Evidence map›Paper›PMID 36180856›Full record

SynthesisJournal of translational medicine2022

Efficacy and safety of novel oral anticoagulants in patients with atrial nonvalvular atrial fibrillation and diabetes mellitus: a systematic review and meta-analysis.

Xuedong Jia, Zhao Yin, Wan Zhang, Shuzhang Du, Jian Kang

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of translational medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.1field-weighted citation impact, top 20% 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

7 citing papers in PubMed, 7 citations in OpenAlex.

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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

5 authors at 1 institution in 1 country.

Xuedong JiaDepartment of Pharmacy, The First Affiliated Hospital of Zhengzhou University, 43 North University Road, Zhengzhou City, 450052, Henan Province, China. jiaxd.zzu@163.com.ORCID 0000-0003-4317-5284
Zhao YinDepartment of Pharmacy, The First Affiliated Hospital of Zhengzhou University, 43 North University Road, Zhengzhou City, 450052, Henan Province, China.
Wan ZhangDepartment of Pharmacy, The First Affiliated Hospital of Zhengzhou University, 43 North University Road, Zhengzhou City, 450052, Henan Province, China.
Shuzhang DuDepartment of Pharmacy, The First Affiliated Hospital of Zhengzhou University, 43 North University Road, Zhengzhou City, 450052, Henan Province, China.
Jian KangDepartment of Pharmacy, The First Affiliated Hospital of Zhengzhou University, 43 North University Road, Zhengzhou City, 450052, Henan Province, China. 2455232597@qq.com.
First Affiliated Hospital of Zhengzhou University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study incorporates the results of subgroup analyses of currently published randomized controlled trials (RCTs) and real-world cohort studies to compare the effectiveness and safety of new direct oral anticoagulants (NOACs) and warfarin among nonvalvular atrial fibrillation patients with diabetes.

methodsThe PubMed, Embase, Cochrane Library, Web of Science and ClinicalTrials.gov databases were searched. Five retrospective cohort studies and four subgroup analyses of RCTs were included in this meta-analysis.

resultsA meta-analysis of the data of 26,7272 patients showed that for patients with nonvalvular atrial fibrillation and diabetes, NOACs can significantly reduce the incidence of stroke/systemic embolism (SSE), ischaemic stroke, and haemorrhagic stroke compared with warfarin, with no significant difference in major bleeding and all-cause mortality. Additionally, NOACs were superior to warfarin in the incidence of intracranial bleeding, gastrointestinal bleeding, myocardial infarction, and vascular death.

conclusionsAmong nonvalvular atrial fibrillation patients with diabetes, NOACs were associated with a lower risk of SSE versus warfarin, with no significant difference in major bleeding. Therefore, NOACs may be a better clinical choice.

Indexed as

Atrial FibrillationDiabetes MellitusStrokeAdministration, OralAnticoagulantsHemorrhageHumansRandomized Controlled Trials as TopicTreatment OutcomeWarfarinAnticoagulantsWarfarinAtrial fibrillationDiabetesEfficacyMeta-analysisNew direct oral anticoagulants (NOACs)SafetySystematic reviewWarfarin

Identifiers

PMID36180856
PMCPMC9524066
OpenAlexW4298141811

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.