Evidence map›Paper›PMID 36000413›Full record

ArticleJournal of the American Heart Association2022

Direct Oral Anticoagulants Versus Warfarin in Patients With Atrial Fibrillation and Valve Replacement or Repair.

Amgad Mentias, Marwan Saad, Madonna Michael, Shady Nakhla, Venu Menon, Serge Harb, Pulkit Chaudhury, Douglas Johnston, Walid Saliba, Oussama Wazni and 3 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 pooled it
3.8field-weighted citation impact, top 5% 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

13 citing papers in PubMed, 3 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
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  8. Observational
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  10. Antithrombotic therapy for transcatheter structural heart intervention.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2024
    Review
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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

13 authors at 2 institutions in 1 country.

Amgad MentiasHeart, Thoracic and Vascular Institute Cleveland Clinic Foundation Cleveland OH.ORCID 0000-0001-6555-2517
Marwan SaadDepartment of Cardiology Warren Alpert School of Medicine at Brown University Providence RI.ORCID 0000-0002-2280-8030
Madonna MichaelHeart, Thoracic and Vascular Institute Cleveland Clinic Foundation Cleveland OH.
Shady NakhlaHeart, Thoracic and Vascular Institute Cleveland Clinic Foundation Cleveland OH.
Venu MenonHeart, Thoracic and Vascular Institute Cleveland Clinic Foundation Cleveland OH.ORCID 0000-0003-4410-2677
Serge HarbHeart, Thoracic and Vascular Institute Cleveland Clinic Foundation Cleveland OH.
Pulkit ChaudhuryHeart, Thoracic and Vascular Institute Cleveland Clinic Foundation Cleveland OH.ORCID 0000-0002-8210-8394
Douglas JohnstonHeart, Thoracic and Vascular Institute Cleveland Clinic Foundation Cleveland OH.
Walid SalibaHeart, Thoracic and Vascular Institute Cleveland Clinic Foundation Cleveland OH.ORCID 0000-0003-3324-8611
Oussama WazniHeart, Thoracic and Vascular Institute Cleveland Clinic Foundation Cleveland OH.ORCID 0000-0001-7115-7716
Lars SvenssonHeart, Thoracic and Vascular Institute Cleveland Clinic Foundation Cleveland OH.ORCID 0000-0002-5749-4588
Milind Y DesaiHeart, Thoracic and Vascular Institute Cleveland Clinic Foundation Cleveland OH.ORCID 0000-0003-0010-9797
Samir KapadiaHeart, Thoracic and Vascular Institute Cleveland Clinic Foundation Cleveland OH.ORCID 0000-0002-0026-3391
Cleveland Clinic · USBrown University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background We sought to examine outcomes of direct oral anticoagulants (DOACs) versus warfarin in atrial fibrillation with valve repair/replacement. Methods and Results Two atrial fibrillation cohorts from Medicare were identified from 2015 to 2019. They comprised patients who underwent surgical or transcatheter mitral valve repair (MV repair cohort) and surgical aortic or mitral bioprosthetic or transcatheter aortic valve replacement (bioprosthetic cohort). Each cohort was divided into warfarin and DOACs (apixaban, rivaroxaban, and dabigatran) groups. Study outcomes included mortality, stroke, and major bleeding. Inverse probability weighting was used for adjustment between the 2 groups in each cohort. The MV repair cohort included 1178 patients. After a median of 468 days, DOACs were associated with lower risk of mortality (hazard ratio [HR], 0.67 [95% CI, 0.55-0.82],

Indexed as

Atrial FibrillationIschemic StrokeStrokeAdministration, OralAgedAnticoagulantsDabigatranHemorrhageHumansMedicarePyridonesRivaroxabanUnited StatesWarfarinAnticoagulantsDabigatranPyridonesRivaroxabanWarfarinapixabanatrial fibrillationbrain ischemiadabigatranmitral valverivaroxabanwarfarin

Identifiers

PMID36000413
PMCPMC9496414
OpenAlexW4293171322

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.