Evidence map›Paper›PMID 30354550›Full record

SynthesisCirculation. Cardiovascular quality and outcomes2018

Is Anticoagulation Beneficial in Pulmonary Arterial Hypertension?

Muhammad Shahzeb Khan, Muhammad Shariq Usman, Tariq Jamal Siddiqi, Safi U Khan, M Hassan Murad, Farouk Mookadam, Vincent M Figueredo, Richard A Krasuski, Raymond L Benza, Jonathan D Rich

Open access · bronzeAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Circulation. Cardiovascular quality and outcomes, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 10% 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Journal of preventive medicine and hygiene · 2026
    Article
  7. Article
  8. Article
  9. Treatment algorithm for pulmonary arterial hypertension.The European respiratory journal · 2024
    Review
  10. Article
  11. Article
  12. Systemic Lupus Erythematosus and Pulmonary Hypertension.International journal of molecular sciences · 2023
    Review
  13. Anticoagulation in pulmonary arterial hypertension - association with mortality, healthcare utilization, and quality of life: The Pulmonary Hypertension Association Registry (PHAR).The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2022
    Article
  14. Article
  15. Sex and gender in pulmonary arterial hypertension.European respiratory review : an official journal of the European Respiratory Society · 2021
    Review
  16. Approach to a patient with pulmonary hypertension.Journal of geriatric cardiology : JGC · 2019
    Review
  17. Review
  18. Article
  19. Article
  20. 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

10 authors at 9 institutions in 2 countries.

Muhammad Shahzeb KhanDepartment of Internal Medicine, John H. Stroger, Jr. Hospital of Cook County, Chicago, IL (M.S.K.).
Muhammad Shariq UsmanDepartment of Internal Medicine, Dow University of Health Sciences, Karachi, Pakistan (M.S.U., T.J.S.).
Tariq Jamal SiddiqiDepartment of Internal Medicine, Dow University of Health Sciences, Karachi, Pakistan (M.S.U., T.J.S.).
Safi U KhanDepartment of Internal Medicine, Robert Packer Hospital, Sayre, PA (S.U.K.).
M Hassan MuradEvidence-based Practice Center, Mayo Clinic, Rochester, MN (M.H.M.).
Farouk MookadamDepartment of Cardiovascular Medicine, Mayo Clinic, Phoenix, AZ (F.M.).
Vincent M FigueredoDepartment of Cardiovascular Medicine, Institute for Heart and Vascular Health, Einstein Medical Center Philadelphia, PA (V.M.F.).
Richard A KrasuskiDepartment of Cardiovascular Medicine, Duke University Health System, Durham, NC (R.A.K.).
Raymond L BenzaDepartment of Cardiovascular Medicine, Allegheny Health Network, Pittsburgh, PA (R.L.B.).
Jonathan D RichDepartment of Medicine, Division of Cardiology, Northwestern University Feinberg School of Medicine, Chicago, IL (J.D.R.).
Dow University of Health Sciences · PKAllegheny Health Network · USDuke University Health System · USEinstein Medical Center Philadelphia · USJohn H. Stroger, Jr. Hospital of Cook County · USMayo Clinic · USMayo Clinic in Arizona · USNorthwestern University · USSUNY Upstate Medical University · US

Funding

West Virginia IDEA-CTRU54GM104942 · NIGMS · WEST VIRGINIA UNIVERSITY · PI Laura F. Gibson · 2012 to 2026
$81.0M
NIGMS NIH HHS U54 GM104942
6 · The paper itself

Abstract

Background Data about anticoagulation in pulmonary arterial hypertension (PAH) patients are inconsistent. The objective of this study was to examine the impact of adjunctive oral anticoagulants in patients with PAH through meta-analysis, and to further assess whether response differs by PAH subtype. Methods and Results Cochrane CENTRAL, Medline, and Scopus databases were searched for randomized or nonrandomized studies that assessed the association between anticoagulation and outcomes in patients with PAH. Hazard ratios (HRs) for mortality were pooled using the random effects model. Subgroup analyses were performed for type of PAH and study design. Twelve nonrandomized studies, at moderate risk of bias, were included. These consisted of 2512 patients (1342 receiving anticoagulation and 1170 controls). Anticoagulation significantly reduced mortality in the overall PAH cohort (HR, 0.73 [0.57, 0.93]; P=0.001; I

Indexed as

Arterial PressureAdultAgedAnticoagulantsBlood CoagulationClinical Decision-MakingFemaleHumansHypertension, PulmonaryMaleMiddle AgedPatient SelectionPulmonary ArteryRisk AssessmentRisk FactorsTreatment OutcomeAnticoagulantsanticoagulationconnective tissue diseasemeta-analysispulmonary hypertensionwarfarin

Identifiers

PMID30354550
PMCPMC7453961
OpenAlexW2897313468

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.