Evidence map›Paper›PMID 30167013›Full record

ArticleJournal of arrhythmia2018

XANAP: A real-world, prospective, observational study of patients treated with rivaroxaban for stroke prevention in atrial fibrillation in Asia.

Young-Hoon Kim, Jaemin Shim, Chia-Ti Tsai, Chun-Chieh Wang, Gilbert Vilela, Sombat Muengtaweepongsa, Mohammad Kurniawan, Oteh Maskon, Hsu Li Fern, Thang Huy Nguyen and 4 more

Abstract read
In one paragraph

Article in Journal of arrhythmia, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
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

17 citing papers in PubMed.

  1. Article
  2. Article
  3. Causes of death in patients with atrial fibrillation anticoagulated with rivaroxaban: a pooled analysis of XANTUS.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2024
    Article
  4. Article
  5. Article
  6. Article
  7. Observational
  8. Article
  9. Article
  10. Observational
  11. Rivaroxaban: striking two birds with one stone.The Korean journal of internal medicine · 2021
    Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. What is Standard Dose of Rivaroxaban in Elderly Asian Patients with Atrial Fibrillation: 20ms versus. 15mg?Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Article
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

14 authors.

Young-Hoon KimKorea University Medical Centre Seoul South Korea.
Jaemin ShimKorea University Medical Centre Seoul South Korea.
Chia-Ti TsaiNational Taiwan University Hospital Taipei Taiwan.
Chun-Chieh WangChang Gung Memorial Hospital Chang Gung University Taoyuan Taiwan.
Gilbert VilelaPhilippine Heart Center Quezon City Philippines.
Sombat MuengtaweepongsaFaculty of Medicine Stroke Excellence Center Thammasat University Pathum Thani Thailand.
Mohammad KurniawanDepartment of Neurology Faculty of Medicine Cipto Mangunkusumo National Hospital Universitas Indonesia Jakarta Indonesia.
Oteh MaskonDepartment of Medicine National University of Malaysia Medical Centre (UKMMC) Kuala Lumpur Malaysia.
Hsu Li FernNovena Heart Centre Mount Elizabeth Novena Specialist Centre Singapore City Singapore.
Thang Huy NguyenNeurology Department Pham Ngoc Thach Medical University Ho Chi Minh City Vietnam.
Thititat ThanachartwetBayer (South East Asia) Pte Ltd Singapore City Singapore.
Kenneth SimBayer (South East Asia) Pte Ltd Singapore City Singapore.
A John CammCardiology Clinical Academic Group St. George's University of London and Imperial College London UK.
XANAP investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundROCKET AF and its East Asian subanalysis demonstrated that rivaroxaban was non-inferior to warfarin for stroke/systemic embolism (SE) prevention in patients with non-valvular atrial fibrillation (NVAF), with a favorable benefit-risk profile. XANAP investigated the safety and effectiveness of rivaroxaban in routine care in Asia-Pacific.

methodsXANAP was a prospective, real-world, observational study in patients with NVAF newly starting rivaroxaban. Patients were followed at ~3-month intervals for 1 year, or for ≥30 days after permanent discontinuation. Primary outcomes were major bleeding events, adverse events (AEs), serious AEs and all-cause mortality; secondary outcomes included stroke/SE. Major outcomes were adjudicated centrally.

resultsXANAP enrolled 2273 patients from 10 countries: mean age was 70.5 years and 58.1% were male. 49.8% of patients received rivaroxaban 20 mg once daily (od), 43.8% 15 mg od and 5.9% 10 mg od. Mean treatment duration was 296 days, and 72.8% of patients had received prior anticoagulation therapy. Co-morbidities included heart failure (20.1%), hypertension (73.6%), diabetes mellitus (26.6%), prior stroke/non-central nervous system SE/transient ischemic attack (32.8%) and myocardial infarction (3.8%). Mean CHADS

conclusionsThe real-world XANAP study demonstrated low rates of stroke and bleeding in rivaroxaban-treated patients with NVAF from Asia-Pacific. The results were consistent with the real-world XANTUS study and ROCKET AF.

Indexed as

Asia‐Pacificbleeding riskreal worldrivaroxabanstroke prevention

Identifiers

PMID30167013
PMCPMC6111488

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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.