Evidence map›Paper›PMID 27859621›Full record

ReviewClinical transplantation2017

Direct oral anticoagulant considerations in solid organ transplantation: A review.

David M Salerno, Demetra Tsapepas, Apostolos Papachristos, Jae-Hyung Chang, Spencer Martin, Mark A Hardy, Jaclyn McKeen

Open access · greenAbstract readReview
In one paragraph

Review in Clinical transplantation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.8field-weighted citation impact, top 13% 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

16 citing papers in PubMed, 53 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Research and practice in thrombosis and haemostasis · 2024
    Article
  6. Article
  7. Article
  8. Article
  9. Drug Interactions Affecting Oral Anticoagulant Use.Circulation. Arrhythmia and electrophysiology · 2022
    Review
  10. Article
  11. Review
  12. Idarucizumab (PraxbindFuture science OA · 2021
    Article
  13. Article
  14. Article
  15. Article
  16. Review
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

7 authors at 5 institutions in 2 countries.

David M SalernoDepartment of Pharmacy, NewYork-Presbyterian Hospital, New York, NY, USA.
Demetra TsapepasDepartment of Pharmacy, NewYork-Presbyterian Hospital, New York, NY, USA.
Apostolos PapachristosDepartment of Pharmacy, Hygeia Hospital Athens, Athens, Greece.
Jae-Hyung ChangDepartment of Medicine, Division of Nephrology, Columbia University Medical Center, New York, NY, USA.
Spencer MartinDepartment of Pharmacy, Hartford Hospital, Hartford, CT, USA.
Mark A HardyDepartment of Surgery, Division of Abdominal Transplantation, Columbia University Medical Center, New York, NY, USA.
Jaclyn McKeenDepartment of Pharmacy, Hackensack University Medical Center, Hackensack, NJ, USA.
Columbia University Irving Medical Center · USNew York Hospital Queens · USHackensack University Medical Center · USHartford Hospital · USHygeia Hospital · GR

Funding

POSTDOCTORAL TRAINING IN CARDIOVASCULAR DISEASET32HL007854 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Marwah Abdalla, Michael Argenziano · 1996 to 2026
$14.7M
NHLBI NIH HHS T32 HL007854
6 · The paper itself

Abstract

For more than 60 years, warfarin was the only oral anticoagulation agent available for use in the United States. In many recent clinical trials, several direct oral anticoagulants (DOACs) demonstrated similar efficacy with an equal or superior safety profile, with some other notable benefits. The DOACs have lower inter- and intrapatient variability, much shorter half-lives, and less known drug-drug and drug-food interactions as compared to warfarin. Despite these demonstrated benefits, the use of DOACs has not gained uniform acceptance because of lack of supportive data in special patient populations, including recipients of solid organ transplants maintained on immunosuppression. This review describes the properties of several novel DOACs including their pharmacology and mechanisms of action as they relate to use among solid organ transplant recipients. We have particularly focused on (i) dosing in patients with impaired renal and hepatic function; (ii) considerations for drug-drug interactions with immunosuppressive medications; and (iii) management of the anticoagulated patients at the time of unplanned surgery. The risks and benefits of the use of DOACs in solid organ transplant recipients should be carefully evaluated prior to the introduction of these agents in this highly distinct patient population.

Indexed as

Administration, OralAnticoagulantsGraft RejectionHumansOrgan TransplantationAnticoagulantsdirect oral anticoagulantsdrug-drug interactionsrenal dysfunctionrenal transplantsafetytransplantation

Identifiers

PMID27859621
PMCPMC5490493
OpenAlexW2555581961

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.