Evidence map›Paper›PMID 29589063›Full record

ArticleEuropean journal of clinical pharmacology2018

Patterns of direct oral anticoagulant drug prescription in France in 2010-2013: a study in the Midi-Pyrénées area.

Hugo Diaz, Haleh Bagheri, Aurore Palmaro, Vanessa Rousseau, Robert Bourrel, Jean-Louis Montastruc, Jordan Birebent

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Article in European journal of clinical pharmacology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 25% 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

2 citing papers in PubMed, 5 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 3 institutions in 1 country.

Hugo DiazAcademic Department of Family Medicine, Faculty of Medicine Toulouse, University of Toulouse, Toulouse, France.
Haleh BagheriMedical and Clinical Pharmacology Unit, CHU Toulouse University Hospital, Toulouse, France. haleh.bagheri@univ-tlse3.fr.
Aurore PalmaroMedical and Clinical Pharmacology Unit, CHU Toulouse University Hospital, Toulouse, France.
Vanessa RousseauMedical and Clinical Pharmacology Unit, CHU Toulouse University Hospital, Toulouse, France.
Robert BourrelDirection du Service médical de l'Assurance maladie (CNAMTS), Toulouse, France.
Jean-Louis MontastrucMedical and Clinical Pharmacology Unit, CHU Toulouse University Hospital, Toulouse, France.
Jordan BirebentAcademic Department of Family Medicine, Faculty of Medicine Toulouse, University of Toulouse, Toulouse, France.
Inserm · FRUniversité de Toulouse · FRl'Assurance Maladie · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe aim of our study was to study the pattern of prescription of direct-acting oral anticoagulants (DOACs) according to the French recommendations.

methodsWe performed a cross-sectional study using anonymous data of patients covered by the French National Health Insurance information system (SNIIRAM) from 1 January 2010 to 31 December 2013 in the area of Midi-Pyrénées (southwest of France).

resultsOf the 355,608 patients identified, 325,216 (91.5%) were included, of whom 22,142 received at least one DOAC. About 39.1% (8,652 patients) had DOAC in an orthopedic indication, 46.5% (10,303 patients) in a cardiac indication, and 16.1% (3568 patients) in an indeterminate indication. Overall, guidelines were largely followed as for renal function monitoring, prescribing in orthopedic indications, in cardiac indications in patients aged 80 years and older, and in the case of concomitant use of verapamil. However, inappropriate prescriptions were observed for cardiac indications, and for dosage adjustments in orthopedic indications, with respect to both the age of patients (75 years and older) and those taking verapamil or amiodarone concomitantly. Guidelines were more followed in women and patients aged 80 or more.

conclusionsAmong patients receiving DOACs, 58% were exposed to a prescription falling outside the guidelines. This study on DOAC prescription patterns revealed insufficiencies in the compliance with the French guidelines in certain indications.

Indexed as

AdolescentAdultAgedAnticoagulantsDrug UtilizationFemaleFranceHumansInappropriate PrescribingMaleMiddle AgedPractice Guidelines as TopicPractice Patterns, Physicians'Young AdultAnticoagulantsDirect oral anticoagulantsFrench guidelinesPattern of prescription

Identifiers

PMID29589063
OpenAlexW2794584423

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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.