Evidence map›Paper›PMID 31795822›Full record

ArticleJournal of the American Heart Association2019

Evidence-Practice Gaps in Postdischarge Initiation With Oral Anticoagulants in Patients With Atrial Fibrillation.

Andrea L Schaffer, Michael O Falster, David Brieger, Louisa R Jorm, Andrew Wilson, Melanie Hay, Kira Leeb, Sallie Pearson, Arthur Nasis

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
  2. Persistence and Adherence to Cardiovascular Medicines in Australia.Journal of the American Heart Association · 2023
    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

9 authors.

Andrea L SchafferCentre for Big Data Research in Health UNSW Sydney Sydney Australia.
Michael O FalsterCentre for Big Data Research in Health UNSW Sydney Sydney Australia.
David BriegerCardiac Clinical Network Agency for Clinical Innovation Chatswood Australia.
Louisa R JormCentre for Big Data Research in Health UNSW Sydney Sydney Australia.
Andrew WilsonSafer Care Victoria Melbourne Australia.
Melanie HayVictorian Agency for Health Information Melbourne Australia.
Kira LeebVictorian Agency for Health Information Melbourne Australia.
Sallie PearsonCentre for Big Data Research in Health UNSW Sydney Sydney Australia.
Arthur NasisSafer Care Victoria Melbourne Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Oral anticoagulant (OAC) therapy reduces the risk of stroke in people with atrial fibrillation (AF), and is considered best practice; however, there is little Australian evidence around the uptake of OACs in this population. Methods and Results We used linked hospital admissions, pharmaceutical dispensing claims, medical services, and mortality data for people in Australia's 2 most populous states (July 2010 to June 2015). Among OAC-naïve people hospitalized with AF, we estimated initiation of OAC therapy within 30 days of discharge, and persistence with therapy in the first year. We analyzed both outcomes using multivariable Cox regression. In 71 184 people with AF (median age 78 years, 49% female), 22.7% initiated OAC therapy. Initiation was lowest in July to December 2011 (17.0%) and highest in July to December 2014 (30.1%) after subsidy of the direct OACs. In adjusted analyses, initiation was most likely in people with a CHA

Indexed as

AftercareHospitalizationPatient DischargeProfessional Practice GapsAdministration, OralAdolescentAdultAgedAged, 80 and overAnticoagulantsAtrial FibrillationAustraliaCohort StudiesFemaleHumansMaleAnticoagulantsatrial fibrillationcardiovascular diseaseoral anticoagulantspharmacoepidemiologystroke

Identifiers

PMID31795822
PMCPMC6951075

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LicenceCC BY-NC-ND
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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.