Evidence map›Paper›PMID 28795348›Full record

ArticleAmerican journal of cardiovascular drugs : drugs, devices, and other interventions2017

All-Cause, Stroke-, and Bleed-Specific Healthcare Costs: Comparison among Patients with Non-Valvular Atrial Fibrillation (NVAF) Newly Treated with Dabigatran or Warfarin.

Adrienne M Gilligan, Pranav Gandhi, Xue Song, Cheng Wang, Caroline Henriques, Stephen Sander, David M Smith

Open access · hybridAbstract readComparative Study
In one paragraph

Article in American journal of cardiovascular drugs : drugs, devices, and other interventions, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.2field-weighted citation impact, top 18% 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

7 citing papers in PubMed, 14 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Adrienne M GilliganTruven Health Analytics, an IBM Company, 150 Cambridge Park Dr, Cambridge, MA, 02140, USA. agilliga@us.ibm.com.
Pranav GandhiBoehringer-Ingelheim Pharmaceuticals, Inc., Ridgefield, CT, USA.
Xue SongTruven Health Analytics, an IBM Company, 150 Cambridge Park Dr, Cambridge, MA, 02140, USA.
Cheng WangBoehringer-Ingelheim Pharmaceuticals, Inc., Ridgefield, CT, USA.
Caroline HenriquesTruven Health Analytics, an IBM Company, 150 Cambridge Park Dr, Cambridge, MA, 02140, USA.
Stephen SanderBoehringer-Ingelheim Pharmaceuticals, Inc., Ridgefield, CT, USA.
David M SmithTruven Health Analytics, an IBM Company, 150 Cambridge Park Dr, Cambridge, MA, 02140, USA.
Truven Health Analytics (United States) · USBoehringer Ingelheim (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveOur objective was to compare all-cause and stroke- and bleed-specific healthcare costs among patients with non-valvular atrial fibrillation (NVAF) treated with dabigatran or warfarin.

methodsAdministrative claims data from the MarketScan

resultsA total of 18,980 dabigatran-treated patients were matched to corresponding warfarin-treated patients. Adjusted all-cause total healthcare, inpatient, and outpatient costs were significantly lower for the dabigatran cohort ($US3053 vs. 3433; $US904 vs. 1194; $US1594 vs. 1894, respectively; all p < 0.001), but mean pharmacy costs were significantly higher ($US556 vs. 345, p < 0.001). Stroke-specific total healthcare and outpatient costs were significantly lower for the dabigatran than for the warfarin cohort ($US30.37 vs. 40.99 and $US7.36 vs. 12.20, respectively; p < 0.05 for both values). Similarly, bleed-specific total healthcare and inpatient costs were significantly lower for the dabigatran than for the warfarin cohort ($US50.00 vs. 73.49 and $US27.75 vs. 48.66, respectively; p < 0.01 for both values).

conclusionPatients receiving dabigatran had significantly lower total all-cause, inpatient, and outpatient costs but higher pharmacy costs than those receiving warfarin. In addition, stroke-specific total and outpatient costs and bleed-specific total and inpatient costs were significantly lower in dabigatran users compared with warfarin users.

Indexed as

AgedAged, 80 and overAnticoagulantsAntithrombinsAtrial FibrillationCohort StudiesDabigatranDatabases, FactualFollow-Up StudiesHealth Care CostsHemorrhageHumansMaleMiddle AgedMultivariate AnalysisRetrospective StudiesAnticoagulantsAntithrombinsDabigatranWarfarin

Identifiers

PMID28795348
PMCPMC5701952
OpenAlexW2743422550

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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.