Evidence map›Paper›PMID 27510920›Full record

ArticleScientific reports2016

Non-vitamin K antagonist oral anticoagulation usage according to age among patients with atrial fibrillation: Temporal trends 2011-2015 in Denmark.

Laila Staerk, Emil Loldrup Fosbøl, Kasper Gadsbøll, Caroline Sindet-Pedersen, Jannik Langtved Pallisgaard, Morten Lamberts, Gregory Y H Lip, Christian Torp-Pedersen, Gunnar Hilmar Gislason, Jonas Bjerring Olesen

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
11.4field-weighted citation impact, top 1% 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

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 87 citations in OpenAlex.

  1. Pooled it
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  10. Prescription patterns of direct oral anticoagulants and concomitant use of interacting medications in the Netherlands.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2021
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  19. Cardioversion of atrial fibrillation and atrial flutter revisited: current evidence and practical guidance for a common procedure.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2020
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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

10 authors at 4 institutions in 2 countries.

Laila StaerkDepartment of Cardiology, Herlev and Gentofte University Hospital, 2900 Hellerup, Denmark.
Emil Loldrup FosbølDepartment of Cardiology, Rigshospitalet, 2100 Copenhagen Ø, Denmark.
Kasper GadsbøllDepartment of Cardiology, Herlev and Gentofte University Hospital, 2900 Hellerup, Denmark.
Caroline Sindet-PedersenDepartment of Cardiology, Herlev and Gentofte University Hospital, 2900 Hellerup, Denmark.
Jannik Langtved PallisgaardDepartment of Cardiology, Herlev and Gentofte University Hospital, 2900 Hellerup, Denmark.
Morten LambertsDepartment of Cardiology, Herlev and Gentofte University Hospital, 2900 Hellerup, Denmark.
Gregory Y H LipUniversity of Birmingham Institute of Cardiovascular Sciences, City Hospital, Birmingham B18 7QH, United Kingdom.
Christian Torp-PedersenInstitute of Health, Science and Technology, Aalborg University, 9100 Aalborg, Denmark.
Gunnar Hilmar GislasonDepartment of Cardiology, Herlev and Gentofte University Hospital, 2900 Hellerup, Denmark.
Jonas Bjerring OlesenDepartment of Cardiology, Herlev and Gentofte University Hospital, 2900 Hellerup, Denmark.
Gentofte Hospital · DKAalborg University · DKBirmingham City Hospital · GBRigshospitalet · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Among atrial fibrillation (AF) patients, Danish nationwide registries (2011-2015) were used to examine temporal trends of initiation patterns of oral anticoagulation (OAC) treatment according to age. Overall, 43,299 AF patients initiating vitamin K antagonists (VKA) (42%), dabigatran (29%), rivaroxaban (13%), or apixaban (16%) were included with mean age (SD) 72.1 (11.3), 71.5 (11.0), 74.3 (11.1), and 75.3 (11.1) years, respectively. Patients aged ≥85 years comprised 15%. Trend tests showed increase in patients ≥85 years initiating OAC (p < 0.0001). VKA usage decreased from 92% to 24% (p < 0.0001). This decrease was independent of age. Dabigatran was the most common non-VKA OAC (NOAC) (40% users), but usage decreased from 2014 until study end (6%) (p < 0.0001). Apixaban was the most used OAC at study end (41%), in particular among those ≥85 years (44%). Compared with patients aged <65 years, the odds ratios associated with initiating VKA, dabigatran, rivaroxaban, or apixaban for patients aged ≥85 years were 0.81 (95% CI 0.75-0.86), 0.65 (95% CI 0.60-0.70), 1.52 (95% CI 1.38-1.67), and 2.09 (95% CI 1.89-2.30), respectively. In conclusion, substantial increase in NOAC usage has occurred. Increasing age was associated with upstart of rivaroxaban or apixaban with reference to age <65 within the specific agent.

Indexed as

Administration, OralAdultAgedAged, 80 and overAge FactorsAntithrombinsAtrial FibrillationDabigatranDenmarkFemaleHumansMaleMiddle AgedPractice Patterns, Physicians'PyrazolesPyridonesAntithrombinsapixabanDabigatranPyrazolesPyridonesRivaroxaban

Identifiers

PMID27510920
PMCPMC4980590
OpenAlexW2510777240

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.