Evidence map›Paper›PMID 37127790›Full record

ArticleJournal of pharmaceutical policy and practice2023

Patients' views and experiences on the use and safety of directly acting oral anticoagulants: a qualitative study.

Abdulrhman Al Rowily, Mohamed A Baraka, Mohammed H Abutaleb, Aliah M Alhayyan, Nouf Aloudah, Zahraa Jalal, Vibhu Paudyal

Open access · goldAbstract read
In one paragraph

Article in Journal of pharmaceutical policy and practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 21% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. 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

7 authors at 6 institutions in 4 countries.

Abdulrhman Al RowilySchool of Pharmacy, Institute of Clinical Sciences, College of Medical and Dental Sciences, Sir Robert Aitken Institute for Medical Research, University of Birmingham, Birmingham, B15 2TT, UK. axa1320@student.bham.ac.uk.ORCID http://orcid.org/0000-0002-8813-7612
Mohamed A BarakaCollege of Pharmacy, Al Ain University, Al Ain, United Arab Emirates.
Mohammed H AbutalebPharmaceutical Care Department, King Fahd Central Hospital, Jazan Health Affairs, Ministry of Health, Jazan, Saudi Arabia.ORCID http://orcid.org/0000-0002-5300-5900
Aliah M AlhayyanThird Health Cluster, AL-Diriyah Hospital, Riyadh, Saudi Arabia.
Nouf AloudahDepartment of Clinical Pharmacy, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia.
Zahraa JalalSchool of Pharmacy, Institute of Clinical Sciences, College of Medical and Dental Sciences, Sir Robert Aitken Institute for Medical Research, University of Birmingham, Birmingham, B15 2TT, UK.
Vibhu PaudyalSchool of Pharmacy, Institute of Clinical Sciences, College of Medical and Dental Sciences, Sir Robert Aitken Institute for Medical Research, University of Birmingham, Birmingham, B15 2TT, UK.
University of Birmingham · GBAl Ain University · AEInnovation Cluster (Canada) · CAKing Fahd Military Medical Complex · SAKing Saud University · SAMinistry of Health · SA

Funding

Saudi Arabia Cultural Bureau in London MD436
6 · The paper itself

Abstract

backgroundDirect oral anticoagulants (DOACs) are considered high-risk medications and used to prevent thromboembolic events and stroke. This study aimed to examine patients' views and experiences of DOACs use and factors that can promote safety associated with DOACs.

methodsIn-depth interviews were conducted with adult patients who had been prescribed DOACs, identified and invited by local collaborators in three different tertiary care hospitals in Saudi Arabia. A topic guide developed based on was used to inform the interview. Data were analysed thematically.

resultsData saturation was achieved by the ninth participants. Three major themes were identified: (1) factors affecting DOAC's safety from the patients view; (2) barriers to adherence to DOACs and (3) strategies to promote the safety of DOACs. Lack of knowledge of DOACs, using inappropriate sources of information, lack of communication with HCPs, difficulty in having access to DOACs and lack of monitoring were the main factors affecting the safe use of DOACs. Unavailability of the drugs and difficulty in timely getting to hospitals affected adherence. Patients acknowledged difficulties communicating with healthcare professionals, timely access to anticoagulation clinics and in obtaining their DOACs on time.

conclusionsThere is a need to develop and evaluate theory-based interventions to promote patient knowledge, understanding and shared decision-making to optimise DOACs use and improve their safety.

Indexed as

Direct oral anticoagulantsDOACsInterviewsMedication errorsPatient experiencePatientsQualitative research

Identifiers

PMID37127790
PMCPMC10150668
OpenAlexW4367628076

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.