Evidence map›Paper›PMID 27460750›Full record

Observational studyScandinavian cardiovascular journal : SCJ

Warfarin treatment and risk of stroke among primary care patients with atrial fibrillation.

Per Wändell, Axel C Carlsson, Martin J Holzmann, Johan Ärnlöv, Sven-Erik Johansson, Jan Sundquist, Kristina Sundquist

Erratum issuedAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Scandinavian cardiovascular journal : SCJ. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.3field-weighted citation impact, top 17% 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, 9 citations in OpenAlex.

  1. Article
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  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Per Wändella Division of Family Medicine, Department of Neurobiology, Care Science and Society , Karolinska Institutet , Huddinge , Sweden.
Axel C Carlssona Division of Family Medicine, Department of Neurobiology, Care Science and Society , Karolinska Institutet , Huddinge , Sweden.
Martin J Holzmannd Department of Emergency Medicine , Karolinska University Hospital , Stockholm , Sweden.
Johan Ärnlövc Department of Medical Sciences , Cardiovascular Epidemiology, Uppsala University , Uppsala , Sweden.
Sven-Erik Johanssong Center for Primary Health Care Research, Lund University , Malmö , Sweden.
Jan Sundquistg Center for Primary Health Care Research, Lund University , Malmö , Sweden.
Kristina Sundquistg Center for Primary Health Care Research, Lund University , Malmö , Sweden.
Karolinska Institutet · SELund University · SEDalarna University · SE

Funding

Neighborhoods and Coronary Disease: Exploring Mechanisms and Improving MethodsR01HL116381 · NHLBI · LUNDS UNIVERSITET · PI SUNDQUIST, KRISTINA · 2014 to 2017
$1.9M
NHLBI NIH HHS R01 HL116381
6 · The paper itself

Abstract

objectiveOur aim was to study the risk of a first ischaemic stroke (IS) in patients with atrial fibrillation (AF) treated in primary healthcare.

designThe study population included all adults (n = 11,517), 45 years and older diagnosed with AF, from 75 primary care centres in Sweden between 2001 and 2007. IS was defined as a hospital care event of stroke between 2001 and 2010. Association between incident stroke and warfarin treatment was explored using Cox regression analysis, with hazard ratios (HRs), and 95% confidence intervals (95%CIs). Adjustment was made for age, socioeconomic factors and co-morbidity.

resultsPersistent treatment with warfarin was present among 33.7% of women and 40.0% among men. Persistent warfarin treatment, compared to no persistent treatment, was associated with a stroke preventing effect with fully adjusted HRs of 0.25 (95%CI 0.18-0.36) in women, and 0.25 (95%CI 0.19-0.32) in men. A CHA

conclusionsWarfarin is effective in preventing stroke in AF patients in primary healthcare.

Indexed as

Primary Health CareAgedAged, 80 and overAnticoagulantsAtrial FibrillationComorbidityFemaleHealthcare DisparitiesHemorrhageHumansMaleMiddle AgedProportional Hazards ModelsProtective FactorsRisk AssessmentRisk FactorsAnticoagulantsWarfarinanticoagulantAtrial fibrillationco-morbidityfollow-upgenderischaemic stroke

Identifiers

PMID27460750
PMCPMC5152680
OpenAlexW2482669389

What OpenQuestion holds

Textmetadata
LicenceTDM
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.