Evidence map›Paper›PMID 30591748›Full record

ArticleThe Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology2018

XANTUS-EL: A real-world, prospective, observational study of patients treated with rivaroxaban for stroke prevention in atrial fibrillation in Eastern Europe, Middle East, Africa and Latin America.

Carlos Arturo Areán Martínez, Fernando Lanas, Ghazi Radaideh, Suleiman M Kharabsheh, Marc Lambelet, Marco Antonio Lavagnino Viaud, Naser Samih Ziadeh, Alexander G G Turpie, XANTUS Investigators

Abstract read
In one paragraph

Article in The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
–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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. 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
  6. Observational
  7. Observational
  8. Review
  9. Characteristics of patients with atrial fibrillation prescribed edoxaban in Belgium and the Netherlands: insights from the ETNA-AF-Europe study.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2021
    Article
  10. 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

9 authors.

Carlos Arturo Areán MartínezDepartment of Interventional Cardiology, General Hospital "Dr Miguel Silva", Morelia, Michoacán, Mexico.
Fernando LanasDepartamento de Medicina Interna, Facultad de Medicina, Universidad de La Frontera, Temuco, Chile.
Ghazi RadaidehDepartment of Cardiology, Rashid Hospital, Dubai Health Authority, Dubai, United Arab Emirates.
Suleiman M KharabshehDepartment of Cardiovascular Diseases, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Marc LambeletChrestos Concept GmbH & Co KG, Essen, Germany.
Marco Antonio Lavagnino ViaudMedical Affairs, Bayer AG, NJ, USA.
Naser Samih ZiadehMedical Affairs, Bayer AG, Amman, Jordan.
Alexander G G TurpieDepartment of Medicine, McMaster University, Hamilton, ON, Canada.
XANTUS Investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prospective, observational XANTUS study demonstrated low rates of stroke and major bleeding in real-world rivaroxaban-treated patients with non-valvular atrial fibrillation (NVAF) from Western Europe, Canada and Israel. XANTUS-EL is a component of the overall XANTUS programme and enrolled patients with NVAF treated with rivaroxaban from Eastern Europe, the Middle East and Africa (EEMEA) and Latin America.

methodsPatients with NVAF starting rivaroxaban for stroke prevention were consecutively recruited and followed for 1 year, at approximately 3-month intervals, or for ≥30 days after permanent rivaroxaban discontinuation. Primary outcomes were major bleeding, adverse events (AEs), serious AEs and all-cause mortality. Secondary outcomes included stroke, non-central nervous system systemic embolism (non-CNS SE), transient ischaemic attack (TIA), myocardial infarction (MI) and non-major bleeding. All major outcomes were centrally adjudicated.

resultsOverall, 2064 patients were enrolled; mean age ± standard deviation was 67.1 ± 11.32 years; 49.3% were male. Co-morbidities included heart failure (30.9%), hypertension (84.2%), diabetes mellitus (26.5%), prior stroke/non-CNS SE/TIA (16.2%) and prior MI (10.7%). Mean CHADS

conclusionsXANTUS-EL confirmed low stroke and major bleeding rates in patients with NVAF from EEMEA and Latin America. The population was younger but with more heart failure and hypertension than XANTUS; stroke/SE rate was similar but major bleeding lower.

Indexed as

AE, adverse eventAF, atrial fibrillationCI, confidence intervalCNS, central nervous systemCrCl, creatinine clearanceEEMEAEEMEA, Eastern Europe the Middle East and AfricaISTH, International Society on Thrombosis and HaemostasisLatin AmericaMI, myocardial infarctionNOAC, non-vitamin K antagonist oral anticoagulantNVAF, non-valvular atrial fibrillationod, once dailyPE, pulmonary embolismReal-worldRivaroxabanSAE, serious adverse eventSD, standard deviationSE, systemic embolismStroke preventionTIA, transient ischaemic attackVKA, vitamin K antagonist

Identifiers

PMID30591748
PMCPMC6303362

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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.