Evidence map›Paper›PMID 33704652›Full record

SynthesisJournal of thrombosis and thrombolysis2021

The efficacy and safety of direct oral anticoagulants plus aspirin in symptomatic lower extremity peripheral arterial disease: a systematic review and meta-analysis of randomized controlled trials.

Gonçalo Costa, Lino Gonçalves, Rogério Teixeira

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Journal of thrombosis and thrombolysis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 22% 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
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

3 authors at 1 institution in 1 country.

Gonçalo CostaServiço de Cardiologia, Hospital Geral, Centro Hospitalar e Universitário de Coimbra, Quinta dos Vales, S. Martinho do Bispo, 3041-801, Coimbra, Portugal. gnfcosta.93@gmail.com.ORCID http://orcid.org/0000-0001-6510-3690
Lino GonçalvesServiço de Cardiologia, Hospital Geral, Centro Hospitalar e Universitário de Coimbra, Quinta dos Vales, S. Martinho do Bispo, 3041-801, Coimbra, Portugal.
Rogério TeixeiraServiço de Cardiologia, Hospital Geral, Centro Hospitalar e Universitário de Coimbra, Quinta dos Vales, S. Martinho do Bispo, 3041-801, Coimbra, Portugal.
Hospitais da Universidade de Coimbra · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with lower extremity peripheral artery disease (PAD) are at increased risk of major adverse limb events (MALE). The efficacy and safety of direct oral anticoagulants (DOACs) in this context is evolving. To assess the efficacy and safety of DOAC combined with aspirin compared to the use of antiplatelet agents in patients with symptomatic lower extremity (LE) PAD. We systematically searched PubMed, Embase and Cochrane databases, in September 2020, for randomized controlled trials (RCTs) that were designed to investigate the effect of DOACs in the treatment of PAD. A random-effects meta-analysis was performed targeting ischemic and bleeding events. Three randomized clinical trials were included, providing a total of 9533 patients, and 744 pooled MALE events (316 in DOAC plus aspirin and 428 in control). Only data on rivaroxaban and edoxaban were available. The use of DOAC plus aspirin in PAD patients significantly decreased the rate of MALE (pooled OR 0.70 [0.61-0.83], P < 0.001; I

Indexed as

AspirinPeripheral Arterial DiseaseAnticoagulantsFactor Xa InhibitorsHemorrhageHumansIschemiaLower ExtremityPlatelet Aggregation InhibitorsRandomized Controlled Trials as TopicRivaroxabanAnticoagulantsAspirinFactor Xa InhibitorsPlatelet Aggregation InhibitorsRivaroxabanAspirinBleedingDirect oral anticoagulantsPeripheral artery disease

Identifiers

PMID33704652
OpenAlexW3134839250

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.