Evidence map›Paper›PMID 31104194›Full record

ReviewJournal of thrombosis and thrombolysis2019

Safety of direct oral anticoagulants versus traditional anticoagulants in venous thromboembolism.

Michela Giustozzi, Laura Franco, Maria Cristina Vedovati, Cecilia Becattini, Giancarlo Agnelli

Abstract readReview
PubMed Publisher
In one paragraph

Review in Journal of thrombosis and thrombolysis, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.7field-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

14 citing papers in PubMed, 33 citations in OpenAlex.

  1. Trial
  2. Chemical Synthesis and Biochemical Evaluation of Decasulfated Galloylglucopyranose Heparin Mimetic.Cardiovascular & hematological agents in medicinal chemistry · 2026
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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 1 institution in 1 country.

Michela GiustozziInternal Vascular and Emergency Medicine and Stroke Unit, University of Perugia, Perugia, Italy. michela.giustozzi@unipg.it.ORCID http://orcid.org/0000-0002-8033-4945
Laura FrancoInternal Vascular and Emergency Medicine and Stroke Unit, University of Perugia, Perugia, Italy.
Maria Cristina VedovatiInternal Vascular and Emergency Medicine and Stroke Unit, University of Perugia, Perugia, Italy.
Cecilia BecattiniInternal Vascular and Emergency Medicine and Stroke Unit, University of Perugia, Perugia, Italy.
Giancarlo AgnelliInternal Vascular and Emergency Medicine and Stroke Unit, University of Perugia, Perugia, Italy.
University of Perugia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Venous thromboembolism (VTE) is a leading cause of morbidity and mortality worldwide. For decades, low molecular weight heparins (LMWH) and vitamin K-antagonists have been the gold standard of anticoagulation for VTE. Recently, direct oral anticoagulants (DOACs) that can be administered in fixed doses, without laboratory monitoring and dose adjustment have revolutionized anticoagulation management in VTE. Here, we report on recent evidence regarding the safety of DOACs compared to traditional anticoagulants in surgical and medical prophylaxis as well as in acute and extended treatments of VTE. Additionally, we provide data on special situations such as elderly, cancer and renal impairment patients. Regarding antithrombotic prophylaxis, data are lacking on DOAC use in general surgical patients, while DOACs appear to be more effective than and as safe as LMWHs in VTE prophylaxis for major orthopedic surgical patients. Whether a medically ill patient may benefit from extended VTE prophylaxis remains unclear. In fact, in these patients, DOACs showed an increased risk of bleeding compared to conventional therapy. In the acute treatment of VTE, DOACs were non-inferior and probably safer than conventional anticoagulation therapy while in the extended VTE treatment DOACs were more effective than placebo or aspirin with a comparable risk of major bleeding. These favorable results were also confirmed in elderly, cancer and renal impairment patients. However, further investigations are needed in order to generalize the safe use of DOACs in these specific subgroups of patients.

Indexed as

AnticoagulantsAspirinFactor Xa InhibitorsHemorrhageHeparin, Low-Molecular-WeightHumansNeoplasmsRisk FactorsTreatment OutcomeVenous ThromboembolismWarfarinAnticoagulantsAspirinFactor Xa InhibitorsHeparin, Low-Molecular-WeightWarfarinAnticoagulationDirect oral anticoagulantsLow-molecular weight heparinThromboprophylaxisVenous thromboembolismVitamin K-antagonists

Identifiers

PMID31104194
OpenAlexW2945301729

What OpenQuestion holds

Textmetadata
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.