Evidence map›Paper›PMID 34006033›Full record

Observational studyBMJ open2021

Background characteristics and anticoagulant usage patterns of elderly non-valvular atrial fibrillation patients in the ANAFIE registry: a prospective, multicentre, observational cohort study in Japan.

Masahiro Yasaka, Takeshi Yamashita, Masaharu Akao, Hirotsugu Atarashi, Takanori Ikeda, Yukihiro Koretsune, Ken Okumura, Wataru Shimizu, Hiroyuki Tsutsui, Kazunori Toyoda and 7 more

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.8field-weighted citation impact, top 27% 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

6 citing papers in PubMed, 8 citations in OpenAlex.

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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

17 authors at 13 institutions in 1 country.

Masahiro YasakaDepartment of Cerebrovascular and Neurology, National Hospital Organization Kyushu Medical Center, Fukuoka, Japan yasakamasahiro@gmail.com.ORCID 0000-0002-1163-8355
Takeshi YamashitaDepartment of Cardiovascular Medicine, The Cardiovascular Institute, Tokyo, Japan.
Masaharu AkaoDepartment of Cardiology, National Hospital Organization Kyoto Medical Center, Kyoto, Japan.
Hirotsugu AtarashiMinami Hachioji Hospital, Tokyo, Japan.
Takanori IkedaDepartment of Cardiovascular Medicine, Toho University Omori Medical Center, Tokyo, Japan.
Yukihiro KoretsuneInstitute for Clinical Research, National Hospital Organization, Osaka National Hospital, Osaka, Japan.
Ken OkumuraDivision of Cardiology, Saiseikai Kumamoto Hospital, Kumamoto, Japan.
Wataru ShimizuDepartment of Cardiovascular Medicine, Nippon Medical School, Tokyo, Japan.
Hiroyuki TsutsuiDepartment of Cardiovascular Medicine, Kyushu University, Fukuoka, Japan.
Kazunori ToyodaNational Cerebral and Cardiovascular Center, Suita, Osaka, Japan.
Atsushi HirayamaOsaka Police Hospital, Osaka, Japan.
Takenori YamaguchiNational Cerebral and Cardiovascular Center, Suita, Osaka, Japan.
Satoshi TeramukaiDepartment of Biostatistics, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Tetsuya KimuraMedical Science Department, Daiichi Sankyo Co., Ltd, Tokyo, Japan.
Jumpei KaburagiASCA Company, Daiichi Sankyo Co., Ltd, Tokyo, Japan.
Atsushi TakitaData Intelligence Department, Daiichi Sankyo Co., Ltd, Tokyo, Japan.
Hiroshi InoueSaiseikai Toyama Hospital, Toyama, Japan.
Daiichi-Sankyo (Japan) · JPNational Cerebral and Cardiovascular Center · JPCardiovascular Institute Hospital · JPKyoto Medical Center · JPKyoto Prefectural University of Medicine · JPKyushu University · JPNational Kyushu Medical Center · JPNippon Medical School · JPOsaka National Hospital · JPOsaka Police Hospital · JPSaiseikai Kumamoto Hospital · JPToho University · JPToyama University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore anticoagulant usage patterns stratified by stroke and bleeding risk in elderly patients with non-valvular atrial fibrillation (NVAF).

designProspective, multicentre, observational cohort study.

settingThe real-world All Nippon AF In the Elderly (ANAFIE) registry.

participantsJapanese patients aged ≥75 years with NVAF (n=32 726). OUTCOME MEASURES: The distribution of stroke and bleeding risk scores, and the selection of anticoagulant regimen for patients at high stroke and bleeding risk.

resultsOverall, 18 185 (55.6%) patients had a high risk of stroke (CHADS

conclusionsIn elderly NVAF patients at high stroke risk, significant demographic and clinical differences were observed according to bleeding risk. Administration of low-dose DOACs was frequent, but the dose distribution was unaffected by bleeding risk. TRIAL REGISTRATION NUMBER: UMIN000024006 (http://www.umin.ac.jp/).

Indexed as

Atrial FibrillationStrokeAdministration, OralAgedAnticoagulantsCohort StudiesHumansJapanProspective StudiesRegistriesAnticoagulantscardiologystrokestroke medicine

Identifiers

PMID34006033
PMCPMC7942257
OpenAlexW3135394161

What OpenQuestion holds

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LicenceCC BY-NC
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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.