Evidence map›Paper›PMID 37892824›Full record

ArticleJournal of clinical medicine2023

Reduced-Dose Rivaroxaban Is Associated with Lower All-Cause Mortality in Older Patients with Nonvalvular Atrial Fibrillation.

Wei-Ru Chiou, Min-I Su, Ying-Hsiang Lee, Po-Lin Lin, Cheng-Wei Liu

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

5 authors.

Wei-Ru ChiouDivision of Cardiology, Taitung MacKay Memorial Hospital, Taitung 95054, Taiwan.ORCID 0000-0003-1133-5714
Min-I SuDivision of Cardiology, Taitung MacKay Memorial Hospital, Taitung 95054, Taiwan.
Ying-Hsiang LeeDepartment of Medicine, MacKay Medical College, New Taipei 25245, Taiwan.ORCID 0000-0002-1882-9664
Po-Lin LinDepartment of Nursing, MacKay Junior College of Medicine, Nursing, and Management, Taipei 11260, Taiwan.
Cheng-Wei LiuDivision of Cardiology, Department of Medicine, Kuang Tien General Hospital, Taichung 43302, Taiwan.ORCID 0000-0001-5095-8039

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundReduced-dose rivaroxaban (10 mg) was used in the J-ROCKET AF trial, demonstrating safety in the Asian population. It remains unclear whether treatment with reduced-dose versus full-dose rivaroxaban (20 mg/15 mg) is associated with all-cause mortality in older patients with nonvalvular atrial fibrillation. Proposed: To evaluate the effects of reduced-dose rivaroxaban on all-cause mortality in patients over 85.

methodsWe retrospectively enrolled medical records representing the period from October 2012 to November 2016. The 2 × 2 factorial design incorporated age (≥85 vs. <85) and rivaroxaban use (reduced vs. full dose). The primary study outcomes were all-cause and cardiac-related mortality.

resultsThe study enrolled 2386 patients with a mean age of 76.6 ± 10.4 years; 51.8% were male. In the ≥85 group (

conclusionsReduced-dose rivaroxaban was associated with lower risks of all-cause mortality and hospitalization for heart failure in older patients with nonvalvular atrial fibrillation. Future studies can investigate the effect of reduced-dose rivaroxaban on prognoses in elderly individuals ≥85 years in the west.

Indexed as

atrial fibrillationelderlymortalityrivaroxaban

Identifiers

PMID37892824
PMCPMC10607242

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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.