Evidence map›Paper›PMID 26001109›Full record

Trial reportPloS one2015

The Italian START-Register on Anticoagulation with Focus on Atrial Fibrillation.

Emilia Antonucci, Daniela Poli, Alberto Tosetto, Vittorio Pengo, Armando Tripodi, Nicola Magrini, Francesco Marongiu, Gualtiero Palareti, START-Register

Registry-linked trialOpen access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03977363 (The Portuguese Survey on Anticoagulated Patients Register), which is not on this map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
4.2field-weighted citation impact, top 5% 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.

NCT03977363 terminatednot on this mapstarted 2020, after this paper: background citation

The Portuguese Survey on Anticoagulated Patients Register (START-Portugal-Register)

Typeobservational_patient_registrySponsorCHADRan2020 to 2023Enrolled25ConditionsAtrial Fibrillation, Venous Thromboembolism, Heart Valve Diseases or ProsthesisArmsAnticoagulant drugs
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 66 citations in OpenAlex.

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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

9 authors at 8 institutions in 1 country.

Emilia AntonucciDepartment of Experimental and Clinical Medicine, Thrombosis Centre, University of Florence, Florence, Italy.
Daniela PoliDepartment of Heart and Vessels, Thrombosis Centre, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy.
Alberto TosettoDepartment of Hematology, Vicenza S. Bortolo Hospital, Vicenza, Italy.
Vittorio PengoDepartment of Clinical Cardiology, Thrombosis Centre, University of Padua, Padua, Italy.
Armando TripodiAngelo Bianchi Bonomi Hemophilia and Thrombosis Center, Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
Nicola MagriniDrug Evaluation Unit, WHO Collaborating Centre in Evidence-Based Research Synthesis and Guideline Development, Emilia Romagna Health and Social Care Agency, Bologna, Italy.
Francesco MarongiuDepartment of Medical Sciences, University Hospital of Cagliari, Cagliari, Italy.
Gualtiero PalaretiCoordinator of the START-Register, Bologna, Italy.
START-Register
Agenzia Sanitaria e Sociale Regionale · ITAzienda Ospedaliero-Universitaria Careggi · ITAzienda USL di Bologna · ITOspedale San Bortolo · ITUniversity of Cagliari · ITUniversity of Florence · ITUniversity of Milan · ITUniversity of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

START-Register--Survey on anTicoagulated pAtients RegisTer--is an independent, inception-cohort, observational, collaborative database aimed at recording prospectively the clinical history of adult patients starting anticoagulant treatment for any reason and using whatever drug. In this article we present the START-Register and give cross section baseline data focusing on non valvular atrial fibrillation (NVAF). Participants are asked to insert prospectively consecutive patients recorded as electronic file on the web-site of the registry. Required data are: demographic and clinical characteristics of patients, associated risk factors for stroke and bleeding, laboratory routine data, clinical indication for treatment, expected therapeutic range (in cases of treatment with vitamin K antagonists -VKAs). The follow-up is carried out to record: quality of treatment (for patients on VKAs), bleeding complications, thrombotic events, and the onset of any type of associated disease. To date 5252 patients have been enrolled; 97.6% were on VKAs because direct oral anticoagulants (DOAC) have been available in Italy only recently. The median age was 74 years [interquartile range (IQR) 64-80]; males 53.7%. This analysis is focused on the 3209 (61.1%) NVAF patients. Mean CHADS2 score was 2.1 ± 1.1, CHADSVASc score was 3.1 ± 1.3;median age was 76 years (IQR 70-81); 168 patients (5.3%) had severe renal failure [Creatinine clearance (CrCl) <30 ml/min]. Moderate renal failure (CrCl 30-59 ml/min) was found in 1265 patients (39.5%). The analysis of the START-Register data shows that two-third of patients who started chronic anticoagulant treatment had NVAF, one-third of them was > 80 years with high prevalence of renal failure.

Indexed as

AgedAged, 80 and overAnticoagulantsAtrial FibrillationCohort StudiesCreatinineFemaleHemorrhageHumansItalyMaleMiddle AgedRegistriesRenal InsufficiencyRisk FactorsStrokeAnticoagulantsCreatinine

Identifiers

PMID26001109
PMCPMC4441383
OpenAlexW1511985826

What OpenQuestion holds

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LicenceCC BY
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.