Evidence map›Paper›PMID 34435340›Full record

ArticleDrugs - real world outcomes2022

Effectiveness and Tolerability of Fondaparinux vs Enoxaparin in a Population of Indian Patients with Symptomatic Deep Vein Thrombosis: A Retrospective Real-World Study.

Pinjala Ramakrishna, P C Gupta, Paresh Pai, Kumud Rai, M Rajkumar, Tapish Sahu, Mohammed Yunus Khan, Kumar Gaurav, Amey Mane, Sucheta Pandit and 2 more

Open access · goldAbstract read
In one paragraph

Article in Drugs - real world outcomes, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
2.1field-weighted citation impact, top 12% 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

2 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
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 6 institutions in 1 country.

Pinjala RamakrishnaApollo Hospitals, Jubilee Hills, Hyderabad, India.
P C GuptaVascular and Endovascular Surgery and Vascular Interventional Radiology, Care Hospital, Hyderabad, India.
Paresh PaiBhatia Hospital, Mumbai, India.
Kumud RaiMax Healthcare, Delhi, India.
M RajkumarApollo Specialty Hospitals, Vanagaram, Chennai, India.
Tapish SahuMedanta Hospital, Gurugram, India.
Mohammed Yunus KhanDr.Reddy's Laboratories, Medical Affairs, Ameerpet, Hyderabad, Telangna, India. doctorkhan26@gmail.com.
Kumar GauravDr.Reddy's Laboratories, Medical Affairs, Ameerpet, Hyderabad, Telangna, India.
Amey ManeDr.Reddy's Laboratories, Medical Affairs, Ameerpet, Hyderabad, Telangna, India.
Sucheta PanditDr.Reddy's Laboratories, Medical Affairs, Ameerpet, Hyderabad, Telangna, India.
Madhur JainUjala Cygnus Super Speciality Hospital, Rewari, Haryana, India.
Anand SubramaniyanKauvery Heartcity, Tamil Nadu, Tiruchirapalli, India.
Dr. Reddy's Laboratories (India) · INApollo Hospitals · INBhatia Hospital · INCARE Hospitals · INMax Healthcare · INMedanta The Medicity · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFondaparinux is the first approved anticoagulant drug among factor Xa inhibitors, with proven effectiveness and safety in preventing deep vein thrombosis. However, limited data are available supporting the benefit-risk profile of fondaparinux vs enoxaparin in a real-world group of Indian patients with deep vein thrombosis.

objectiveTo compare the effectiveness and tolerability of fondaparinux vs enoxaparin in patients with symptomatic deep vein thrombosis in a long-term real-world setting.

methodsData from the electronic medical records of adult patients diagnosed with deep vein thrombosis prescribed fondaparinux (n = 503) or enoxaparin (n = 508) as monotherapy were analyzed. Effectiveness was analyzed in terms of recurrence, duration, and type of deep vein thrombosis event, and tolerability as bleeding events at initial hospitalization and follow-up visits up to 3 months duration. Appropriate statistical methods were used to determine the significance (p < 0.05) between the two groups.

resultsThe deep vein thrombosis recurrence in the fondaparinux group was non-inferior (2.78%) when compared with enoxaparin (3.76%), with a mean duration of 47 and 48 days, respectively. The number of events and mean duration of events (in days) were not significant (p > 0.05). Major bleeding events were higher in the enoxaparin group at 3.17% than the fondaparinux group at 2.19%, and the difference was not statistically significant (p > 0.05).

conclusionsThe weight-based, once-daily subcutaneous fondaparinux dose showed non-inferior effectiveness and a comparable tolerability profile when compared with the twice-daily enoxaparin dose for the management of symptomatic deep vein thrombosis.

Identifiers

PMID34435340
PMCPMC8844336
OpenAlexW3196049818

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.