Evidence map›Paper›PMID 27075709›Full record

ArticleJournal of clinical laboratory analysis2016

The Influence of Assay Selection on Prothrombin Time Measured in Patients Treated With Rivaroxaban for Nonvalvular Atrial Fibrillation.

Daiki Shimomura, Yoshihisa Nakagawa, Hirokazu Kondo, Toshihiro Tamura, Masashi Amano, Soichiro Enomoto, Naoaki Onishi, Yodo Tamaki, Makoto Miyake, Kazuaki Kaitani and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of clinical laboratory analysis, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 22% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Routine Coagulation Tests in Patients With Nonvalvular Atrial Fibrillation Under Dabigatran and Rivaroxaban Therapy: An Affordable and Reliable Strategy?Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Trial
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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

14 authors at 2 institutions in 1 country.

Daiki ShimomuraDepartment of Laboratory Medicine, Tenri Hospital, Tenri, Japan.
Yoshihisa NakagawaDepartment of Cardiology, Tenri Hospital, Tenri, Japan. nakagawa@tenriyorozu.jp.
Hirokazu KondoDepartment of Cardiology, Tenri Hospital, Tenri, Japan.
Toshihiro TamuraDepartment of Cardiology, Tenri Hospital, Tenri, Japan.
Masashi AmanoDepartment of Cardiology, Tenri Hospital, Tenri, Japan.
Soichiro EnomotoDepartment of Cardiology, Tenri Hospital, Tenri, Japan.
Naoaki OnishiDepartment of Cardiology, Tenri Hospital, Tenri, Japan.
Yodo TamakiDepartment of Cardiology, Tenri Hospital, Tenri, Japan.
Makoto MiyakeDepartment of Cardiology, Tenri Hospital, Tenri, Japan.
Kazuaki KaitaniDepartment of Cardiology, Tenri Hospital, Tenri, Japan.
Chisato IzumiDepartment of Cardiology, Tenri Hospital, Tenri, Japan.
Aya FukudaDepartment of Laboratory Medicine, Tenri Hospital, Tenri, Japan.
Fumihiko NakamuraDepartment of Laboratory Medicine, Tenri Hospital, Tenri, Japan.
Seiji KawanoDivision of Laboratory Medicine, Kobe University Graduate School of Medicine, Kobe, Japan.
Tenri Hospital · JPKobe University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProthrombin time (PT) can provide a qualitative assessment of the relative intensity of anticoagulation by rivaroxaban. More than ten types of assay are available for the measurement of PT in clinical settings, but it is not yet fully understood whether their interactions with rivaroxaban are uniform or inconsistent.

methodsWe examined 139 blood samples from patients taking rivaroxaban. We measured PT using five different commercially available assays. We also evaluated the estimated rivaroxaban concentration using a chromogenic anti-factor Xa assay.

resultsThe median estimated concentration of rivaroxaban was 192 ng/ml (interquartile range 85-284 ng/ml). The correlation coefficient (r) between PT and the estimated concentrations of rivaroxaban was as follows: Thromborel S, r = 0.768; Thrombocheck PT, r = 0.861; Coagpia PT-N, r = 0.909; Neoplastin Plus, r = 0.882; and Triniclot PT Excel S, r = 0.870. The gradients of the regression plots differed more than fourfold, and the standard deviation of the regression line ranged from 1.001 to 2.980, which tended to be higher for the assays with the higher regression slope gradients.

conclusionThe estimated concentration of rivaroxaban varied greatly depending on the assay, so the PT measured in patients taking rivaroxaban should be interpreted with caution.

Indexed as

Outcome Assessment, Health CareAgedAnticoagulantsAtrial FibrillationFemaleHumansMaleMiddle AgedProthrombinRetrospective StudiesRivaroxabanStatistics, NonparametricTime FactorsAnticoagulantsProthrombinRivaroxabananticoagulantsatrial fibrillationmonitoringprothrombin timerivaroxaban

Identifiers

PMID27075709
PMCPMC6807154
OpenAlexW2340606406

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.