Evidence map›Paper›PMID 30792971›Full record

ReviewCanadian journal of gastroenterology & hepatology2019

Direct Oral Anticoagulants in Cirrhotic Patients: Current Evidence and Clinical Observations.

Sherif Elhosseiny, Hassan Al Moussawi, Jean M Chalhoub, James Lafferty, Liliane Deeb

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Canadian journal of gastroenterology & hepatology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04874428 (Pharmacokinetics and Pharmacodynamics of Single Doses of Rivaroxaban and Apixaban in Patients With Compensated Liver Cirrhosis), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 5% 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.

NCT04874428 phase1recruitingnot on this mapstarted 2021, after this paper: background citation

Pharmacokinetics and Pharmacodynamics of Single Doses of Rivaroxaban and Apixaban in Patients With Compensated Liver Cirrhosis

TypeinterventionalSponsorInsel Gruppe AG, University Hospital BernRan2021 to 2026Enrolled24ConditionsLiver CirrhosisArmsRivaroxaban 10 mg Oral Tablet, Apixaban 2.5 mg Oral Tablet
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Management of Nonmalignant Portal Vein Thrombosis in Cirrhosis.GE Portuguese journal of gastroenterology · 2024
    Review
  3. Article
  4. 2020 Clinical Update in Liver Transplantation.Journal of cardiothoracic and vascular anesthesia · 2022
    Review
  5. Switching from warfarin to direct-acting oral anticoagulants: it is time to move forward!The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2022
    Review
  6. Article
  7. Review
  8. Safety of direct oral anticoagulants in patients with advanced liver disease.Liver international : official journal of the International Association for the Study of the Liver · 2021
    Article
  9. Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. Review
  15. Review
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

5 authors at 1 institution in 1 country.

Sherif ElhosseinyThe Department of Medicine at Staten Island University Hospital, Northwell Health, USA.ORCID 0000-0002-1119-9751
Hassan Al MoussawiThe Department of Medicine at Staten Island University Hospital, Northwell Health, USA.
Jean M ChalhoubThe Department of Medicine at Staten Island University Hospital, Northwell Health, USA.
James LaffertyThe Department of Cardiology at Staten Island University Hospital, Northwell Health, USA.
Liliane DeebThe Department of Gastroenterology at Staten Island University Hospital, Northwell Health, USA.
Northwell Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The introduction of Direct Oral Anticoagulants (DOACs) to the pharmaceutical market provided patients and clinicians with novel convenient and safe options of anticoagulation. The use of this class of medications is currently limited to venous thromboembolic therapy and prophylaxis, in addition to stroke prophylaxis in patients with nonvalvular atrial fibrillation. Despite their altered hemostasis, patients with cirrhosis are thought to be in a procoagulant state and thus prone to thrombus formation. Patients with cirrhosis might benefit from the convenience of DOACs; however, the medical literature includes limited data on the efficacy and safety of DOACs in this special patient population. The aim of this review is to summarize the current evidence for anticoagulation options in patients with cirrhosis and their safety profile.

Indexed as

Administration, OralAnticoagulantsHumansLiver CirrhosisRisk FactorsThrombosisAnticoagulants

Identifiers

PMID30792971
PMCPMC6354142
OpenAlexW2909825377

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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.