Evidence map›Paper›PMID 33807457›Full record

ReviewCells2021

The Effects of Warfarin and Direct Oral Anticoagulants on Systemic Vascular Calcification: A Review.

Kalaimani Elango, Awad Javaid, Banveet K Khetarpal, Sathishkumar Ramalingam, Krishna Prasad Kolandaivel, Kulothungan Gunasekaran, Chowdhury Ahsan

Open access · goldAbstract readReview
In one paragraph

Review in Cells, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
6.9field-weighted citation impact, top 2% 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

27 citing papers in PubMed, 49 citations in OpenAlex.

  1. Review
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  16. Effectiveness and safety of apixaban and rivaroxabanWorld journal of nephrology · 2023
    Article
  17. Review
  18. Article
  19. Review
  20. Coumarin-Induced Hepatotoxicity: A Narrative Review.Molecules (Basel, Switzerland) · 2022
    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

7 authors at 4 institutions in 1 country.

Kalaimani ElangoDepartment of Cardiology, University of Nevada Las Vegas School of Medicine, 1701 W Charleston Boulevard Ste. 250, Las Vegas, NV 89102, USA.ORCID 0000-0003-1562-2411
Awad JavaidDepartment of Internal Medicine, University of Nevada Las Vegas School of Medicine, 1701 W Charleston Boulevard Ste. 250, Las Vegas, NV 89102, USA.ORCID 0000-0003-2990-0224
Banveet K KhetarpalDepartment of Internal Medicine, University of Nevada Las Vegas School of Medicine, 1701 W Charleston Boulevard Ste. 250, Las Vegas, NV 89102, USA.ORCID 0000-0002-4205-4969
Sathishkumar RamalingamDivision of Hospital Medicine, Lovelace Medical Center, 601 Dr. Martin Luther King Jr. Avenue NE, Albuquerque, NM 87102, USA.
Krishna Prasad KolandaivelDivision of Oncology, St. Joseph Medical Center, 523 N 3rd Street, Brainerd, MN 56401, USA.
Kulothungan GunasekaranDivision of Pulmonary Diseases and Critical Care, Yale New Haven Health Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610, USA.ORCID 0000-0002-2872-1630
Chowdhury AhsanDepartment of Cardiology, University of Nevada Las Vegas School of Medicine, 1701 W Charleston Boulevard Ste. 250, Las Vegas, NV 89102, USA.
University of Nevada, Las Vegas · USBridgeport Hospital · USLovelace Medical Center · USSt. Joseph Medical Center · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

Warfarin has been utilized for decades as an effective anticoagulant in patients with a history of strong risk factors for venous thromboembolism (VTE). Established adverse effects include bleeding, skin necrosis, teratogenicity during pregnancy, cholesterol embolization, and nephropathy. One of the lesser-known long-term side effects of warfarin is an increase in systemic arterial calcification. This is significant due to the association between vascular calcification and cardiovascular morbidity and mortality. Direct oral anticoagulants (DOACs) have gained prominence in recent years, as they require less frequent monitoring and have a superior side effect profile to warfarin, specifically in relation to major bleeding. The cost and lack of data for DOACs in some disease processes have precluded universal use. Within the last four years, retrospective cohort studies, observational studies, and randomized trials have shown, through different imaging modalities, that multiple DOACs are associated with slower progression of vascular calcification than warfarin. This review highlights the pathophysiology and mechanisms behind vascular calcification due to warfarin and compares the effect of warfarin and DOACs on systemic vasculature.

Indexed as

Administration, OralAnimalsAnticoagulantsHumansKidney DiseasesVascular CalcificationWarfarinAnticoagulantsWarfarindirect oral anticoagulantsmatrix gla proteinvalvular calcificationvascular calcificationvitamin Kwarfarin

Identifiers

PMID33807457
PMCPMC8066517
OpenAlexW3152448523

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.