Evidence map›Paper›PMID 27647168›Full record

Observational studyHeart (British Cardiac Society)2017

Evolving antithrombotic treatment patterns for patients with newly diagnosed atrial fibrillation.

A John Camm, Gabriele Accetta, Giuseppe Ambrosio, Dan Atar, Jean-Pierre Bassand, Eivind Berge, Frank Cools, David A Fitzmaurice, Samuel Z Goldhaber, Shinya Goto and 10 more

Registry-linked trialOpen access · bronzeAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Heart (British Cardiac Society), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01090362 (Prospective, Multi Centre, International Registry of Male and Female Patients Newly Diagnosed With Atrial Fibrillation.), which is not on this map. Cited by 99 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
99citing papers in PubMed, 3 pooled it
27.4field-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.

NCT01090362 completednot on this map

Prospective, Multi Centre, International Registry of Male and Female Patients Newly Diagnosed With Atrial Fibrillation.

TypeobservationalSponsorThrombosis Research InstituteRan2009 to 2020Enrolled57,250ConditionsAtrial Fibrillation
3 · Its place in the literature

Who cites it

99 citing papers in PubMed, 3 syntheses or guidelines pooled it, 240 citations in OpenAlex.

  1. Pooled it
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  3. Clinical outcomes in patients with atrial fibrillation receiving amiodarone on NOACs vs. warfarin.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2019
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39 more citing papers are in PubMed but not listed here.

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

20 authors at 17 institutions in 11 countries.

A John CammDivision of Cardiovascular Sciences, St George's University of London, London, UK.
Gabriele AccettaThrombosis Research Institute, London, UK.
Giuseppe AmbrosioDivision of Cardiology, University of Perugia School of Medicine, Perugia, Italy.
Dan AtarDepartment of Cardiology, Oslo University Hospital Ullevål, Oslo, Norway.
Jean-Pierre BassandDepartment of Cardiology, EA 3920, University of Besançon, Besançon, France.
Eivind BergeDepartment of Internal Medicine, Oslo University Hospital, Oslo, Norway.
Frank CoolsAZ Klina, Brasschaat, Belgium.
David A FitzmauriceDepartment of Primary Care Clinical Sciences, University of Birmingham, Birmingham, UK.
Samuel Z GoldhaberDivision of Cardiovascular Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, USA.
Shinya GotoDepartment of Medicine (Cardiology), Tokai University School of Medicine, Isehara, Japan.
Sylvia HaasFormerly Haemostasis and Thrombosis Research Group, Institute for Experimental Oncology and Therapy Research, Technical University Munich, Munich, Germany.
Gloria KayaniThrombosis Research Institute, London, UK.
Yukihiro KoretsuneInstitute for Clinical Research, National Hospital Organization, Osaka National Hospital, Osaka, Japan.
Lorenzo G MantovaniCenter for Public Health Research (CESP), University of Milano-Bicocca, Milan, Italy.
Frank MisselwitzBayer HealthCare Pharmaceuticals, Berlin, Germany.
Seil OhDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
Alexander G G TurpieDepartment of Medicine, McMaster University, Hamilton, Canada.
Freek W A VerheugtDepartment of Cardiology, Onze Lieve Vrouwe Gasthuis (OLVG), Amsterdam, The Netherlands.
Ajay K KakkarThrombosis Research Institute, London, UK.
GARFIELD-AF Investigators
Oslo University Hospital · NOThrombosis Research Institute · GBAZ Klina · BEBayer (Germany) · DECentre Hospitalier Universitaire de Besançon · FRHarvard University · USMcMaster University · CAOLVG · NLOsaka National Hospital · JPSeoul National University Hospital · KRSt George's, University of London · GBTechnical University of Munich · DETokai University · JPUniversity College London · GBUniversity of Birmingham · GBUniversity of Milano-Bicocca · ITUniversity of Perugia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe studied evolving antithrombotic therapy patterns in patients with newly diagnosed non-valvular atrial fibrillation (AF) and ≥1 additional stroke risk factor between 2010 and 2015.

methods39 670 patients were prospectively enrolled in four sequential cohorts in the Global Anticoagulant Registry in the FIELD-Atrial Fibrillation (GARFIELD-AF): cohort C1 (2010-2011), n=5500; C2 (2011-2013), n=11 662; C3 (2013-2014), n=11 462; C4 (2014-2015), n=11 046. Baseline characteristics and antithrombotic therapy initiated at diagnosis were analysed by cohort.

resultsBaseline characteristics were similar across cohorts. Median CHA

conclusionsSince NOACs were introduced, there has been an increase in newly diagnosed patients with AF at risk of stroke receiving guideline-recommended therapy, predominantly driven by increased use of NOACs and reduced use of VKA±AP or AP alone. TRIAL REGISTRATION NUMBER: NCT01090362; Pre-results.

Indexed as

Administration, OralAgedAged, 80 and overAge FactorsAtrial FibrillationComorbidityFemaleFibrinolytic AgentsGuideline AdherenceHumansMaleMiddle AgedPractice Guidelines as TopicPractice Patterns, Physicians'Prospective StudiesRegistriesFibrinolytic AgentsStroke

Identifiers

PMID27647168
PMCPMC5293840
OpenAlexW2472261290

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.