Evidence map›Paper›PMID 31590290›Full record

ArticleJournal of clinical medicine2019

Non-Vitamin K Antagonist Oral Anticoagulants in Patients with Atrial Fibrillation and Valvular Heart Disease.

Inki Moon, So-Ryoung Lee, Eue-Keun Choi, Euijae Lee, Jin-Hyung Jung, Kyung-Do Han, Myung-Jin Cha, Seil Oh, Gregory Y H Lip

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 14% 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, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Review
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 3 countries.

Inki MoonDepartment of Internal Medicine, Seoul National University Hospital, Seoul 03080, Korea.
So-Ryoung LeeDepartment of Internal Medicine, Seoul National University Hospital, Seoul 03080, Korea.
Eue-Keun ChoiDepartment of Internal Medicine, Seoul National University Hospital, Seoul 03080, Korea. choiek17@snu.ac.kr.
Euijae LeeDepartment of Internal Medicine, Seoul National University Hospital, Seoul 03080, Korea.
Jin-Hyung JungDepartment of Medical Statistics, College of Medicine, Catholic University of Korea, Seoul 06591, Korea.
Kyung-Do HanDepartment of Medical Statistics, College of Medicine, Catholic University of Korea, Seoul 06591, Korea.
Myung-Jin ChaDepartment of Internal Medicine, Seoul National University Hospital, Seoul 03080, Korea.
Seil OhDepartment of Internal Medicine, Seoul National University Hospital, Seoul 03080, Korea.
Gregory Y H LipLiverpool Centre for Cardiovascular Science, University of Liverpool and Liverpool Chest & Heart Hospital, Liverpool, UK.
Seoul National University Hospital · KRCatholic University of Korea · KRUniversity of Liverpool · GB

Funding

Ministry of Trade, Industry & Energy of Korea 10052668National Research Foundation of Korea 2014R1A1A2A16055218
6 · The paper itself

Abstract

backgroundThere are limited data for non-vitamin K antagonist oral anticoagulants (NOACs) impact on outcomes for patients with atrial fibrillation (AF) and valvular heart diseases (VHDs).

methodsWe identified patients with AF and associated Evaluated Heartvalves, Rheumatic or Artificial (EHRA) type 2 VHDs, and who had been naïve from the oral anticoagulants in the Korean National Health Insurance Service database between 2014 and 2016 (warfarin:

resultsDuring a follow-up with a mean duration of 1.4 years, NOACs were associated with lower risks of ischemic stroke (hazard ratio (HR): 0.71, 95% confidence interval (CI): 0.53-0.96), GI bleeding (HR: 0.50, 95% CI: 0.35-0.72), fatal ICH (HR: 0.28, 95% CI: 0.07-0.83), and major bleeding (HR: 0.61, 95% CI: 0.45-0.80) compared with warfarin. Overall, NOACs were associated with a lower risk of the composite outcome (HR: 0.68, 95% CI: 0.58-0.80).

conclusionsIn this nationwide Asian AF population with EHRA type 2 VHDs, NOAC use was associated with lower risks of ischemic stroke, major bleeding, all-cause death, and the composite outcome compared to warfarin use.

Indexed as

atrial fibrillationbleedingnon-vitamin K antagonist oral anticoagulantstrokevalvular heart disease

Identifiers

PMID31590290
PMCPMC6832302
OpenAlexW2978666561

What OpenQuestion holds

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LicenceCC BY
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.