Evidence map›Paper›PMID 36431258›Full record

ReviewJournal of clinical medicine2022

The Efficacy and Safety of Direct Oral Anticoagulants versus Standard of Care in Patients without an Indication of Anti-Coagulants after Transcatheter Aortic Valve Replacement: A Meta-Analysis of Randomized Controlled Trials.

Mohamed Abuelazm, Basel Abdelazeem, Basant E Katamesh, Mohamed Gamal, Lakshmi Venkata Simhachalam Kutikuppala, Babikir Kheiri, James Robert Brašić, Timir K Paul

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Optimal Antithrombotic Regimen After Cryptogenic Stroke: A Systematic Review and Network Meta-Analysis.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Pooled it
  3. Review
  4. Article
  5. Review
  6. 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

8 authors.

Mohamed AbuelazmFaculty of Medicine, Tanta University, Tanta 31527, Egypt.ORCID 0000-0002-2514-0689
Basel AbdelazeemDepartment of Internal Medicine, McLaren Health Care, Flint, MI 48532, USA.ORCID 0000-0002-2919-6196
Basant E KatameshFaculty of Medicine, Tanta University, Tanta 31527, Egypt.ORCID 0000-0001-9992-2387
Mohamed GamalFaculty of Medicine, Tanta University, Tanta 31527, Egypt.ORCID 0000-0001-5302-5349
Lakshmi Venkata Simhachalam KutikuppalaFaculty of Modern Medicine, Dr. N.T.R. University of Health Sciences, Vijayawada 520008, Andhra Pradesh, India.ORCID 0000-0002-5685-6049
Babikir KheiriElectrophysiology and Arrhythmias Service, Division of Cardiology, Department of Medicine, University of California, San Francisco, CA 94117, USA.
James Robert BrašićSection of High-Resolution Brain Positron Emission Tomography Imaging, Division of Nuclear Medicine and Molecular Imaging, The Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.ORCID 0000-0002-3948-4853
Timir K PaulDepartment of Clinical Medical Education, The University of Tennessee Health Sciences Center at Nashville, Nashville, TN 38163, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Transcatheter aortic valve replacement (TAVR) is now considered the mainstay of aortic stenosis management; however, the optimal antithrombotic therapy in patent without indications for an oral anticoagulant (OAC) is yet to be identified. Therefore, we conducted a systematic review and meta-analysis to evaluate the efficacy and safety of direct oral anticoagulant (DOAC) treatment versus the standard of care in patients without indications of OACs after TAVR. We synthesized randomized controlled trials (RCTs) from Web of Science, SCOPUS, EMBASE, PubMed, and Cochrane until 18 August 2022. We used the risk ratio (RR) for dichotomous outcomes with the corresponding 95% confidence interval (CI). We registered our protocol in PROSPERO with ID: CRD42022357027. Three RCTs with 2922 patients were identified. DOACs were significantly associated with higher incidence of all-cause mortality (RR: 1.68 with 95% CI [1.22, 2.30],

Indexed as

aortic stenosisapixabanatrial fibrillationcerebral hemorrhageconfidence intervaledoxabanflow chartrivaroxabanthrombosisvalvular heart diseases

Identifiers

PMID36431258
PMCPMC9698271

What OpenQuestion holds

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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.