Evidence map›Paper›PMID 30527770›Full record

ArticleThe American journal of cardiology2019

Relation of Race, Apparent Disability, and Stroke Risk With Warfarin Prescribing for Atrial Fibrillation in Patients Receiving Maintenance Hemodialysis.

James B Wetmore, Yi Peng, David T Gilbertson, Jiannong Liu

Open access · greenAbstract read
In one paragraph

Article in The American journal of cardiology, 2019. 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
0.2field-weighted citation impact, top 41% 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, 3 citations in OpenAlex.

  1. Article
  2. 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

4 authors at 2 institutions in 1 country.

James B WetmoreChronic Disease Research Group, Hennepin Healthcare Research Institute, Minneapolis, Minnesota; Division of Nephrology, Hennepin Healthcare, University of Minnesota, Minneapolis, Minnesota. Electronic address: James.Wetmore@hcmed.org.
Yi PengChronic Disease Research Group, Hennepin Healthcare Research Institute, Minneapolis, Minnesota.
David T GilbertsonChronic Disease Research Group, Hennepin Healthcare Research Institute, Minneapolis, Minnesota.
Jiannong LiuChronic Disease Research Group, Hennepin Healthcare Research Institute, Minneapolis, Minnesota.
Hennepin Healthcare Research Institute · USUniversity of Minnesota · US

Funding

Factors Associated with Warfarin Use in Dialysis Patients w/ Atrial FibrillationK23DK085378 · NIDDK · UNIVERSITY OF KANSAS MEDICAL CENTER · PI WETMORE, JAMES BACON · 2010 to 2014
$861k
Withdrawal from Dialysis: Role of Disease Burden, Healthcare Use, and FrailtyR03DK104006 · NIDDK · HENNEPIN HEALTHCARE RESEARCH INSTITUTE · PI WETMORE, JAMES BACON · 2015 to 2016
$119k
NIDDK NIH HHS K23 DK085378NIDDK NIH HHS R03 DK104006
6 · The paper itself

Abstract

Little is known about how warfarin is prescribed for stroke prevention in maintenance dialysis patients with chronic atrial fibrillation (AF). We examined patterns of warfarin use, and associated factors, after AF diagnosis. This retrospective cohort analysis studied US Medicare patients receiving maintenance dialysis January 1, 2008, to June 30, 2010. Demographics, co-morbidity, and a durable medical equipment claims-based disability proxy score predicted warfarin prescription after AF diagnosis. The analysis included 8,964 patients with nonvalvular AF. Compared with nonusers, warfarin users were younger (age 65.4 ± 12.1 vs 67.0 ± 12.9 years) and more likely to be men (54.3% vs 52.8%) and of white race (64.0% vs 59.6%). After adjustment for other factors, nonwhite, versus white, race was associated with significantly less warfarin use within 30 days: odds ratios (ORs), 95% confidence intervals (CIs), were 0.80, 0.71 to 91, for black patients; 0.57, 0.43 to 0.76, for Asians; and 0.74, 0.49 to 1.12, for members of other races. Percentages of patients receiving warfarin decreased as Hypertension Abnormal renal and liver function Stroke-Bleeding Labile INR Elderly Drugs or alcohol (HAS-BLED) bleeding risk score increased (OR 0.82, 95% CI 0.73 to 0.92, HAS-BLED score 3 to 4 versus 2; 0.38, 0.26 to 0.57, score ≥ 5 vs 2). However, as CHA

Indexed as

Renal DialysisAdultAgedAged, 80 and overAnticoagulantsAtrial FibrillationChronic DiseaseEthnicityFemaleHumansKidney Failure, ChronicMaleMiddle AgedPractice Patterns, Physicians'Retrospective StudiesStrokeAnticoagulantsWarfarin

Identifiers

PMID30527770
PMCPMC8097887
OpenAlexW2901823833

What OpenQuestion holds

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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.