Evidence map›Paper›PMID 35941300›Full record

SynthesisEuropean journal of clinical pharmacology2022

A systematic review and meta-analysis of non-vitamin K antagonist oral anticoagulants vs vitamin K antagonists after transcatheter aortic valve replacement in patients with atrial fibrillation.

Amanda Jia Qi Ooi, Chloe Wong, Timothy Wei Ern Tan, Trina Priscilla Ng, Yao Neng Teo, Yao Hao Teo, Nicholas L Syn, Andie H Djohan, Yinghao Lim, Leonard L L Yeo and 9 more

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis 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 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
0.7field-weighted citation impact, top 30% 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, 2 syntheses or guidelines pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Efficacy and Safety of NOACs Compared With VKAs for Patients With Atrial Fibrillation After Transcatheter Aortic Valve Implantation: A System Review and Meta-Analysis.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Pooled it
  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

19 authors at 2 institutions in 1 country.

Amanda Jia Qi Ooi *Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Chloe Wong *Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Timothy Wei Ern Tan *Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Trina Priscilla Ng *Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Yao Neng TeoYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Yao Hao TeoYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Nicholas L SynYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Andie H DjohanDepartment of Cardiology, National University Heart Centre, Singapore, 119228, Singapore.
Yinghao LimDepartment of Cardiology, National University Heart Centre, Singapore, 119228, Singapore.
Leonard L L YeoYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Benjamin Y Q TanYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Mark Yan-Yee ChanYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Kian-Keong PohYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
William K F KongYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Ping ChaiYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Tiong-Cheng YeoYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
James W YipYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Ivandito KuntjoroDepartment of Cardiology, National University Heart Centre, Singapore, 119228, Singapore.
Ching-Hui SiaYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore. ching_hui_sia@nuhs.edu.sg.ORCID http://orcid.org/0000-0002-2764-2869
National University of Singapore · SGNational University Heart Centre Singapore · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTranscatheter aortic valve replacement (TAVR) is increasingly carried out in patients with aortic valvular conditions. Atrial fibrillation (AF) is a common comorbidity among patients undergoing TAVR. Despite this, there remains a paucity of data and established guidelines regarding anticoagulation use post-TAVR in patients with AF.

methodsFour databases were searched from inception until 12 October 2021. A title and abstract sieve, full-text review and data extraction were conducted by independent authors, and articles including patients without AF were excluded. The Review Manager (Version 5.4) was utilised in data analysis.

resultsA total of 25,199 post-TAVR patients with AF were included from seven articles, with 9764 patients on non-vitamin K antagonist oral anticoagulants (NOAC) and 15,435 patients on vitamin K antagonists (VKA). In this analysis, there was a significantly lower risk of all-cause mortality at 1 year (RR: 0.75, CI: 0.58-0.97, p = 0.04, I

conclusionWhile the results of this analysis reveal NOAC as a potential alternate treatment modality to VKA in post-TAVR patients with AF, further research is needed to determine the full safety and efficacy profile of NOAC (PROSPERO: CRD42021283548).

Indexed as

Atrial FibrillationBrain IschemiaStrokeTranscatheter Aortic Valve ReplacementAdministration, OralAnticoagulantsFibrinolytic AgentsHemorrhageHumansTreatment OutcomeAnticoagulantsFibrinolytic AgentsAtrial fibrillation (AF)Meta-analysisNon-vitamin K antagonists oral anticoagulants (NOAC)Transcatheter aortic valve replacement (TAVR)Vitamin K antagonist (VKA)

Identifiers

PMID35941300
OpenAlexW4290694853

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.