Evidence map›Paper›PMID 37892833›Full record

ArticleJournal of clinical medicine2023

Left Atrial Appendage Occlusion versus Novel Oral Anticoagulation for Stroke Prevention in Atrial Fibrillation-One-Year Survival.

Shmuel Tiosano, Ariel Banai, Wesam Mulla, Ido Goldenberg, Gabriella Bayshtok, Uri Amit, Nir Shlomo, Eyal Nof, Raphael Rosso, Michael Glikson and 3 more

Open access · goldAbstract 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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.1field-weighted citation impact, top 19% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. 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

13 authors at 3 institutions in 1 country.

Shmuel TiosanoLeviev Heart Center, Sheba Medical Center, Ramat Gan 52621, Israel.ORCID 0000-0002-1748-4297
Ariel BanaiFaculty of Medicine, Tel Aviv University, Ramat Aviv, Tel Aviv 6997801, Israel.ORCID 0000-0002-3464-3341
Wesam MullaLeviev Heart Center, Sheba Medical Center, Ramat Gan 52621, Israel.ORCID 0000-0002-7771-6096
Ido GoldenbergLeviev Heart Center, Sheba Medical Center, Ramat Gan 52621, Israel.
Gabriella BayshtokLeviev Heart Center, Sheba Medical Center, Ramat Gan 52621, Israel.
Uri AmitLeviev Heart Center, Sheba Medical Center, Ramat Gan 52621, Israel.
Nir ShlomoLeviev Heart Center, Sheba Medical Center, Ramat Gan 52621, Israel.
Eyal NofLeviev Heart Center, Sheba Medical Center, Ramat Gan 52621, Israel.
Raphael RossoFaculty of Medicine, Tel Aviv University, Ramat Aviv, Tel Aviv 6997801, Israel.
Michael GliksonJesselson Integrated Heart Center, Shaare Zedek Medical Center, Jerusalem 9103102, Israel.
Victor GuettaLeviev Heart Center, Sheba Medical Center, Ramat Gan 52621, Israel.
Israel BarbashLeviev Heart Center, Sheba Medical Center, Ramat Gan 52621, Israel.
Roy BeinartLeviev Heart Center, Sheba Medical Center, Ramat Gan 52621, Israel.
Tel Aviv University · ILHebrew University of Jerusalem · ILSheba Medical Center · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim To compare the 1-year survival rate of patients with atrial fibrillation (AF) following left atrial appendage occluder (LAAO) implantation vs. treatment with novel oral anticoagulants (NOACs).

methodsWe have conducted an indirect, retrospective comparison between LAAO and NOAC registries. The LAAO registry is a national prospective cohort of 419 AF patients who underwent percutaneous LAAO between January 2008 and October 2015. The NOACs registry is a multicenter prospective cohort of 3138 AF patients treated with NOACs between November 2015 and August 2018. Baseline patient characteristics were retrospectively collected from coded diagnoses of hospitalization and outpatient clinic notes. Follow-up data was sorted from coded diagnoses and the national civil registry. Subjects were matched according to propensity score. Baseline characteristics were compared using Chi-Square and student's

resultsThis study included 114 subjects who underwent LAAO implantation and 342 subjects treated with NOACs. The mean age of participants was 77.9 ± 7.44 and 77.1 ± 11.2 years in the LAAO and NOAC groups, respectively (

conclusionsIn a pooled analysis of two registries, we found a significantly lower risk for 1-year mortality in patients with AF who were implanted with LAAO than those treated with NOACs. This finding was more prominent in patients with impaired renal function. Future prospective direct studies should further investigate the efficacy and adverse effects of both treatment strategies.

Indexed as

anticoagulationcohortleft atrial appendage occluderNOACsurvival

Identifiers

PMID37892833
PMCPMC10607551
OpenAlexW4387880526

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.