Evidence map›Paper›PMID 28196815›Full record

ArticleJournal of the American Heart Association2017

Major Bleeding Complications and Persistence With Oral Anticoagulation in Non-Valvular Atrial Fibrillation: Contemporary Findings in Real-Life Danish Patients.

Morten Lamberts, Laila Staerk, Jonas Bjerring Olesen, Emil Loldrup Fosbøl, Morten Lock Hansen, Louise Harboe, Cinira Lefevre, David Evans, Gunnar Hilmar Gislason

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Journal of the American Heart Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 7 pooled it
10.9field-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

67 citing papers in PubMed, 7 syntheses or guidelines pooled it, 145 citations in OpenAlex.

  1. Pooled it
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  7. A Systematic Review of Network Meta-Analyses and Real-World Evidence Comparing Apixaban and Rivaroxaban in Nonvalvular Atrial Fibrillation.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Pooled it
  8. Trial
  9. Article
  10. Managing bleeds on anticoagulant therapy: a practical guide for clinicians.European heart journal. Acute cardiovascular care · 2026
    Review
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7 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

9 authors at 5 institutions in 2 countries.

Morten LambertsDepartment of Cardiology, Copenhagen University Hospital Herlev and Gentofte, Hellerup, Denmark mortenlamberts@gmail.com.
Laila StaerkDepartment of Cardiology, Copenhagen University Hospital Herlev and Gentofte, Hellerup, Denmark.
Jonas Bjerring OlesenDepartment of Cardiology, Copenhagen University Hospital Herlev and Gentofte, Hellerup, Denmark.
Emil Loldrup FosbølDepartment of Cardiology, Heart Center, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark.
Morten Lock HansenDepartment of Cardiology, Aarhus University Hospital, Aarhus, Denmark.
Louise HarboeBristol-Myers Squibb, Copenhagen, Denmark.
Cinira LefevreBristol-Myers Squibb, Paris, France.
David EvansBristol-Myers Squibb, Paris, France.
Gunnar Hilmar GislasonDepartment of Cardiology, Copenhagen University Hospital Herlev and Gentofte, Hellerup, Denmark.
Gentofte Hospital · DKBristol-Myers Squibb (France) · FRAarhus University Hospital · DKCopenhagen University Hospital · DKUniversity of Southern Denmark · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe nonvitamin K antagonist oral anticoagulants have recently become available as an alternative to warfarin as stroke prophylaxis in atrial fibrillation, but data on real-life patient experience, including bleeding risk, are lacking. Our objective was to compare major bleeding events and nonpersistence between the nonvitamin K antagonist oral anticoagulant apixaban and other nonvitamin K antagonist oral anticoagulants (dabigatran and rivaroxaban) and warfarin in a contemporary, nation-wide cohort of patients with nonvalvular atrial fibrillation. METHODS AND

resultsOf 54 321 patients (median age, 73 years; 56% male; mean CHA

conclusionsIn a real-world cohort of nonvalvular atrial fibrillation patients, apixaban had a lower adjusted major bleeding risk compared with rivaroxaban, dabigatran, and warfarin. Apixaban had a lower risk of nonpersistence compared with dabigatran and warfarin and similar risk compared with rivaroxaban.

Indexed as

Administration, OralAgedAnticoagulantsAtrial FibrillationBlood CoagulationBrain IschemiaDenmarkDose-Response Relationship, DrugFemaleHemorrhageHumansIncidenceMaleThrombolytic TherapyAnticoagulantsanticoagulantatrial fibrillationbleeding

Identifiers

PMID28196815
PMCPMC5523754
OpenAlexW2588984358

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.