Evidence map›Paper›PMID 32979033›Full record

ArticleJournal of thrombosis and haemostasis : JTH2020

The relationship between DOAC levels and clinical outcomes: The measures tell the tale.

Myrthe M A Toorop, Willem M Lijfering, Luuk J J Scheres

Open access · bronzeAbstract read
In one paragraph

Article in Journal of thrombosis and haemostasis : JTH, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.8field-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

13 citing papers in PubMed, 28 citations in OpenAlex.

  1. Review
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  3. Article
  4. DOACs: role of anti-Xa and drug level monitoring.Hematology. American Society of Hematology. Education Program · 2024
    Review
  5. Article
  6. Article
  7. Article
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  9. Observational
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Myrthe M A TooropDepartment of Clinical Epidemiology, Leiden University Medical Center, Leiden, The Netherlands.ORCID https://orcid.org/0000-0002-3348-2419
Willem M LijferingDepartment of Clinical Epidemiology, Leiden University Medical Center, Leiden, The Netherlands.ORCID https://orcid.org/0000-0002-4638-4623
Luuk J J ScheresDepartment of Clinical Epidemiology, Leiden University Medical Center, Leiden, The Netherlands.
Leiden University Medical Center · NLRadboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Direct oral anticoagulants (DOACs) are increasingly used for treatment and prevention of thromboembolic diseases, used in fixed dose regimens. Although their safety and efficacy profiles are considered optimal, clinical events still occur. Given that anticoagulation treatment is a delicate balance between clotting and bleeding, it is possible that an optimal target spot exists where the effect of anticoagulation achieves both the lowest possible risk of bleeding and thrombosis. Other currently available anticoagulants (ie, vitamin K antagonists and heparins) provide important clues for this. If such a target spot exists, tailored DOAC therapy may further benefit patients. This opinion article summarizes the current available evidence that suggests that such a tailored strategy could work. It also describes research suggestions for conducting studies in patient populations such as patients with extremes of body weight or impaired kidney function to evaluate whether tailored treatment with DOACs could lead to better patient outcomes.

Indexed as

Atrial FibrillationThromboembolismThrombosisAdministration, OralAnticoagulantsBlood CoagulationHemorrhageHumansAnticoagulantsatrial fibrillationdirect oral anticoagulantsepidemiologypharmacodynamicspharmacokineticsvenous thromboembolism

Identifiers

PMID32979033
PMCPMC7756566
OpenAlexW3087768201

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.