Evidence map›Paper›PMID 32314853›Full record

ArticleJournal of evaluation in clinical practice2021

Real-world data on the incidence, mortality, and cost of ischaemic stroke and major bleeding events among non-valvular atrial fibrillation patients in England.

Ameet Bakhai, Hans Petri, Farnaz Vahidnia, Cyrill Wolf, Yingjie Ding, Nadia Foskett, Mark Sculpher

Open access · hybridAbstract read
In one paragraph

Article in Journal of evaluation in clinical practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.5field-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

9 citing papers in PubMed, 14 citations in OpenAlex.

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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

7 authors at 7 institutions in 4 countries.

Ameet BakhaiRoyal Free London NHS Foundation Trust, Barnet General Hospital, Cardiology Department, Barnet, and Amore Health Ltd, London, UK.ORCID https://orcid.org/0000-0002-4501-4647
Hans PetriPetri Consulting Ltd, St. Albans, UK.
Farnaz VahidniaReal-World Data Group, Diagnostics Information Solutions, Pleasanton, California, USA.
Cyrill WolfRoche Diagnostics International Ltd, Rotkreuz, Switzerland.
Yingjie DingGenesis Research Ltd, Hoboken, New Jersey, USA.
Nadia FoskettRoche Products Ltd, Welwyn Garden City, UK.
Mark SculpherCentre for Health Economics, University of York, York, UK.
Diagnostics for the Real World (United States) · USGenesis Research Institute · JPPsychometric Research & Development (United Kingdom) · GBRoche (Switzerland) · CHRoche (United Kingdom) · GBRoyal Free London NHS Foundation Trust · GBUniversity of York · GB

Funding

Roche Diagnostics International Ltd, SwitzerlandRoche Real-World Data Group, Diagnostics Information Solutions, USA
6 · The paper itself

Abstract

RATIONALE, AIMS, AND

objectivesSeveral novel oral anticoagulants (NOACs) are licensed for atrial fibrillation (AF) treatment in the United Kingdom. We describe the incidence and mortality from ischaemic stroke and major bleeding in non-valvular atrial fibrillation (NVAF) patients in England, including treatment patterns before/following introduction of NOACs, healthcare resource utilization (HRU), and costs post-onset of these events.

methodData were extracted from the UK Clinical Practice Research Datalink linked to Hospital Episode Statistics secondary care and Office for National Statistics mortality data.

resultsOf 42 966 patients with a first AF record between 2011 and 2016, 9143 patients (21.3%) remained without AF (antiplatelets/antithrombotics) treatment post-index diagnosis. The proportion of patients receiving aspirin for ≥3 months post-index declined during the study (50.6%-5.5%), irrespective of CHA

conclusionsThese data provide temporal insights into AF treatment patterns and outcomes for NVAF patients in England and highlight the need to review higher stroke risk AF patients not receiving antiplatelet/antithrombotic prescriptions.

Indexed as

Atrial FibrillationBrain IschemiaIschemic StrokeStrokeAdministration, OralAnticoagulantsEnglandHemorrhageHumansIncidenceState MedicineUnited KingdomAnticoagulantsatrial fibrillationbleedinghealth economicsischaemic strokereal-world data

Identifiers

PMID32314853
PMCPMC7891325
OpenAlexW3016483090

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.