Evidence map›Paper›PMID 34640554›Full record

ArticleJournal of clinical medicine2021

Effectiveness and Safety of Non-Vitamin K Oral Anticoagulants in Non-Valvular Atrial Fibrillation Patients: Results of A Real-World Study in a Metropolitan Area of Northern Italy.

Emanuele Crocetti, Sarah Cattaneo, Walter Bergamaschi, Stefano De Servi, Antonio Giampiero Russo

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
1.1field-weighted citation impact, top 21% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Observational
  6. Review
  7. Article
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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

5 authors at 1 institution in 1 country.

Emanuele CrocettiEpidemiology Unit, Agency for Health Protection (ATS) of Milan, C.so Italia, 19, 20122 Milan, Italy.
Sarah CattaneoPharmacy Department, Agency for Health Protection (ATS) of Milan, C.so Italia, 19, 20122 Milan, Italy.
Walter BergamaschiGeneral Directorate, Agency for Health Protection (ATS) of Milan, C.so Italia, 19, 20122 Milan, Italy.
Stefano De ServiDepartment of Molecular Medicine, University of Pavia, 27100 Pavia, Italy.
Antonio Giampiero RussoEpidemiology Unit, Agency for Health Protection (ATS) of Milan, C.so Italia, 19, 20122 Milan, Italy.ORCID 0000-0002-5681-5861
University of Pavia · IT

Funding

Daiichi Sankyo Company Unavailable
6 · The paper itself

Abstract

backgroundNew oral anticoagulant agents (NOACs) are valid alternatives for vitamin K antagonists (VKA) in patients with non-valvular atrial fibrillation (NVAF) for stroke prevention. In clinical practice, NOACs users may differ from patients enrolled in clinical trials in age or comorbidities, and thus it is a critical issue to evaluate the effectiveness and safety of NOACs in the real-world. Accordingly, we assessed two-year overall mortality and hospital admissions for myocardial infarction, stroke or bleeding in patients with NVAF users of NOACs compared to warfarin-treated patients.

methodsThis is a population-based retrospective new user active comparator study. All atrial fibrillation patients who were naïve and not switcher users of oral anticoagulants from January 2017 to December 2019 were included (

resultsFor all NOACs, we found a decrease in the risks compared with warfarin for mortality (from -25% to -49%), hospitalization for myocardial infarction (from -16% to -27%, statistically significant for apixaban, edoxaban and rivaroxaban) and ischemic stroke (from -23% to -41%, significant for dabigatran and apixaban). The risk of bleeding was decreased for rivaroxaban (-33%) and numerically but not significantly for the other NOACs.

conclusionsAfter two years of follow-up, in comparison with warfarin, NOACs users showed a significant reduction of overall mortality (all NOACs), hospital admission for myocardial infarction (apixaban and edoxaban), ischemic stroke (dabigatran) and bleeding (rivaroxaban).

Indexed as

atrial fibrillationeffectivenessnew oral anticoagulant agentsreal-worldsafety

Identifiers

PMID34640554
PMCPMC8509661
OpenAlexW3204066204

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.