Evidence map›Paper›PMID 31422520›Full record

Observational studyJournal of thrombosis and thrombolysis2020

Resolution of acute lower extremity deep vein thrombosis with rivaroxaban compared to warfarin.

Damon E Houghton, Alexander Lekah, Thanila A Macedo, David Hodge, Rayya A Saadiq, Yvonne Little, Ana I Casanegra, Robert D McBane, Waldemar E Wysokinski

Abstract readComparative StudyObservational Study
PubMed Publisher
In one paragraph

Observational study in Journal of thrombosis and thrombolysis, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 16% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Factors Affecting Recanalization in Femoropopliteal Deep Vein Thrombosis.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    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 3 institutions in 1 country.

Damon E HoughtonDepartment of Cardiovascular Diseases, Gonda Vascular Center, Thrombophilia Clinic, Mayo Clinic, 200 First Street, Rochester, MN, 55905, USA. Houghton.damon@mayo.edu.ORCID http://orcid.org/0000-0002-6065-9523
Alexander LekahDepartment of Radiology, Gonda Vascular Center, Mayo Clinic, Rochester, MN, USA.
Thanila A MacedoDepartment of Radiology, Gonda Vascular Center, Mayo Clinic, Rochester, MN, USA.
David HodgeDepartment of Health Sciences Research, Mayo Clinic, Jacksonville, FL, USA.
Rayya A SaadiqDepartment of Medicine, Mayo Clinic, Rochester, MN, USA.
Yvonne LittleDepartment of Cardiovascular Diseases, Gonda Vascular Center, Thrombophilia Clinic, Mayo Clinic, 200 First Street, Rochester, MN, 55905, USA.
Ana I CasanegraDepartment of Cardiovascular Diseases, Gonda Vascular Center, Thrombophilia Clinic, Mayo Clinic, 200 First Street, Rochester, MN, 55905, USA.
Robert D McBaneDepartment of Cardiovascular Diseases, Gonda Vascular Center, Thrombophilia Clinic, Mayo Clinic, 200 First Street, Rochester, MN, 55905, USA.
Waldemar E WysokinskiDepartment of Cardiovascular Diseases, Gonda Vascular Center, Thrombophilia Clinic, Mayo Clinic, 200 First Street, Rochester, MN, 55905, USA.
Mayo Clinic · USMayo Clinic in Arizona · USMayo Clinic in Florida · US

Funding

Mayo Clinic Center for Clinical and Translational Science (CCaTS UL1 Supplement - Dr. Timothy Curry)UL1TR002377 · NCATS · MAYO CLINIC ROCHESTER · PI VESNA D GAROVIC · 2017 to 2026
$78.4M
NIH HHS UL1TR002377
6 · The paper itself

Abstract

Thrombosis resolution is an important component of treatment for deep vein thrombosis (DVT) and multiple anticoagulants are now available. It is unknown whether rivaroxaban contributes to a higher degree of thrombus resolution compared to conventional anticoagulation with warfarin. Our objective was to compare thrombus resolution for rivaroxaban versus warfarin treated patients with acute lower extremity DVT. Consecutive patients treated for proximal or distal lower extremity DVT with rivaroxaban were identified from the Mayo Thrombophilia Clinic Anticoagulants Registry (November 2015-June 2016) and compared to patients treated with warfarin. Ultrasonography/Doppler images were analyzed by two independent radiologists blinded to anticoagulant and using a standardized assessment algorithm. A total of 111 patients with DVT were studied. Sixty-three rivaroxaban treated patients were compared to 48 warfarin treated patients over a median follow up of 92 and 97 days, respectively. Percentage of patients with total or partial resolution of thrombosis was similar in rivaroxaban and warfarin treated groups (95.2% vs. 91.7%, p = 0.46, respectively); also the proportion of patients with total thrombus resolution was not significantly different (38.1% vs. 29.2%, p = 0.42, respectively). There was no significant difference in the proportion of patients with no thrombus resolution between rivaroxaban and warfarin treated groups either (4.8% vs. 2.1%, p = 0.63). Thrombus propagation with warfarin therapy was observed in 6.3% of patients treated with warfarin and in none of the patients from the rivaroxaban group (p = 0.08). Resolution of acute lower extremity DVT in patients treated with rivaroxaban is similar to those treated with warfarin.

Indexed as

AdultAgedAged, 80 and overAnticoagulantsFactor Xa InhibitorsFemaleHumansLower ExtremityMaleMiddle AgedRegistriesRivaroxabanUltrasonography, DopplerVenous ThrombosisWarfarinAnticoagulantsFactor Xa InhibitorsRivaroxabanWarfarinDeep vein thrombosisRivaroxabanThrombus resolutionWarfarin

Identifiers

PMID31422520
OpenAlexW2967885760

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.