Evidence map›Paper›PMID 32448024›Full record

ArticleJournal of the American Heart Association2020

Polypharmacy, Adverse Outcomes, and Treatment Effectiveness in Patients ≥75 With Atrial Fibrillation.

Nemin Chen, Aniqa B Alam, Pamela L Lutsey, Richard F MacLehose, J'Neka S Claxton, Lin Y Chen, Alanna M Chamberlain, Alvaro Alonso

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

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  17. Atrial fibrillation and stroke prevention: 25 years of research at EP Europace journal.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2023
    Review
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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

8 authors at 4 institutions in 1 country.

Nemin ChenDepartment of Epidemiology School of Public Health University of Pittsburgh PA.
Aniqa B AlamDepartment of Epidemiology Rollins School of Public Health Emory University Atlanta GA.
Pamela L LutseyDivision of Epidemiology and Community Health School of Public Health University of Minnesota Minneapolis MN.
Richard F MacLehoseDivision of Epidemiology and Community Health School of Public Health University of Minnesota Minneapolis MN.
J'Neka S ClaxtonDepartment of Epidemiology Rollins School of Public Health Emory University Atlanta GA.
Lin Y ChenCardiovascular Division Department of Medicine University of Minnesota Medical School Minneapolis MN.
Alanna M ChamberlainDivision of Epidemiology Department of Health Sciences Research Mayo Clinic Rochester MN.
Alvaro AlonsoDepartment of Epidemiology Rollins School of Public Health Emory University Atlanta GA.
Emory University · USUniversity of Minnesota · USMayo Clinic · USUniversity of Pittsburgh · US

Funding

Comparative Effectiveness of Oral Anticoagulants in Atrial FibrillationR01HL122200 · NHLBI · UNIVERSITY OF MINNESOTA · PI ALONSO, ALVARO · 2015 to 2017
$1.2M
Mentoring in patient-oriented atrial fibrillation and cardiovascular researchK24HL148521 · NHLBI · EMORY UNIVERSITY · PI ALONSO, ALVARO · 2019 to 2023
$593k
Atrial fibrillation treatment in older adultsR21AG058445 · NIA · EMORY UNIVERSITY · PI ALONSO, ALVARO · 2018 to 2019
$441k
American Heart Association-American Stroke Association 16EIA26410001NHLBI NIH HHS K24 HL148521NHLBI NIH HHS R01 HL122200NIA NIH HHS R21 AG058445
6 · The paper itself

Abstract

Background Polypharmacy is highly prevalent in elderly people with chronic conditions, including atrial fibrillation (AF). The impact of polypharmacy on adverse outcomes and on treatment effectiveness in elderly patients with AF remains unaddressed. Methods and Results We studied 338 810 AF patients ≥75 years of age enrolled in the MarketScan Medicare Supplemental database in 2007-2015. Polypharmacy was defined as ≥5 active prescriptions at AF diagnosis (defined by the presence of

Indexed as

PolypharmacyAgedAged, 80 and overAge FactorsAnti-Arrhythmia AgentsAnticoagulantsAtrial FibrillationDatabases, FactualFemaleHeart FailureHemorrhageHumansIschemic StrokeMaleRisk AssessmentRisk FactorsAnti-Arrhythmia AgentsAnticoagulantsadverse outcomesatrial fibrillationpolypharmacy

Identifiers

PMID32448024
PMCPMC7429010
OpenAlexW3027709924

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.