Evidence map›Paper›PMID 36514164›Full record

ArticleSystematic reviews2022

All-cause mortality after major gastrointestinal bleeding among patients receiving direct oral anticoagulants: a protocol for a systematic review and meta-analysis.

Nicholas L J Chornenki, Tobias Tritschler, Fabian Stucki, Roupen Odabashian, Jenneke Leentjens, Faizan Khan, Valentina Ly, Deborah M Siegal

Open access · goldAbstract read
In one paragraph

Article in Systematic reviews, 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
1.0field-weighted citation impact, top 22% 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

8 authors at 5 institutions in 3 countries.

Nicholas L J ChornenkiInternal Medicine Residency Program, Queens University, Kingston, ON, Canada.
Tobias TritschlerDepartment of General Internal Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Fabian StuckiDepartment of General Internal Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Roupen OdabashianClinical Epidemiology Program, The Ottawa Hospital Research Institute, Ottawa, ON, Canada.
Jenneke LeentjensClinical Epidemiology Program, The Ottawa Hospital Research Institute, Ottawa, ON, Canada.
Faizan KhanDepartment of Medicine, University of Ottawa, Ottawa, ON, Canada.
Valentina LyDepartment of Medicine, University of Ottawa, Ottawa, ON, Canada.
Deborah M SiegalDepartment of Medicine, University of Ottawa, Ottawa, ON, Canada. dsiegal@toh.ca.ORCID 0000-0003-3806-3245
University of Ottawa · CAUniversity of Bern · CHOttawa Hospital · CAQueen's University · CARadboud University Nijmegen · NL

Funding

CIHR CDT-142654
6 · The paper itself

Abstract

backgroundGastrointestinal (GI) bleeding represents the single most frequent site of anticoagulant-related bleeding. Adverse outcomes after major GI bleeding including mortality are not well characterized and, as a result, may be underappreciated in clinical practice. We aim to conduct a systematic review and meta-analysis of the risk for 30-day all-cause mortality after major GI bleeding among patients receiving DOACs.

methodsElectronic databases including MEDLINE, EMBASE, and Cochrane CENTRAL will be systematically searched to identify randomized controlled trials and prospective and retrospective cohort studies reporting 30-day all-cause mortality in adults with DOAC-related major GI bleeding. At least two investigators will independently perform study selection, risk of bias assessment, and data extraction. The proportion of deaths following a major GI event relative to the number of major GI bleeding events will be calculated for each individual study, and results across studies will be pooled using random-effects meta-analysis. We will assess risk of bias using criteria proposed by the GRADE group for prognostic studies. DISCUSSION: The findings of this systematic review and meta-analysis will provide clinicians and patients with estimates of mortality after the most common major bleeding event to support shared decision making about anticoagulation management.

trial registrationPROSPERO CRD42022295815.

Indexed as

AnticoagulantsGastrointestinal HemorrhageAdministration, OralAdultHumansMeta-Analysis as TopicProspective StudiesRetrospective StudiesSystematic Reviews as TopicAnticoagulantsAnticoagulationBleedingDirect oral anticoagulantsMortality

Identifiers

PMID36514164
PMCPMC9749304
OpenAlexW4311317358

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.