Evidence map›Paper›PMID 36938096›Full record

ArticleKidney international reports2023

Association of Kidney Function With Risk of Adverse Effects of Therapies for Atrial Fibrillation.

Nisha Bansal, Leila R Zelnick, Jaejin An, Teresa N Harrison, Ming-Sum Lee, Daniel E Singer, Sue Hee Sung, Dongjie Fan, Alan S Go

Open access · goldAbstract read
In one paragraph

Article in Kidney international reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 37% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. 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

9 authors at 3 institutions in 1 country.

Nisha BansalKidney Research Institute, Division of Nephrology, University of Washington, Seattle, Washington, USA.
Leila R ZelnickKidney Research Institute, Division of Nephrology, University of Washington, Seattle, Washington, USA.
Jaejin AnDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, California, USA.
Teresa N HarrisonDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, California, USA.
Ming-Sum LeeDepartment of Cardiology, Kaiser Permanente Los Angeles Medical Center, Los Angeles, California, USA.
Daniel E SingerClinical Epidemiology Unit, Massachusetts General Hospital, Boston, Massachusetts, USA.
Sue Hee SungDivision of Research, Kaiser Permanente Northern California, Oakland, California, USA.
Dongjie FanDivision of Research, Kaiser Permanente Northern California, Oakland, California, USA.
Alan S GoDivision of Research, Kaiser Permanente Northern California, Oakland, California, USA.
Kaiser Permanente · USUniversity of Washington · USHarvard University · US

Funding

Optimizing Atrial Fibrillation Management in CKDR01HL142834 · NHLBI · UNIVERSITY OF WASHINGTON · PI BANSAL, NISHA, GO, ALAN S · 2019 to 2022
$3.4M
Heart failure and atrial arrhythmias in CKDR01DK103612 · NIDDK · UNIVERSITY OF WASHINGTON · PI BANSAL, NISHA · 2015 to 2018
$1.9M
NHLBI NIH HHS R01 HL142834NIDDK NIH HHS R01 DK103612
6 · The paper itself

Abstract

Introduction: Atrial fibrillation (AF) is common in chronic kidney disease (CKD) and is treated with rate control medications, antiarrhythmic medications, as well as anticoagulation and procedures, each of which have associated risks. We aimed to evaluate the association of CKD status with the risks of adverse effects after initiation of AF therapies. Methods: This was a cohort study of community-based adults who newly initiated rate control medications, antiarrhythmic medications, warfarin, direct oral anticoagulants (DOACs) or received AF procedures in the 1 year after diagnosis of AF. Baseline estimated glomerular filtration rate (eGFR) was calculated using outpatient serum creatinine measures. Adverse effects within 1 year related to each AF therapy or within 1 month of an AF procedure were ascertained from vital sign databases, electrocardiograms (ECGs), and administrative codes. Fine-Gray hazard models were used to study the association of eGFR categories with risk of adverse effects for each AF therapy. Results: Among 115,564 patients with incident AF, lower eGFR (vs. eGFR ≥60 ml/min per 1.73 m Conclusion: There was a graded association between lower eGFR and risk of major bleeding with warfarin use, with the greatest risk among those with eGFR <15 ml/min per 1.73 m

Indexed as

atrial fibrillationchronic kidney disease

Identifiers

PMID36938096
PMCPMC10014389
OpenAlexW4311342888

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.