Evidence map›Paper›PMID 36172961›Full record

ArticleJournal of the American Heart Association2022

Percutaneous Left Atrial Appendage Occlusion in Comparison to Non-Vitamin K Antagonist Oral Anticoagulant Among Patients With Atrial Fibrillation.

Peter A Noseworthy, Holly K Van Houten, Harlan M Krumholz, David M Kent, Neena S Abraham, Jonathan Graff-Radford, Mohamad Alkhouli, Henry J Henk, Nilay D Shah, Bernard J Gersh 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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
4.1field-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

9 citing papers in PubMed, 26 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. A Comprehensive Review of Percutaneous and Surgical Left Atrial Appendage Occlusion.Journal of cardiovascular development and disease · 2024
    Review
  5. Article
  6. Review
  7. Observational
  8. Review
  9. Article
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 6 institutions in 1 country.

Peter A NoseworthyRobert D. and Patricia E. Kern Center for the Science of Health Care Delivery Mayo Clinic Rochester MN.ORCID 0000-0002-4308-0456
Holly K Van HoutenRobert D. and Patricia E. Kern Center for the Science of Health Care Delivery Mayo Clinic Rochester MN.ORCID 0000-0003-4981-4868
Harlan M KrumholzSection of Cardiovascular Medicine, Department of Health Policy and Management, and the Center for Outcomes Research and Evaluation Yale University School of Medicine New Haven CT.ORCID 0000-0003-2046-127X
David M KentPredictive Analytics and Comparative Effectiveness (PACE) Center, Institute for Clinical Research and Health Policy Studies, Tufts Medical Center/Tufts University School of Medicine Boston MA.ORCID 0000-0002-9205-5070
Neena S AbrahamRobert D. and Patricia E. Kern Center for the Science of Health Care Delivery Mayo Clinic Rochester MN.
Jonathan Graff-RadfordDepartment of Neurology Mayo Clinic Rochester MN.ORCID 0000-0003-2770-0691
Mohamad AlkhouliDepartment of Cardiovascular Medicine Mayo Clinic Rochester MN.ORCID 0000-0003-3847-0959
Henry J HenkOptumLabs Minnetonka MN.
Nilay D ShahDelta Airlines Atlanta GA.
Bernard J GershDepartment of Cardiovascular Medicine Mayo Clinic Rochester MN.ORCID 0000-0001-5605-900X
Paul A FriedmanDepartment of Cardiovascular Medicine Mayo Clinic Rochester MN.
David R HolmesDepartment of Cardiovascular Medicine Mayo Clinic Rochester MN.ORCID 0000-0002-0037-0373
Xiaoxi YaoRobert D. and Patricia E. Kern Center for the Science of Health Care Delivery Mayo Clinic Rochester MN.ORCID 0000-0001-9906-7106
Mayo Clinic in Arizona · USMayo Clinic · USDelta Air Lines (United States) · USOptum (United States) · USTufts University · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Optimizing stroke prevention for older adults with atrial fibrillation: Towards rigorous evaluation and judicious application of a new deviceR01AG062436 · NIA · MAYO CLINIC ROCHESTER · PI NOSEWORTHY, PETER A, YAO, XIAOXI · 2020 to 2024
$2.5M
NCATS NIH HHS UL1 TR001863NIA NIH HHS R01 AG062436
6 · The paper itself

Abstract

Background This study aimed to compare percutaneous left atrial appendage occlusion (LAAO) with non-vitamin K antagonist oral anticoagulants among patients with atrial fibrillation. Methods and Results Using a US administrative database, 562 850 patients with atrial fibrillation were identified, among whom 8397 were treated with LAAO and 554 453 were treated with non-vitamin K antagonist oral anticoagulants between March 13, 2015 and December 31, 2018. Propensity score overlap weighting was used to balance baseline characteristics. The primary outcome was a composite end point of ischemic stroke or systemic embolism, major bleeding, and all-cause mortality. The mean age was 76.4±7.6 years; 280 097 (49.8%) were female. Mean follow-up was 1.5±1.0 years. LAAO was associated with no significant difference in the risk of the primary composite end point (hazard ratio [HR], 0.93 [0.84-1.03]), or the secondary outcomes including ischemic stroke/systemic embolism (HR, 1.07 [0.81-1.41]), and intracranial bleeding (HR, 1.08 [0.72-1.61]). LAAO was associated with a higher risk of major bleeding (HR, 1.22 [1.05-1.42],

Indexed as

Atrial AppendageAtrial FibrillationEmbolismIschemic StrokeStrokeAgedAged, 80 and overAnticoagulantsFemaleFibrinolytic AgentsHemorrhageHumansIntracranial HemorrhagesMaleTreatment OutcomeAnticoagulantsFibrinolytic Agentsatrial fibrillationbleedingleft atrial appendage occlusionoral anticoagulantstroke

Identifiers

PMID36172961
PMCPMC9673739
OpenAlexW4297964979

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.