Evidence map›Paper›PMID 31766393›Full record

ArticleJournal of clinical medicine2019

Comparison of Renal Function Estimation Formulae for Dosing Direct Oral Anticoagulants in Patients with Atrial Fibrillation.

Kwang-No Lee, Jong-Il Choi, Yun Gi Kim, Ki Yung Boo, Do Young Kim, Yun Young Choi, Ha Young Choi, Dong-Hyeok Kim, Dae In Lee, Seung-Young Roh and 3 more

Abstract 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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. 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

13 authors.

Kwang-No LeeDivision of Cardiology, Department of Internal Medicine, Korea University Medical Center, Seoul 02841, Korea.
Jong-Il ChoiDivision of Cardiology, Department of Internal Medicine, Korea University Medical Center, Seoul 02841, Korea.
Yun Gi KimDivision of Cardiology, Department of Internal Medicine, Korea University Medical Center, Seoul 02841, Korea.
Ki Yung BooDivision of Cardiology, Department of Internal Medicine, Korea University Medical Center, Seoul 02841, Korea.
Do Young KimDivision of Cardiology, Department of Internal Medicine, Korea University Medical Center, Seoul 02841, Korea.
Yun Young ChoiDivision of Cardiology, Department of Internal Medicine, Korea University Medical Center, Seoul 02841, Korea.
Ha Young ChoiDivision of Cardiology, Department of Internal Medicine, Korea University Medical Center, Seoul 02841, Korea.
Dong-Hyeok KimDivision of Cardiology, Department of Internal Medicine, Sejong General Hospital, Bucheon 14754, Korea.ORCID 0000-0002-6339-8496
Dae In LeeDivision of Cardiology, Department of Internal Medicine, Chungbuk National University Hospital, Cheongju 28644, Korea.
Seung-Young RohDivision of Cardiology, Department of Internal Medicine, Korea University Medical Center, Seoul 02841, Korea.
Jaemin ShimDivision of Cardiology, Department of Internal Medicine, Korea University Medical Center, Seoul 02841, Korea.
Jin Seok KimDivision of Cardiology, Department of Internal Medicine, Korea University Medical Center, Seoul 02841, Korea.
Young-Hoon KimDivision of Cardiology, Department of Internal Medicine, Korea University Medical Center, Seoul 02841, Korea.

Funding

Ministry of Education, Korea NRF-2015R1D1A1A02061859Ministry of Science, ICT, & Future Planning NRF-2012R1A1A1013260
6 · The paper itself

Abstract

The Cockcroft-Gault (CG) formula is recommended to guide clinicians in the choice of the appropriate dosage for direct oral anticoagulants (DOACs). However, the performance of the CG formula varies depending on the patient's age, weight, and degree of renal function. We aimed to compare the validity of the CG formula with that of Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) and Modification of Diet in Renal Disease (MDRD) formulae for dosing DOACs. A total of 6268 consecutive patients on anticoagulants for atrial fibrillation (AF) were retrospectively investigated. Among underweight and elderly patients, the CG formula underestimated renal function compared with the non-CG formulae. However, the concordant rate of drug indications between the CG and the non-CG formulae was approximately 94%. On-label uses under the three formulae were associated with a lower risk of major bleeding (but not thromboembolism) compared to warfarin. Although we found differences in estimating renal function and the proportions of drug indications between the CG and non-CG formulae, the risks of thromboembolism and major bleeding were similar to those with warfarin regardless of which formula was used.

Indexed as

anticoagulantatrial fibrillationproduct labelingrenal eliminationwarfarin

Identifiers

PMID31766393
PMCPMC6947455

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Registered trials

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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.