Evidence map›Paper›PMID 33834371›Full record

ArticleJournal of thrombosis and thrombolysis2021

Anticoagulant treatment satisfaction with warfarin and direct oral anticoagulants for venous thromboembolism.

Margaret C Fang, Alan S Go, Priya A Prasad, Jin-Wen Hsu, Dongjie Fan, Cecilia Portugal, Sue Hee Sung, Kristi Reynolds

Open access · hybridAbstract read
In one paragraph

Article 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 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
2.2field-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. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Vitamin K Antagonist Treatment Burden Assessed with the Patient Reported Outcome "Anti Clot Treatment Scale": KAFe Trial, a Single-Center Study Involving 202 Patients.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Observational
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.

Margaret C FangDivision of Hospital Medicine, University of California, San Francisco, 521 Parnassus Ave., Box 0131, San Francisco, CA, 94143, USA. margaret.fang@ucsf.edu.ORCID http://orcid.org/0000-0003-3362-1543
Alan S GoDivision of Research, Kaiser Permanente Northern California, Oakland, CA, USA.
Priya A PrasadDivision of Hospital Medicine, University of California, San Francisco, 521 Parnassus Ave., Box 0131, San Francisco, CA, 94143, USA.
Jin-Wen HsuDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA.
Dongjie FanDivision of Research, Kaiser Permanente Northern California, Oakland, CA, USA.
Cecilia PortugalDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA.
Sue Hee SungDivision of Research, Kaiser Permanente Northern California, Oakland, CA, USA.
Kristi ReynoldsDepartment of Health Systems Science, Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, CA, USA.
Kaiser Permanente · USUniversity of California, San Francisco · US

Funding

Use and outcomes of anticoagulants for the treatment and prevention of thrombosis among hospitalized patientsK24HL141354 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI FANG, MARGARET C. · 2018 to 2022
$731k
National Heart, Lung, and Blood Institute (US) K24HL141354NHLBI NIH HHS K24 HL141354Patient-Centered Outcomes Research Institute NOACs-1510-32651
6 · The paper itself

Abstract

Treatment options for patients with venous thromboembolism (VTE) include warfarin and direct oral anticoagulants (DOACs). Although DOACs are easier to administer than warfarin and do not require routine laboratory monitoring, few studies have directly assessed whether patients are more satisfied with DOACs. We surveyed adults from two large integrated health systems taking DOACs or warfarin for incident VTE occurring between January 1, 2015 and June 30, 2018. Treatment satisfaction was assessed using the validated Anti-Clot Treatment Scale (ACTS), divided into the ACTS Burdens and ACTS Benefits scores; higher scores indicate greater satisfaction. Mean treatment satisfaction was compared using multivariable linear regression, adjusting for patient demographic and clinical characteristics. The effect size of the difference in means was calculated using a Cohen's d (0.20 is considered a small effect and ≥ 0.80 is considered large). We surveyed 2217 patients, 969 taking DOACs and 1248 taking warfarin at the time of survey. Thirty-one point five percent of the cohort was aged ≥ 75 years and 43.1% were women. DOAC users were on average more satisfied with anticoagulant treatment, with higher adjusted mean ACTS Burdens (50.18 v. 48.01, p < 0.0001) and ACTS Benefits scores (10.21 v. 9.84, p = 0.046) for DOACs vs. warfarin, respectively. The magnitude of the difference was small (Cohen's d of 0.29 for ACTS Burdens and 0.12 for ACTS Benefits). Patients taking DOACs for venous thromboembolism were on average more satisfied with anticoagulant treatment than were warfarin users, although the magnitude of the difference was small.

Indexed as

Venous ThromboembolismAdministration, OralAgedAnticoagulantsFemaleHumansMalePersonal SatisfactionRetrospective StudiesWarfarinAnticoagulantsWarfarinAnticoagulantsDirect oral anticoagulantsTreatment satisfactionVenous thromboembolismWarfarin

Identifiers

PMID33834371
PMCPMC8605968
OpenAlexW3150161965

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.