Evidence map›Paper›PMID 24733535›Full record

ReviewBMJ (Clinical research ed.)2014

Anticoagulation in atrial fibrillation.

Benjamin A Steinberg, Jonathan P Piccini

2 registry-linked trialsAbstract readReview
In one paragraph

Review in BMJ (Clinical research ed.), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT02414035 completednot on this mapstarted 2015, after this paper: background citation

A Monitor System for the Safety of Dabigatran Anticoagulation Treatment in Nonvalvular Atrial Fibrillation

TypeobservationalSponsorSecond Affiliated Hospital of Nanchang UniversityRan2015 to 2018Enrolled1,496ConditionsAtrial Fibrillation
NCT03647254 naunknown statusnot on this mapstarted 2018, after this paper: background citation

Effectivity of a Joint Didactic Intervention by School for Patients on Inappropriate Control Prothrombin Time Anticoagulated Patients. Protocol for Developing a Randomized and Controlled Clinical Trial

TypeinterventionalSponsorFrancisco Javier Navarro MoyaRan2018 to 2021Enrolled1ConditionsHealth Education, Patient Education as Topic, Blood Coagulation TestsArmsPatient education group
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
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  5. 2025 SCAI/HRS Clinical Practice Guidelines on Transcatheter Left Atrial Appendage Occlusion.Journal of the Society for Cardiovascular Angiography & Interventions · 2025
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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

2 authors.

Benjamin A SteinbergElectrophysiology Section, Duke Clinical Research Institute, Duke University Medical Center, Durham, NC 27715, USA.
Jonathan P Piccini

Funding

MULTIDISCIPLINARY HEART &VASCULAR DISEASEST32HL007101 · NHLBI · DUKE UNIVERSITY · PI FREEDMAN, NEIL J. · 1985 to 2020
$9.8M
NHLBI NIH HHS #5 T32 HL 7101-38
6 · The paper itself

Abstract

Atrial fibrillation increases the risk of stroke, which is a leading cause of death and disability worldwide. The use of oral anticoagulation in patients with atrial fibrillation at moderate or high risk of stroke, estimated by established criteria, improves outcomes. However, to ensure that the benefits exceed the risks of bleeding, appropriate patient selection is essential. Vitamin K antagonism has been the mainstay of treatment; however, newer drugs with novel mechanisms are also available. These novel oral anticoagulants (direct thrombin inhibitors and factor Xa inhibitors) obviate many of warfarin's shortcomings, and they have demonstrated safety and efficacy in large randomized trials of patients with non-valvular atrial fibrillation. However, the management of patients taking warfarin or novel agents remains a clinical challenge. There are several important considerations when selecting anticoagulant therapy for patients with atrial fibrillation. This review will discuss the rationale for anticoagulation in patients with atrial fibrillation; risk stratification for treatment; available agents; the appropriate implementation of these agents; and additional, specific clinical considerations for treatment.

Indexed as

AnticoagulantsAtrial FibrillationBenzimidazolesbeta-AlanineDabigatranHemorrhageHumansMedication AdherenceMorpholinesPyrazolesPyridonesRisk AssessmentRivaroxabanStrokeThiophenesWarfarinAnticoagulantsapixabanBenzimidazolesbeta-AlanineDabigatranMorpholinesPyrazolesPyridonesRivaroxabanThiophenesWarfarin

Identifiers

PMID24733535
PMCPMC4688652

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.