Evidence map›Paper›PMID 31418293›Full record

ArticleClinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis

Switching to Another Oral Anticoagulant and Drug Discontinuation Among Elderly Patients With Nonvalvular Atrial Fibrillation Treated With Different Direct Oral Anticoagulants.

Christine L Baker, Amol D Dhamane, Jigar Rajpura, Jack Mardekian, Oluwaseyi Dina, Cristina Russ, Lisa Rosenblatt, Melissa Lingohr-Smith, Jay Lin

Open access · goldAbstract read
In one paragraph

Article in Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 20% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. 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 at 2 institutions in 1 country.

Christine L Baker1 Pfizer Inc, New York, NY, USA.
Amol D Dhamane2 Bristol-Myers Squibb, Lawrenceville, NJ, USA.
Jigar Rajpura2 Bristol-Myers Squibb, Lawrenceville, NJ, USA.
Jack Mardekian1 Pfizer Inc, New York, NY, USA.
Oluwaseyi Dina1 Pfizer Inc, New York, NY, USA.
Cristina Russ1 Pfizer Inc, New York, NY, USA.
Lisa Rosenblatt2 Bristol-Myers Squibb, Lawrenceville, NJ, USA.
Melissa Lingohr-Smith3 Novosys Health, Green Brook, NJ, USA.
Jay Lin3 Novosys Health, Green Brook, NJ, USA.
Pfizer (United States) · USBristol-Myers Squibb (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We compared the risks of switching to another oral anticoagulant (OAC) and discontinuation of direct oral anticoagulants (DOACs) among elderly patients with nonvalvular atrial fibrillation (NVAF) who were prescribed rivaroxaban or dabigatran versus apixaban. Patients (≥65 years of age) with NVAF prescribed DOACs (January 1, 2013 to September 30, 2017) were identified from the Humana research database and grouped into DOAC cohorts. Cox regression analyses were used to evaluate whether the risk for switching to another OAC or discontinuing index DOACs differed among cohorts. Of the study population (N = 38 250), 55.9% were prescribed apixaban (mean age: 78.6 years; 49.8% female), 37.3% rivaroxaban (mean age: 77.4 years; 46.7% female), and 6.8% dabigatran (mean age: 77.0 years; 44.0% female). Compared to patients prescribed apixaban, patients prescribed rivaroxaban (hazard ratio [HR]: 2.08; 95% confidence interval [CI], 1.92-2.25;

Indexed as

Administration, OralAgedAged, 80 and overAnticoagulantsAntithrombinsAtrial FibrillationDabigatranDrug SubstitutionFactor Xa InhibitorsFemaleHumansMalePyrazolesPyridonesRetrospective StudiesRivaroxabanAnticoagulantsAntithrombinsapixabanDabigatranFactor Xa InhibitorsPyrazolesPyridonesRivaroxabanapixabandabigatrandirect oral anticoagulantsdrug discontinuationdrug switchingnonvalvular atrial fibrillationrivaroxaban

Identifiers

PMID31418293
PMCPMC6829636
OpenAlexW2967596543

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.