Evidence map›Paper›PMID 34427750›Full record

Observational studyHeart and vessels2022

Sex-related difference in bleeding and thromboembolic risks in patients with atrial fibrillation treated with direct oral anticoagulants.

Mikiko Matsumura, Yohei Sotomi, Akio Hirata, Yasushi Sakata, Atsushi Hirayama, Yoshiharu Higuchi

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Heart and vessels, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.9field-weighted citation impact, top 23% 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

7 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
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  6. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Mikiko MatsumuraDepartment of Cardiology, Osaka Police Hospital, 10-31, Kitayama, Tennoji, Osaka, 543-0035, Japan.
Yohei SotomiDepartment of Cardiology, Osaka Police Hospital, 10-31, Kitayama, Tennoji, Osaka, 543-0035, Japan. sotomiyohei@gmail.com.ORCID http://orcid.org/0000-0002-7564-2978
Akio HirataDepartment of Cardiology, Osaka Police Hospital, 10-31, Kitayama, Tennoji, Osaka, 543-0035, Japan.
Yasushi SakataDepartment of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Osaka, Japan.
Atsushi HirayamaDepartment of Cardiology, Osaka Police Hospital, 10-31, Kitayama, Tennoji, Osaka, 543-0035, Japan.
Yoshiharu HiguchiDepartment of Cardiology, Osaka Police Hospital, 10-31, Kitayama, Tennoji, Osaka, 543-0035, Japan.
Osaka Police Hospital · JPSoai University · JPThe University of Osaka · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSex-related difference in non-valvular atrial fibrillation (NVAF) patients treated with direct oral anticoagulants (DOACs) is still to be investigated. We aimed to investigate sex difference in patient characteristics and clinical outcomes of the NVAF patients treated with DOAC in the real-world Japanese clinical practice. METHODS AND

resultsWe conducted a single-center prospective observational registry of NVAF patients treated with DOACs: the DIRECT registry (women, N = 806; men, N = 1410; follow-up duration, 407 ± 388 days). In the present study, all patients were stratified by sex. Women had significantly higher age, lower body weight, lower hemoglobin, lower creatinine clearance, and a higher bleeding risk estimate (ORBIT score) and higher thromboembolic risk estimates (CHADS

conclusionsOur real-world study of patients treated with DOAC showed that Japanese women experienced comparable bleeding events as compared to men despite the higher bleeding risk estimates. The higher thromboembolic risk estimates in women than in men translated into the higher thromboembolic event rates.Clinical trials identifier: UMIN000033283.

Indexed as

Atrial FibrillationStrokeAdministration, OralAnticoagulantsFemaleHemorrhageHumansMaleSex CharacteristicsAnticoagulantsAtrial fibrillationBleedingDirect oral anticoagulantSexThromboembolism

Identifiers

PMID34427750
OpenAlexW3194032502

What OpenQuestion holds

Textmetadata
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.