Evidence map›Paper›PMID 31011705›Full record

ArticleResearch and practice in thrombosis and haemostasis2019

Exposure to vitamin k antagonists and kidney function decline in patients with atrial fibrillation and chronic kidney disease.

Florian Posch, Cihan Ay, Herbert Stöger, Reinhold Kreutz, Jan Beyer-Westendorf

Open access · goldAbstract read
In one paragraph

Article in Research and practice in thrombosis and haemostasis, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 8% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Vitamin K and women's health: a review.Frontiers in global women's health · 2025
    Review
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  14. Concomitant diabetes with atrial fibrillation and anticoagulation management considerations.European heart journal supplements : journal of the European Society of Cardiology · 2020
    Article
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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 4 institutions in 3 countries.

Florian PoschDivision of Oncology Department of Internal Medicine Medical University of Graz Graz Austria.
Cihan AyClinical Division of Haematology and Haemostaseology Department of Medicine I Medical University of Vienna Vienna Austria.ORCID 0000-0003-2607-9717
Herbert StögerDivision of Oncology Department of Internal Medicine Medical University of Graz Graz Austria.
Reinhold KreutzCharité - Universitätsmedizin Berlin Corporate Member of Freie Universität Berlin Humboldt-Universität zu Berlin Berlin Institute of Health Institut für Klinische Pharmakologie und Toxikologie Berlin Germany.
Jan Beyer-WestendorfThrombosis Research Unit Department of Medicine I Division of Hematology University Hospital "Carl Gustav Carus" Dresden Dresden Germany.
Medical University of Graz · ATHumboldt-Universität zu Berlin · DEKing's College London · GBMedical University of Vienna · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExposure to vitamin K antagonists (VKA) has been suggested to accelerate progression of chronic kidney disease (CKD) but robust clinical data are currently lacking.

methodsWe retrospectively evaluated the impact of VKA exposure on kidney function in patients with atrial fibrillation (AF) and CKD stage 3/4. Patients were prospectively followed within a primary care electronic database (median follow-up of 1.45 years). The kidney function trajectory over time, defined as the annualized change in estimated glomerular filtration rate (eGFR), was analyzed with linear mixed-effects regression including propensity score adjustment.

results14 432 patients (median age 78 years, median CHA

conclusionsIn patients with AF and CKD, VKA use is associated with accelerated eGFR decline. Within the limitations of a retrospective analysis, this finding supports the "VKA-renal-calcification hypothesis." However, although statistically significant, the excess loss in eGFR over 5 years with VKA was modest.

Indexed as

anticoagulantsatrial fibrillationchronic kidney diseaseglomerular filtration raterenal insufficiency

Identifiers

PMID31011705
PMCPMC6462762
OpenAlexW2919633478

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.