Evidence map›Paper›PMID 31410229›Full record

ArticleJournal of arrhythmia2019

Status of international normalized ratio control and treatment patterns in patients with nonvalvular atrial fibrillation taking vitamin K antagonist with or without antiplatelet therapy: Results from KORAFII registry.

Hee-Soon Park, Young-Hoon Kim, June Soo Kim, Yong-Seog Oh, Dong-Gu Shin, Hui-Nam Pak, Gyo-Seung Hwang, Kee-Joon Choi, Seil Oh, Jin-Bae Kim and 15 more

Open access · goldAbstract read
In one paragraph

Article in Journal of arrhythmia, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 28% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Article
  4. 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

25 authors at 15 institutions in 2 countries.

Hee-Soon ParkInternal Medicine Korea University College of Medicine Seoul Korea.ORCID https://orcid.org/0000-0003-0565-8066
Young-Hoon KimInternal Medicine Korea University College of Medicine Seoul Korea.
June Soo KimInternal Medicine Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Korea.
Yong-Seog OhInternal Medicine Seoul St. Mary's Hospital The Catholic University of Korea Seoul Korea.
Dong-Gu ShinInternal Medicine Yeungnam University College of Medicine Daegu Korea.
Hui-Nam PakInternal Medicine Severance Hospital Yonsei University Health System Seoul Korea.
Gyo-Seung HwangInternal Medicine Ajou University Hospital Suwon Korea.
Kee-Joon ChoiInternal Medicine Asan Medical Center Ulsan University Seoul Korea.
Seil OhInternal Medicine Seoul National University Hospital Seoul Korea.
Jin-Bae KimInternal Medicine Kyung Hee University Medical Center Seoul Korea.
Man-Young LeeInternal Medicine Yeoyuido St. Mary's Hospital The Catholic University of Korea Seoul Korea.
Hyung-Wook ParkInternal Medicine Chonnam National University Hospital Gwangju Korea.
Dae-Kyeong KimInternal Medicine Inje University Busan Paik Hospital Busan Korea.
Eun-Sun JinInternal Medicine Kyung Hee University Hospital at Gangdong Seoul Korea.
Jae-Seok ParkInternal Medicine Sejong General Hospital Bucheon Korea.
Il-Young OhInternal Medicine Seoul National University Bundang Hospital Soengnam-Si Korea.
Dae-Hee ShinInternal Medicine Gangneung Asan Hospital Gangneung Korea.
Hyoung-Seob ParkInternal Medicine Dongsan Medical Center Keimyung University Daegu Korea.
Jun Hyung KimInternal Medicine Chungnam National University College of Medicine Chungnam Korea.
Nam-Ho KimInternal Medicine Wonkwang University Hospital Iksan Korea.
Min-Soo AhnInternal Medicine Yonsei University Wonju Severance Christian Hospital Wonju Korea.
Bo-Jeong SeoOutcomes Research/Real World Data, Corporate Affairs & Health and Value Pfizer Pharmaceuticals Korea Ltd. Seoul Korea.
Young-Joo KimOutcomes Research/Real World Data, Corporate Affairs & Health and Value Pfizer Pharmaceuticals Korea Ltd. Seoul Korea.
Seongsik KangInternal Medicine -Medical Pfizer Pharmaceuticals Korea Ltd. Seoul Korea.
Juneyoung LeeDepartment of Biostatistics College of Medicine Korea University Seoul Korea.
Chungnam National University · KRKorea Pharma (South Korea) · KRKorea University · KRAsan Medical Center · KRChonnam National University Hospital · KRSeoul National University Bundang Hospital · KRAjou University Hospital · KRInje University Busan Paik Hospital · KRKeimyung University Dongsan Medical Center · KRSamsung Medical Center · KRSejong General Hospital · KRSeoul National University Hospital · KRSeverance Hospital · KRThe Catholic University of Korea Seoul St. Mary's Hospital · KRYonsei University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStudies have shown that the concomitant use of a vitamin K antagonist (VKA) and an antiplatelet (APL) drug increased the bleeding risk and was less effective at preventing ischemic events. This study aimed to investigate the control status of international normalized ratio (INR) and the discontinuation rate of a VKA in patients taking VKA plus an APL drug compared with those taking a VKA alone.

methodsData were extracted from the KORean Atrial Fibrillation Investigation II registry, a multicenter noninterventional prospective observational study. Nonvalvular atrial fibrillation (NVAF) patients with CHADS

resultsA total of 866 NVAF patients (mean age, 67.7 years; 60.3% men) without a bleeding history were divided into the VKA+APL (n = 229) and VKA alone (n = 637) groups. During follow-up, mean INR level was lower in the VKA+APL group than in the VKA alone group (1.7 ± 0.8 vs 1.9 ± 0.9,

conclusionsThe conditions of NVAF patients were inadequately controlled with VKA with or without an APL. These findings suggest that other antithrombotic treatment options are warranted in NVAF patients to achieve INR control.

Indexed as

anticoagulantsatrial fibrillationInternational normalized ratioplatelet aggregation inhibitorsWarfarin

Identifiers

PMID31410229
PMCPMC6686287
OpenAlexW2950772448

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.