Evidence map›Paper›PMID 34729079›Full record

SynthesisCardiovascular therapeutics2021

Efficacy and Safety of Direct Oral Anticoagulants in Patients with Diabetes and Nonvalvular Atrial Fibrillation: Meta-Analysis of Observational Studies.

Bo Cao, Xingcan Yao, Lifang Zhang, Xiaobo Hu, Min Chen, Mingfeng Shen, Lan Xu

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in Cardiovascular therapeutics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
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

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

7 authors.

Bo CaoDepartment of Clinical Pharmacy, Affiliated Ninth Hospital of Suzhou University, Suzhou, China.ORCID https://orcid.org/0000-0003-2093-4786
Xingcan YaoDepartment of Clinical Pharmacy, Affiliated Ninth Hospital of Suzhou University, Suzhou, China.
Lifang ZhangDepartment of Clinical Pharmacy, Affiliated Ninth Hospital of Suzhou University, Suzhou, China.
Xiaobo HuDepartment of Clinical Pharmacy, Affiliated Ninth Hospital of Suzhou University, Suzhou, China.
Min ChenDepartment of Cardiovascular Medicine, Affiliated Ninth Hospital of Suzhou University, Suzhou, China.
Mingfeng ShenDepartment of Clinical Pharmacy, Affiliated Ninth Hospital of Suzhou University, Suzhou, China.
Lan XuDepartment of Clinical Pharmacy, Affiliated Ninth Hospital of Suzhou University, Suzhou, China.ORCID https://orcid.org/0000-0003-4190-0147

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis meta-analysis was performed to compare the efficacy and safety of direct oral anticoagulants (DOACs) with vitamin K antagonists (VKAs) for stroke prevention in real-world patients with diabetes and nonvalvular atrial fibrillation (NVAF) through observational studies.

methodsPubMed, Embase, and Web of Science databases were searched up to August 2020 for eligible studies. Outputs were presented as risk ratios (RRs) and corresponding 95% confidence intervals (CIs) by using a random-effect model.

resultsSeven observational studies involving 249,794 diabetic NVAF patients were selected. Compared with VKAs, the use of DOACs was associated with significantly reduced risks of stroke (RR = 0.56, 95% CI 0.45-0.70;

conclusionFor patients with NVAF and diabetes in real-world clinical settings, DOACs showed superior efficacy and safety profile over VKAs and significantly reduced risks of stroke, ischemic stroke, SSE, myocardial infarction, major bleeding, intracranial hemorrhage, and major gastrointestinal bleeding.

Indexed as

Atrial FibrillationDiabetes MellitusStrokeAdministration, OralAnticoagulantsHemorrhageHumansObservational Studies as TopicAnticoagulants

Identifiers

PMID34729079
PMCPMC8523231
OpenAlexW3205238226

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.