Evidence map›Paper›PMID 33302751›Full record

ArticleJournal of the American Heart Association2020

Efficacy and Safety of Direct Oral Anticoagulants for Atrial Fibrillation Across Body Mass Index Categories.

Rachel M Kaplan, Yoshihiro Tanaka, Rod S Passman, Michelle Fine, Laura J Rasmussen-Torvik, Suma Vupputuri, Karlyn Martin, Sadiya S Khan

Open access · goldAbstract readComparative Study
In one paragraph

Article in Journal of the American Heart Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 11% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Apixaban Use in Obese Patients: A Review of the Pharmacokinetic, Interventional, and Observational Study Data.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2022
    Review
  7. Article
  8. Article
  9. Article
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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

8 authors at 2 institutions in 1 country.

Rachel M KaplanDivision of Cardiology Department of Medicine Northwestern University Feinberg School of Medicine Chicago IL.
Yoshihiro TanakaDepartment of Preventive Medicine Northwestern University Feinberg School of Medicine Chicago IL.
Rod S PassmanDivision of Cardiology Department of Medicine Northwestern University Feinberg School of Medicine Chicago IL.
Michelle FineDivision of Cardiology Department of Medicine Northwestern University Feinberg School of Medicine Chicago IL.
Laura J Rasmussen-TorvikDepartment of Preventive Medicine Northwestern University Feinberg School of Medicine Chicago IL.
Suma VupputuriKaiser Permanente, Mid-Atlantic Permanente Research Institute Rockville MD.
Karlyn MartinDivision of Benign Hematology Department of Medicine Northwestern University Feinberg School of Medicine Chicago IL.
Sadiya S KhanDivision of Cardiology Department of Medicine Northwestern University Feinberg School of Medicine Chicago IL.
Northwestern University · USKaiser Permanente · US

Funding

Northwestern University Clinical and Translational Science Institute (NUCATS)UL1TR001422 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI D'AQUILA, RICHARD · 2015 to 2023
$56.8M
Northwestern University Clinical and Translational Science Institute (NUCATS)KL2TR001424 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI SHARMA, LEENA · 2015 to 2023
$8.1M
NCATS NIH HHS KL2 TR001424NCATS NIH HHS UL1 TR001422
6 · The paper itself

Abstract

Background Direct-acting oral anticoagulants are now the preferred method of anticoagulation in patients with atrial fibrillation. Limited data on efficacy and safety of these fixed-dose regimens are available in severe obesity where drug pharmacokinetics and pharmacodynamics may be altered. The objectives of this study were to evaluate efficacy and safety in patients with atrial fibrillation taking direct-acting oral anticoagulants across body mass index (BMI) categories in a contemporary, real-world population. Methods and Results We performed a retrospective study of patients with atrial fibrillation at an integrated multisite healthcare system. Patients receiving a direct-acting oral anticoagulant prescription and ≥12 months of follow-up between 2010 and 2017 were included. The primary efficacy and safety outcomes were ischemic stroke or systemic embolism and intracranial hemorrhage. We performed Cox proportional hazards modeling to compute hazard ratios (HRs) adjusted for CHA

Indexed as

AgedAged, 80 and overAtrial FibrillationBody Mass IndexEmbolismFactor Xa InhibitorsFemaleFollow-Up StudiesHumansIntracranial HemorrhagesIschemic StrokeMaleMiddle AgedObesity, MorbidProportional Hazards ModelsRetrospective StudiesFactor Xa Inhibitorsatrial fibrillationobesitystroke prevention

Identifiers

PMID33302751
PMCPMC7955357
OpenAlexW3111031992

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.