Volker Rettig-Ewen
Felix Mahfoud
Michael Böhm
Ulrich Laufs
Universitätsklinikum des Saarlandes · DEPraxis für Humangenetik · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Oral anticoagulation has proven to reduce mortality and morbidity of thromboembolic events. One of the most important determinants of the effectiveness and safety of anticoagulation therapy is the adherence to the prescribed therapy. Vitamin K antagonists are characterized by under-utilization, a narrow therapeutic window and multiple food and drug interactions which contribute to a variable dose-response relationship with the risk of insufficient protection and/or increased bleeding risk. The "new" direct oral anticoagulants have demonstrated equal or superior protection and reduced bleeding risks compared to warfarin and are easier to use because of fixed dosing without monitoring of anticoagulation. Controlling of adherence to the direct oral anticoagulants is difficult. Therefore, continuous and regular medication intake represents a pre-requisite for achieving optimal protection. The present review aims to give an overview about the factors that affect drug adherence in patients taking oral anticoagulation drugs and discusses strategies to improve drug adherence.

Indexed as

Medication AdherenceAdministration, OralAnticoagulantsDrug Administration ScheduleHemorrhageHumansRisk AssessmentRisk FactorsTreatment OutcomeAnticoagulants

Identifiers

PMID23999974
OpenAlexW1968218885

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.