Evidence map›Paper›PMID 32899067›Full record

ArticleMedicine2020

Cost-effectiveness of direct oral anticoagulants versus vitamin K antagonist in atrial fibrillation: A study protocol using Real-World Data from Catalonia (FantasTIC Study).

Zojaina Hernández Rojas, Maria Rosa Dalmau Llorca, Carina Aguilar Martín, Alessandra Queiroga Gonçalves, Marc Casajuana, José Fernández-Sáez, Dolores Rodríguez Cumplido, Emma Forcadell Drago, Noèlia Carrasco-Querol, Josep Maria Pepió Vilaubí and 1 more

Open access · goldAbstract readComparative StudyClinical Trial Protocol
In one paragraph

Article in Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Observational
  2. Article
  3. 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

11 authors at 4 institutions in 1 country.

Zojaina Hernández RojasEquip d'Atenció Primària Tortosa Est, Institut Català de la Salut, Tortosa, Tarragona, Spain.
Maria Rosa Dalmau LlorcaEquip d'Atenció Primària Tortosa Est, Institut Català de la Salut, Tortosa, Tarragona, Spain.
Carina Aguilar MartínUnitat de Suport a la Recerca Terres de l'Ebre, Fundació Institut Universitari per a la Recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Tortosa, Tarragona, Spain.
Alessandra Queiroga GonçalvesUnitat de Suport a la Recerca Terres de l'Ebre, Fundació Institut Universitari per a la Recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Tortosa, Tarragona, Spain.
Marc CasajuanaFundació Institut Universitari per a la recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain.
José Fernández-SáezUnitat de Suport a la Recerca Terres de l'Ebre, Fundació Institut Universitari per a la Recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Tortosa, Tarragona, Spain.
Dolores Rodríguez CumplidoGAVINA Research Grup.
Emma Forcadell DragoGAVINA Research Grup.
Noèlia Carrasco-QuerolUnitat de Suport a la Recerca Terres de l'Ebre, Fundació Institut Universitari per a la Recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Tortosa, Tarragona, Spain.
Josep Maria Pepió VilaubíGAVINA Research Grup.
Josep M AlegretGrup de Recerca Cardiovascular, Departament de Cardiologia, Hospital Universitari de Sant Joan, Institut de Investigació Sanitaria Pere Virgili (IISPV), Reus, Spain.
Institut Universitari d'Investigació en Atenció Primària Jordi Gol · ESInstitut Català de la Salut · ESUniversidad Rovira i Virgili · ESUniversitat Autònoma de Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnticoagulant therapy is used for stroke prevention and proved to be effective and safe in the long term. The study aims to analyse the cost-effectiveness relationship of using of direct-acting oral anticoagulants vs vitamin K antagonists to prevent ischaemic stroke in patients with nonvalvular atrial fibrillation, including all the active ingredients marketed in Spain, prescribed for 2 years in the Primary Care service of the Institut Català de la Salut.

methodsPopulation-based cohort study, in which the cost of the 2 treatment groups will be evaluated. Direct costs (pharmacy, primary care, emergency and hospitalization) and indirect costs (lost productivity) will be included from a social perspective. Effectiveness (assessed as the occurrence of a health event, the 1 of primary interest being stroke) will be determined, with a 2-year time horizon and a 3% discount rate. The average cost of the 2 groups of drugs will be compared using a regression model to determine the factors with the greatest influence on determining costs. We will carry out a univariate ('one-way') deterministic sensitivity analysis. DISCUSSION: We hope to provide relevant information about direct and indirect costs of oral anticoagulants, which, together with aspects of effectiveness and safety, could help shape the consensual decision-making of evaluating bodies.

Indexed as

AcenocoumarolAdministration, OralAnticoagulantsAtrial FibrillationBrain IschemiaCost-Benefit AnalysisFactor Xa InhibitorsHumansPragmatic Clinical Trials as TopicPrimary Health CareRandomized Controlled Trials as TopicSafetySpainStrokeTreatment OutcomeVitamin KAcenocoumarolAnticoagulantsFactor Xa InhibitorsVitamin KWarfarin

Identifiers

PMID32899067
PMCPMC7478774
OpenAlexW3082926375

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.