Evidence map›Paper›PMID 33000751›Full record

ArticleBlood transfusion = Trasfusione del sangue2020

Position paper on the safety/efficacy profile of direct oral anticoagulants in patients with chronic kidney disease. Consensus document from the SIN, FCSA and SISET.

Elvira Grandone, Filippo Aucella, Doris Barcellona, Giuliano Brunori, Giacomo Forneris, Paolo Gresele, Marco Marietta, Daniela Poli, Sophie Testa, Armando Tripodi and 1 more

Open access · greenAbstract readConsensus Statement
In one paragraph

Article in Blood transfusion = Trasfusione del sangue, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Review
  5. Article
  6. Article
  7. Direct Oral Anticoagulants for Portal Vein Thrombosis in Cirrhosis: From Pharmacology to Clinical Practice.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Review
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 6 institutions in 2 countries.

Elvira GrandoneThrombosis and Haemostasis Unit, Fondazione IRCCS "Casa Sollievo della Sofferenza", San Giovanni Rotondo, Italy.
Filippo AucellaNephrology and Dialysis Unit, Fondazione IRCCS "Casa Sollievo della Sofferenza", San Giovanni Rotondo, Italy.
Doris BarcellonaDepartment of Medical Science and Public Health, University of Cagliari, Cagliari, Italy.
Giuliano BrunoriNephrology and Dialysis Unit, "S. Chiara Hospital", Trento, Italy.
Giacomo FornerisDepartment of Clinical and Biological Sciences, University of Turin, Turin, Italy.
Paolo GreseleDepartment of Medicine - Section of Internal and Cardiovascular Medicine, University of Perugia, Perugia, Italy.
Marco MariettaDepartment of Medical and Surgical Sciences, Section of Hematology, University of Modena and Reggio Emilia, Modena, Italy.
Daniela PoliCenter for Atherothrombotic Diseases, "Careggi" University Hospital, Florence, Italy.
Sophie TestaHaemostasis and Thrombosis Center, ASST Cremona, Cremona, Italy.
Armando TripodiFondazione IRCCS "Ca' Granda Ospedale Maggiore Policlinico", "Angelo Bianchi Bonomi" Hemophilia and Thrombosis Center and "Fondazione Luigi Villa", Milan, Italy.
Simonetta C GenovesiDepartment of Medicine and Surgery, University of Milano-Bicocca, Monza and Nephrology Unit, "San Gerardo" Hospital, Monza, Italy.
Azienda Socio Sanitaria Territoriale di CremonaCasa Sollievo della Sofferenza · ITSechenov University · RUUniversity of Cagliari · ITUniversity of Modena and Reggio Emilia · ITUniversity of Turin · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Direct oral anticoagulants (DOAC) are mostly prescribed to prevent cardioembolic stroke in patients with non-valvular atrial fibrillation (AF). An increasing number of guidelines recommend DOAC in AF patients with preserved renal function for the prevention of thromboembolism, and an increased use of DOAC in daily practice has been recorded also in elderly patients. Ageing is associated with a reduction in glomerular filtration rate, and impaired renal function, regardless of the cause, increases the risk of bleeding. Multiple medication use (polypharmacy) for treating superimposed co-morbidities is common in both elderly and chronic kidney disease (CKD) patients and drug-drug interaction may cause accumulation of DOAC, thereby increasing the risk of bleeding. The safety profile of DOAC in patients with CKD has not been defined with any certainty, particularly in those with severely impaired renal function or end stage renal disease. This has been due to the heterogeneity of studies and the relative paucity of data. This document reports the position of three Italian scientific societies engaged in the management of patients with atrial fibrillation who are treated with DOAC and present with CKD.

Indexed as

Administration, OralAntidotesAntithrombinsAtrial FibrillationCohort StudiesDabigatranDrug InteractionsDrug MonitoringGlomerular Filtration RateHemorrhageHumansKidneyMetabolic Clearance RateObservational Studies as TopicPolypharmacyPractice Guidelines as TopicAntidotesAntithrombinsapixabanDabigatranedoxabanPyrazolesPyridinesPyridonesRivaroxabanThiazoles

Identifiers

PMID33000751
PMCPMC7605878
OpenAlexW3091008116

What OpenQuestion holds

Textmetadata
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.