Evidence map›Paper›PMID 37005636›Full record

Trial reportTrials2023

Lenient rate control versus strict rate control for atrial fibrillation: a statistical analysis plan for the Danish Atrial Fibrillation (DanAF) randomized clinical trial.

Isak Mazanti Cold, Joshua Buron Feinberg, Axel Brandes, Ulla Davidsen, Ulrik Dixen, Helena Dominguez, Uffe Jakob Ortved Gang, Christian Gluud, Rakin Hadad, Kit Engedal Kristensen and 8 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled TrialMulticenter StudyEquivalence Trial
In one paragraph

Trial report in Trials, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04542785 (Lenient Rate Control Versus Strict Rate Control for Atrial Fibrillation. The Danish Atrial Fibrillation), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 92% 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.

NCT04542785 naunknown statusnot on this map

Lenient Rate Control Versus Strict Rate Control for Atrial Fibrillation. The Danish Atrial Fibrillation (DanAF) Randomised Clinical Trial

TypeinterventionalSponsorHolbaek SygehusRan2021 to 2026Enrolled350ConditionsAtrial Fibrillation, Persistent, Atrial Fibrillation Chronic, Atrial FibrillationArmsRate control
3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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

18 authors at 5 institutions in 1 country.

Isak Mazanti ColdThe Faculty of Health and Medical Sciences, The University of Copenhagen, Copenhagen, Denmark. hnv290@lumni.ku.dk.ORCID http://orcid.org/0000-0003-1841-6971
Joshua Buron FeinbergCopenhagen Trial Unit, Centre for Clinical Intervention Research, The Capital Region, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.
Axel BrandesDepartment of Cardiology, Odense University Hospital, Odense C, Denmark.
Ulla DavidsenDepartment of Cardiology, Copenhagen University Hospital Bispebjerg and Frederiksberg, Copenhagen, Capital Region of Denmark, Denmark.
Ulrik DixenDepartment of Cardiology, University Hospital Amager and Hvidovre, Copenhagen, Denmark.
Helena DominguezDepartment of Cardiology, Copenhagen University Hospital Bispebjerg and Frederiksberg, Copenhagen, Capital Region of Denmark, Denmark.
Uffe Jakob Ortved GangDepartment of Cardiology, Zealand University Hospital Roskilde, Roskilde, Region Zealand, Denmark.
Christian GluudCopenhagen Trial Unit, Centre for Clinical Intervention Research, The Capital Region, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.
Rakin HadadDepartment of Cardiology, Copenhagen University Hospital Bispebjerg and Frederiksberg, Copenhagen, Capital Region of Denmark, Denmark.
Kit Engedal KristensenDepartment of Cardiology, University Hospital Amager and Hvidovre, Copenhagen, Denmark.
Doan Tuyet van LeDepartment of Cardiology, Zealand University Hospital Roskilde, Roskilde, Region Zealand, Denmark.
Emil Eik NielsenCopenhagen Trial Unit, Centre for Clinical Intervention Research, The Capital Region, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.
Michael Hecht OlsenDepartment of Internal Medicine - Section of Cardiology, Holbaek Hospital, Holbaek, Region Zealand, Denmark.
Ole Dyg PedersenDepartment of Cardiology, Zealand University Hospital Roskilde, Roskilde, Region Zealand, Denmark.
Ilan Esra RaymondDepartment of Cardiology, University Hospital Amager and Hvidovre, Copenhagen, Denmark.
Ahmad SajadiehDepartment of Cardiology, Copenhagen University Hospital Bispebjerg and Frederiksberg, Copenhagen, Capital Region of Denmark, Denmark.
Anne Merete Boas SojaDepartment of Internal Medicine - Section of Cardiology, Holbaek Hospital, Holbaek, Region Zealand, Denmark.
Janus Christian JakobsenCopenhagen Trial Unit, Centre for Clinical Intervention Research, The Capital Region, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.
Region Zealand · DKUniversity of Southern Denmark · DKAmager Hospital · DKFrederiksberg Hospital · DKUniversity of Copenhagen · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA key decision in the treatment of atrial fibrillation is choosing between a rhythm control strategy or a rate control strategy as the main strategy. When choosing rate control, the optimal heart rate target is uncertain. The Danish Atrial Fibrillation trial is a randomized, multicenter, two-group, superiority trial comparing strict rate control versus lenient rate control in patients with either persistent or permanent atrial fibrillation at inclusion. To prevent bias arising from selective reporting and data-driven analyses, we developed a predefined description of the statistical analysis.

methodsThe primary outcome of this trial is the physical component score of the SF-36 questionnaire. A total of 350 participants will be enrolled based on a minimal important difference of 3 points on the physical component score of the SF-36 questionnaire, a standard deviation of 10 points, a statistical power of 80% (beta of 20%), and an acceptable risk of type I error of 5%. All secondary, exploratory, and echocardiographic outcomes will be hypothesis-generating. The analyses of all outcomes will be based on the intention-to-treat principle. We will analyze continuous outcomes using linear regression adjusting for "site," type of atrial fibrillation at inclusion (persistent/ permanent), left ventricular ejection fraction (≥ 40% or < 40%), and the baseline value of the outcome (all as fixed effects). We define our threshold for statistical significance as a p-value of 0.05 and assessments of clinical significance will be based on the anticipated intervention effects defined in the sample size and power estimations. Thresholds for both statistical and clinical significance will be assessed according to the 5-step procedure proposed by Jakobsen and colleagues. DISCUSSION: This statistical analysis plan will be published prior to enrolment completion and before any data are available and is sought to increase the validity of the DANish Atrial Fibrillation trial.

trial registrationClinicaltrials.gov NCT04542785. Registered on Sept 09, 2020.

Indexed as

Atrial FibrillationDenmarkHumansResearch DesignStroke VolumeTreatment OutcomeVentricular Function, LeftAtrial fibrillationRandomized trialRate controlStatistical analysis plan

Identifiers

PMID37005636
PMCPMC10068144
OpenAlexW4362521085

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Registered trials

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.