Evidence map›Paper›PMID 37401357›Full record

ArticleClinical cardiology2023

Factors associated with oral anticoagulant prescription status among patients with a new diagnosis of atrial fibrillation.

Evan Manning, Kelley Burns, Melissa Laurie, Luke Patten, Michael Ho, Amneet Sandhu

Open access · goldAbstract read
In one paragraph

Article in Clinical cardiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.0field-weighted citation impact, top 12% 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

8 citing papers in PubMed, 9 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Evan ManningInternal Medicine Residency Training Program, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.ORCID http://orcid.org/0000-0002-4971-2610
Kelley BurnsData Science to Patient Value (D2V), University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Melissa LaurieUS Health Economics & Outcomes Research, Bristol Myers Squibb, Lawrenceville, New Jersey, USA.
Luke PattenCenter for Innovative Design & Analysis, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Michael HoDeparment of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Amneet SandhuDeparment of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
University of Colorado Anschutz Medical Campus · USBristol-Myers Squibb (United States) · US

Funding

Bristol-Myers SquibbPfizer
6 · The paper itself

Abstract

backgroundAtrial fibrillation (AF) is the most common sustained arrhythmia in adults and increases stroke risk. Treatment with oral anticoagulants (OACs) may reduce this risk however many patients do not receive OAC therapy. This study aimed to use electronic health record data to identify newly diagnosed AF patients at high risk for stroke and not anticoagulated as well as factors associated with OAC prescription. HYPOTHESIS: Timely prescription of OACs among patients with newly diagnosed AF is poor.

methodsWe performed a retrospective study of patients with a new diagnosis of AF. We assessed stroke risk with the CHA

resultsWe identified 18 404 patients with a new diagnosis of AF. Among patients at high risk for stroke, 41.3% received an OAC prescription within 6 months. Male sex, Caucasian compared to African American race, stroke, obesity, congestive heart failure, vascular disorder, current antiplatelet, beta blocker, or calcium channel blocker prescription, and increasing CHA

conclusionsMost newly diagnosed AF patients at high stroke risk do not receive an OAC prescription in the first 6 months following diagnosis. Our analysis suggests that patient sex, race, comorbidities, and additional prescriptions are associated with rates of OAC prescribing.

Indexed as

Atrial FibrillationStrokeAdministration, OralAdultAnticoagulantsHumansMalePrescriptionsRetrospective StudiesRisk FactorsAnticoagulantsanticoagulant therapyatrial fibrillationquality of Carestroke prevention

Identifiers

PMID37401357
PMCPMC10436786
OpenAlexW4383059084

What OpenQuestion holds

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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.