Evidence map›Paper›PMID 32872740›Full record

Observational studyThe Korean journal of internal medicine2021

A prospective, observational study of rivaroxaban for stroke prevention in atrial fibrillation: the XANAP Korea.

Jaemin Shim, Young Keun On, Sun U Kwon, Gi-Byoung Nam, Moon-Hyoung Lee, Hyung-Wook Park, Keun-Sik Hong, Nam-Ho Kim, Pierre Amarenco, Seung-Woon Rha and 3 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in The Korean journal of internal medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 33% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Rivaroxaban: striking two birds with one stone.The Korean journal of internal medicine · 2021
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 11 institutions in 3 countries.

Jaemin ShimDepartment of Internal Medicine, Korea University Medical Center, Seoul, Korea.
Young Keun OnDivision of Cardiology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Sun U KwonDepartment of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Gi-Byoung NamDivision of Cardiology, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Moon-Hyoung LeeDivision of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Hyung-Wook ParkDepartment of Cardiovascular Medicine, Chonnam National University Medical School, Gwangju, Korea.
Keun-Sik HongDepartment of Neurology, Inje University Ilsan Paik Hospital, Goyang, Korea.
Nam-Ho KimDepartment of Internal Medicine, Wonkwang University School of Medicine, Iksan, Korea.
Pierre AmarencoDepartment of Neurology and Stroke Center, Paris-Diderot-Sorbonne University, Paris, France.
Seung-Woon RhaDepartment of Cardiology, Korea University College of Medicine, Seoul, Korea.
Dong-Gu ShinDivision of Cardiovascular Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, Korea.
Joung-Ho RhaDepartment of Neurology, Inha University School of Medicine, Incheon, Korea.
Young-Hoon KimDepartment of Internal Medicine, Korea University Medical Center, Seoul, Korea.
Asan Medical Center · KRKorea University Medical Center · KRChonnam National University · KRDélégation Paris 7 · FRInha University · KRInje University Ilsan Paik Hospital · KRKorea University · JPSamsung Medical Center · KRWonkwang University · KRYeungnam University CollegeYonsei University · KR

Funding

Bayer Korea Ltd.
6 · The paper itself

Abstract

BACKGROUND/

aimsAtrial fibrillation (AF)-related stroke accounts for 20% of ischemic strokes. Rivaroxaban use in AF patients for preventing stroke and systemic embolism was approved in 2013 in Korea. This study was to investigate the safety and effectiveness of rivaroxaban use in Korean patients with non-valvular AF in a real-world setting.

methodsThis was an analysis of the Korean patients in Xarelto for Prevention of Stroke in Patients with Atrial Fibrillation in Asia-Pacific (XANAP), which was a prospective, observational cohort study including patients with non-valvular AF starting rivaroxaban treatment to prevent stroke or non-central nervous system systemic embolism (non-CNS SE), conducted in 10 Asian countries.

resultsA total of 844 patients were enrolled in the Korean portion of the XANAP study. In XANAP Korea, the mean age was 70.1 years and 62.6% were males. The mean CHADS2 score was 2.5 and the mean CHA2DS2-VASc score was 3.8. 47% of the patients had experienced prior stroke or non-CNS SE or transient ischemic attack. 73.6% of the patients had CHADS2 score ≥ 2. Incidence proportions of 0.8% of the patients (1.1 per 100 patient-years) developed adjudicated treatment-emergent major bleeding. Death was observed in 1.2% of the patients. The incidence of non-major bleeding as well as thromboembolic event were 8.4% (11.6 per 100 patient-years) and 1.5% (2.0 per 100 patient-years), respectively.

conclusionThis study reaffirmed the consistent safety profile of rivaroxaban. We found consistent results with overall XANAP population for rivaroxaban in terms of safety in non-valvular AF patients for the prevention of stroke and non-CNS SE.

Indexed as

Atrial FibrillationStrokeAgedAnticoagulantsAsiaFactor Xa InhibitorsHumansMaleProspective StudiesRepublic of KoreaRivaroxabanTreatment OutcomeAnticoagulantsFactor Xa InhibitorsRivaroxabanAtrial fibrillationKoreaRivaroxabanStroke

Identifiers

PMID32872740
PMCPMC8273835
OpenAlexW3082801130

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.