Evidence map›Paper›PMID 34386125›Full record

ArticleJournal of arrhythmia2021

Changes in anticoagulant prescription patterns over time for patients with atrial fibrillation around the world.

Monika Kozieł, Christine Teutsch, Valentina Bayer, Shihai Lu, Venkatesh K Gurusamy, Jonathan L Halperin, Kenneth J Rothman, Hans-Christoph Diener, Chang-Sheng Ma, Menno V Huisman and 2 more

Open access · goldAbstract read
In one paragraph

Article in Journal of arrhythmia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
4.9field-weighted citation impact, top 4% 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

22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 39 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Management of Peptic Ulcer Disease in Patients Taking Antithrombotic Agents.The Korean journal of helicobacter and upper gastrointestinal research · 2026
    Review
  5. Review
  6. Stroke incidence in heart failure and atrial fibrillation: a population-based retrospective cohort study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
    Article
  7. Article
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  9. Observational
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  13. Antiplatelet and anticoagulant therapy in patients with submacular hemorrhage caused by neovascular age-related macular degeneration.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2023
    Review
  14. Article
  15. Article
  16. Article
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  18. Observational
  19. Optimizing adherence and persistence to non-vitamin K antagonist oral anticoagulant therapy in atrial fibrillation.European heart journal supplements : journal of the European Society of Cardiology · 2022
    Article
  20. 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

12 authors at 8 institutions in 10 countries.

Monika KoziełLiverpool Centre for Cardiovascular Science University of Liverpool and Liverpool Heart and Chest Hospital Liverpool UK.ORCID https://orcid.org/0000-0003-0384-1975
Christine TeutschDepartment of Clinical Development and Medical Affairs Therapeutic Area Cardiometabolism Boehringer Ingelheim International GmbH Ingelheim Germany.
Valentina BayerBiostatistics and Data Sciences Department Boehringer Ingelheim Pharmaceuticals, Inc. Ridgefield CT USA.
Shihai LuBiostatistics and Data Sciences Department Boehringer Ingelheim Pharmaceuticals, Inc. Ridgefield CT USA.
Venkatesh K GurusamyGlobal Epidemiology Boehringer Ingelheim International GmbH Ingelheim Germany.
Jonathan L HalperinIcahn School of Medicine at Mount Sinai New York City NY USA.
Kenneth J RothmanRTI Health Solutions Research Triangle Park NC USA.
Hans-Christoph DienerInstitute for Medical Informatics, Biometry and Epidemiology Essen Germany.
Chang-Sheng MaUniversity of Duisburg-Essen Essen Germany.
Menno V HuismanDepartment of Thrombosis and Hemostasis Leiden University Medical Center Leiden the Netherlands.
Gregory Y H LipLiverpool Centre for Cardiovascular Science University of Liverpool and Liverpool Heart and Chest Hospital Liverpool UK.ORCID https://orcid.org/0000-0002-7566-1626
GLORIA‐AF Investigators
Boehringer Ingelheim (Germany) · DEBoehringer Ingelheim (Japan) · JPUniversity of Liverpool · GBCapital Medical University · CNIcahn School of Medicine at Mount Sinai · USLeiden University Medical Center · NLRTI Health Solutions · USZimmer Biomet (Netherlands) · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrescribing patterns for stroke prevention in atrial fibrillation (AF) patients evolved with approval of non-Vitamin K antagonist oral anticoagulants (NOACs) over time.

objectivesTo assess changes in anticoagulant prescription patterns in various geographical regions upon first approval of a NOAC and to analyze the evolution of oral anticoagulants (OACs) use over time in relation to CHA

methodsGlobal Registry on Long-Term Oral Antithrombotic Treatment in Patients with Atrial Fibrillation

resultsFrom GLORIA-AF Phases II and III, 27 432 patients were eligible for this analysis. When contrasting the first year with the fourth year of enrolment, the proportion of NOAC prescriptions increased in Asia from 29.2% to 60.8%, in Europe from 53.4% to 75.8%, in North America from 49.0% to 73.9% and in Latin America from 55.7% to 71.1%. The proportion of Vitamin K antagonists (VKAs) use decreased across all regions over time, in Asia from 26.0% to 9.8%, in Europe from 35.5% to 16.8%, in North America from 28.9% to 12.1%, and in Latin America from 32.4% to 17.8%. In the multivariable analysis, factors associated with NOAC prescription were as follows: enrolment year, type of site, region, stroke and bleeding risk scores, and type and categorization of AF.

conclusionsDuring 4 years after the approval of the first NOAC, NOAC use increased, while VKA use decreased, across all regions.

Indexed as

atrial fibrillationbleeding riskGLORIA‐AForal anticoagulantsstroke risk

Identifiers

PMID34386125
PMCPMC8339088
OpenAlexW3180382634

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.