Evidence map›Paper›PMID 33728927›Full record

SynthesisJournal of the American Heart Association2021

Non-Vitamin K Antagonist Oral Anticoagulants Provide Less Adverse Renal Outcomes Than Warfarin In Non-Valvular Atrial Fibrillation: A Systematic Review and MetaAnalysis.

Patita Sitticharoenchai, Kullaya Takkavatakarn, Smonporn Boonyaratavej, Kearkiat Praditpornsilpa, Somchai Eiam-Ong, Paweena Susantitaphong

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of the American Heart Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
–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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Treatment strategies of the thromboembolic risk in kidney failure patients with atrial fibrillation.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2024
    Review
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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

6 authors.

Patita SitticharoenchaiDivision of Cardiology Department of Medicine Faculty of Medicine King Chulalongkorn Memorial HospitalChulalongkorn University Bangkok Thailand.
Kullaya TakkavatakarnDivision of Nephrology Department of Medicine Faculty of Medicine King Chulalongkorn Memorial HospitalChulalongkorn University Bangkok Thailand.
Smonporn BoonyaratavejDivision of Cardiology Department of Medicine Faculty of Medicine King Chulalongkorn Memorial HospitalChulalongkorn University Bangkok Thailand.
Kearkiat PraditpornsilpaDivision of Nephrology Department of Medicine Faculty of Medicine King Chulalongkorn Memorial HospitalChulalongkorn University Bangkok Thailand.
Somchai Eiam-OngDivision of Nephrology Department of Medicine Faculty of Medicine King Chulalongkorn Memorial HospitalChulalongkorn University Bangkok Thailand.
Paweena SusantitaphongDivision of Nephrology Department of Medicine Faculty of Medicine King Chulalongkorn Memorial HospitalChulalongkorn University Bangkok Thailand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Non-vitamin K antagonist oral anticoagulants (NOACs) have better pharmacologic properties than warfarin and are recommended in preference to warfarin in most patients with non-valvular atrial fibrillation. Besides lower bleeding complications, other advantages of NOACs over warfarin particularly renal outcomes remain inconclusive. Methods and Results Electronic searches were conducted through Medline, Scopus, Cochrane Library databases, and ClinicalTrial.gov. Randomized controlled trials and observational cohort studies reporting incidence rates and hazard ratio (HR) of renal outcomes (including acute kidney injury, worsening renal function, doubling serum creatinine, and end-stage renal disease) were selected. The random-effects model was used to calculate pooled incidence and HR with 95% CI. Eighteen studies were included. A total of 285 201 patients were enrolled, 118 863 patients with warfarin and 166 338 patients with NOACs. The NOACs group yielded lower incidence rates of all renal outcomes when compared with the warfarin group. Patients treated with NOACs showed significantly lower HR of risk of acute kidney injury (HR, 0.70, 95% CI, 0.64-0.76;

Indexed as

Administration, OralAnticoagulantsAtrial FibrillationBiomarkersCreatinineHumansKidneyKidney Failure, ChronicStrokeWarfarinAnticoagulantsBiomarkersCreatinineWarfarinacute kidney injuryend‐stage renal diseaseNOACsnon‐valvular atrial fibrillationrenal outcomeswarfarin

Identifiers

PMID33728927
PMCPMC8174352

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.