Evidence map›Paper›PMID 33127703›Full record

ReviewBMJ case reports2020

Would you use novel oral anticoagulants (NOACs) for thromboprophylaxis in patients with an underlying hypercoagulable state? A literature review through a case report.

Bhavika Kakadia, Giselle Alexandra Suero-Abreu, Rrita Daci, Ryna Karina Then

Open access · greenAbstract readCase ReportsReview
In one paragraph

Review in BMJ case reports, 2020. 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
0.1field-weighted citation impact, top 45% 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, 2 citations in OpenAlex.

  1. Article
  2. 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

4 authors at 3 institutions in 1 country.

Bhavika KakadiaNeurology, Cooper Hospital University Medical Center, Camden, New Jersey, USA bhavika.kakadia@gmail.com.
Giselle Alexandra Suero-AbreuInternal Medicine, Rutgers New Jersey Medical School, Newark, New Jersey, USA.ORCID http://orcid.org/0000-0002-4274-2761
Rrita DaciNeurosurgery, University of Massachusetts Medical School, Worcester, Massachusetts, USA.
Ryna Karina ThenNeurology, Cooper Hospital University Medical Center, Camden, New Jersey, USA.
Cooper University Hospital · USRutgers, The State University of New Jersey · USUniversity of Massachusetts Chan Medical School · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antiphospholipid syndrome (APLS) is an autoimmune condition that predisposes to venous and arterial thrombosis. Warfarin is the agent of choice for anticoagulation. However, a need for routine international normalised ratio (INR) checks and multiple drug interactions are some of the difficulties with warfarin. Currently, there is mixed evidence for and against the use of novel oral anticoagulants (NOACs) for thromboprophylaxis. We present a case report of a patient with APLS on a NOAC for secondary thromboprophylaxis who developed a stroke and discuss current evidence regarding the use of NOACs in patients with APLS. The patient was switched to warfarin for secondary thromboprophylaxis with an INR goal of 2-3. Literature review revealed mixed case reports for and against NOACs for secondary prevention of thrombotic events in patients with APLS. There needs to be further randomised controlled trials to evaluate the efficacy of NOACs for thromboprophylaxis in patients with APLS.

Indexed as

Administration, OralAnticoagulantsAntiphospholipid SyndromeBlood CoagulationComputed Tomography AngiographyEchocardiographyFemaleHumansMiddle AgedSecondary PreventionVenous ThromboembolismAnticoagulantshaematology (incl blood transfusion)rheumatologystrokewarfarin therapy

Identifiers

PMID33127703
PMCPMC7604795
OpenAlexW3094954235

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.