Evidence map›Paper›PMID 34791521›Full record

ArticleEuropean journal of clinical pharmacology2022

Trends in the use of oral anticoagulants, antiplatelets and statins in four European countries: a population-based study.

Luis A García Rodríguez, Lucía Cea Soriano, Francisco J de Abajo, Francesca Valent, Jesper Hallas, Miguel Gil, Chiara Cattaruzzi, Sara Rodriguez-Martin, Pareen Vora, Montse Soriano-Gabarró and 1 more

Full text read
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Article in European journal of clinical pharmacology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Can drug-induced platelet dysfunction be reversed?Research and practice in thrombosis and haemostasis · 2026
    Review
  8. Article
  9. Article
  10. Article
  11. Observational
  12. Article
  13. Article
  14. How to undertake procedures while on antiplatelet agents: a hematologist's view.Research and practice in thrombosis and haemostasis · 2024
    Review
  15. Article
  16. Article
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  18. Review
  19. 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

11 authors.

Luis A García RodríguezSpanish Centre for Pharmacoepidemiologic Research (CEIFE), Madrid, Spain. lagarcia@ceife.es.ORCID http://orcid.org/0000-0003-0837-2709
Lucía Cea SorianoDepartment of Public Health and Maternal and Child Health, Faculty of Medicine, Complutense University of Madrid), Madrid, Spain.
Francisco J de AbajoClinical Pharmacology Unit, Department of Biomedical Sciences (Pharmacology Section), University Hospital Príncipe de Asturias, University of Alcalá (IRYCIS), Alcalá de Henares, Madrid, Spain.
Francesca ValentInstitute of Hygiene and Clinical Epidemiology, Udine Integrated University Health Unit, Udine, Italy.
Jesper HallasClinical Pharmacology and Pharmacy, Department of Public Health, University of Southern Denmark, Odense, Denmark.
Miguel GilDivisión de Farmacoepidemiología Y Farmacovigilancia, Agencia Española de Medicamentos Y Productos Sanitarios, Madrid, Spain.
Chiara CattaruzziPharmaceutical Service, Udine Integrated University Health Unit, Udine, Italy.
Sara Rodriguez-MartinClinical Pharmacology Unit, Department of Biomedical Sciences (Pharmacology Section), University Hospital Príncipe de Asturias, University of Alcalá (IRYCIS), Alcalá de Henares, Madrid, Spain.
Pareen VoraBayer AG, Berlin, Germany.
Montse Soriano-GabarróBayer AG, Berlin, Germany.
David GaistResearch Unit for Neurology, Odense University Hospital, University of Southern Denmark, Odense, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate time trends in the prevalence of antithrombotic and statin use in four European countries.

methodsUsing population-based data from the United Kingdom, Denmark, Spain and Italy between 2010 and 2018, we calculated standardized annual prevalence proportions of antithrombotics and statin use, and changes in prevalence proportions (2018 vs. 2010).

resultsPrevalence proportion of statins increased from 24.8% to 24.6% (UK), 21.0% to 22.3% (Region of Southern Denmark [RSD]), 12.9% to 14.3% (Udine, Italy), and 20.3% to 23.2% (Spain). Prevalence proportions of antithrombotics declined in all four countries: 18.7% to 15.9% (UK; - 2.8% points), 18.9% to 18.1% (RSD; - 0.8% points), 17.7% to 16.6% (Udine; - 1.1% points) and 15.0% to 13.6% (Spain; - 1.4% points). These declines were driven by reductions in low-dose aspirin use: 15.3% to 8.9% (UK; - 6.4% points), 16.3% to 9.5% (RSD; - 6.8% points), 13.5% to 11.6% (Udine; - 1.9% points), and 10.2% to 8.8% (Spain; - 1.4% points). In the UK, low-dose aspirin use declined from 9.1% to 4.3% (- 4.8% points) for primary CVD prevention, and from 49.6% to 36.9% (- 12.7% points) for secondary prevention. Oral anticoagulant use gradually increased but did not fully account for the decrease in low-dose aspirin use.

conclusionsAntithrombotic use in the UK, RSD, Udine and Spain declined between 2010 and 2018, driven by a reduction in use of low-dose aspirin that is not completely explained by a gradual increase in OAC use. Use of statins remained constant in the UK, and increased gradually in the RSD, Udine and Spain.

Indexed as

AnticoagulantsAspirinCardiovascular DiseasesDose-Response Relationship, DrugDrug UtilizationEuropeHumansHydroxymethylglutaryl-CoA Reductase InhibitorsPlatelet Aggregation InhibitorsAnticoagulantsAspirinHydroxymethylglutaryl-CoA Reductase InhibitorsPlatelet Aggregation InhibitorsAnticoagulantsAntithromboticsAspirinDatabaseStatinsTrends

Identifiers

PMID34791521
PMCPMC8818635

What OpenQuestion holds

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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.