Evidence map›Paper›PMID 32586056›Full record

ArticleJournal of clinical medicine2020

Persistence with Anticoagulation for Atrial Fibrillation: Report from the GLORIA-AF Phase III 1-Year Follow-up.

Monika Kozieł, Michał Mazurek, Christine Teutsch, Hans-Christoph Diener, Sergio J Dubner, Jonathan L Halperin, Chang-Sheng Ma, Kenneth J Rothman, Axel Brandes, Miney Paquette and 6 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 12% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Patients' experiences across the trajectory of atrial fibrillation: A qualitative systematic review.Health expectations : an international journal of public participation in health care and health policy · 2022
    Pooled it
  3. Observational
  4. Article
  5. Article
  6. Article
  7. Article
  8. The temporal context of oral anticoagulation outcome in atrial fibrillation.International journal of cardiology. Heart & vasculature · 2022
    Article
  9. Article
  10. Optimizing adherence and persistence to non-vitamin K antagonist oral anticoagulant therapy in atrial fibrillation.European heart journal supplements : journal of the European Society of Cardiology · 2022
    Article
  11. 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

16 authors at 11 institutions in 10 countries.

Monika KoziełLiverpool Centre for Cardiovascular Science, University of Liverpool and Liverpool Heart & Chest Hospital, Liverpool L7 8TX, UK.ORCID 0000-0003-0384-1975
Michał Mazurek1st Department of Cardiology and Angiology, Silesian Centre for Heart Diseases, 41-800 Zabrze, Poland.
Christine TeutschDepartment of Clinical Development and Medical Affairs, Therapeutic Area Cardiometabolism, Boehringer Ingelheim International GmbH, 55216 Ingelheim am Rhein, Germany.
Hans-Christoph DienerInstitute for Medical Informatics, Biometry and Epidemiology, University of Duisburg-Essen, 45133 Essen, Germany.
Sergio J DubnerClínica y Maternidad Suizo Argentina, Buenos Aires C1420, Argentina.ORCID 0000-0001-9449-9225
Jonathan L HalperinIcahn School of Medicine at Mount Sinai, New York, NY 10001, USA.
Chang-Sheng MaCardiology Department, Atrial Fibrillation Center, Beijing AnZhen Hospital, Capital Medical University, Beijing 100011, China.
Kenneth J RothmanRTI Health Solutions, Research Triangle Park, NC 27709, USA.
Axel BrandesDepartment of Cardiology, Odense University Hospital, 5000 Odense, Denmark.ORCID 0000-0001-9145-6887
Miney PaquetteDepartment of Medicine, Boehringer Ingelheim, Burlington, ON 05401, Canada.
Kristina ZintGlobal Epidemiology Department, Boehringer Ingelheim International GmbH, 55216 Ingelheim am Rhein, Germany.
Lionel Riou FrançaGlobal Epidemiology Department, Boehringer Ingelheim International GmbH, 55216 Ingelheim am Rhein, Germany.
Shihai LuBiostatistics and Data Sciences Department, Boehringer Ingelheim Pharmaceuticals, Inc., Ridgefield, CT 06877, USA.ORCID 0000-0002-7209-5075
Dorothee B BartelsGlobal Epidemiology Department, Boehringer Ingelheim International GmbH, 55216 Ingelheim am Rhein, Germany.
Menno V HuismanDepartment of Thrombosis and Hemostasis, Leiden University Medical Center, 1043 AJ Leiden, The Netherlands.ORCID 0000-0003-1423-5348
Gregory Y H LipLiverpool Centre for Cardiovascular Science, University of Liverpool and Liverpool Heart & Chest Hospital, Liverpool L7 8TX, UK.ORCID 0000-0002-7566-1626
Boehringer Ingelheim (Germany) · DEUniversity of Liverpool · GBBoehringer Ingelheim (Canada) · CABoehringer Ingelheim (Japan) · JPCapital Medical University · CNIcahn School of Medicine at Mount Sinai · USLeiden University Medical Center · NLOdense University Hospital · DKRTI Health Solutions · USSilesian Center for Heart Disease · PLUniversity of Duisburg-Essen · DE

Funding

Boehringer-Ingelheim not applicable
6 · The paper itself

Abstract

backgroundWe aimed to assess the extent to which drug persistence is better with non-vitamin K antagonist oral anticoagulants (NOACs) than vitamin K antagonists (VKAs) in atrial fibrillation (AF) patients and to estimate the difference in therapy persistence depending on NOAC dosing regimen (once daily (QD) vs. twice daily (BID)).

methodsConsecutive patients were followed for 1 year in phase III of the GLORIA-AF registry. Drug persistence was defined as the use of OAC without any discontinuation in >30 days or switching to alternative therapy.

resultsAmong 21,109 eligible patients in phase III, 17,266 patients who were prescribed OAC at baseline and those who took ≥1 OAC dose were included. The 1-year proportion of patients receiving NOAC and VKA who persisted on treatment was 80% and 75%, respectively. The 1-year persistence with NOACs BID and NOACs QD was 81% and 80%, respectively. Female gender, hypertension, older age, alcohol use, permanent, asymptomatic, and minimally symptomatic AF were associated with better OAC persistence. Region, medication usage predisposing to bleeding, being a current smoker, treatment reimbursement, and proton pump inhibitors were associated with lower OAC persistence.

conclusionsDrug persistence was higher with NOACs (1-year persistence was 80%) than with VKAs (75%). There was little difference in 1-year persistence between NOAC dosing regimens.

Indexed as

atrial fibrillationdosing frequencyGLORIA-AFnon-vitamin K antagonist oral anticoagulantsoral anticoagulantsvitamin K antagonists

Identifiers

PMID32586056
PMCPMC7356563
OpenAlexW3036637883

What OpenQuestion holds

Textmetadata
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.