Evidence map›Paper›PMID 38127261›Full record

SynthesisJournal of thrombosis and thrombolysis2024

Efficacy and safety of rivaroxaban versus apixaban for venous thromboembolism: A systematic review and meta-analysis of observational studies.

Danielle Fredman, Rotem McNeil, Ofir Eldar, Avi Leader, Anat Gafter-Gvili, Tomer Avni

Abstract readSystematic ReviewMeta-AnalysisComparative Study
PubMed Publisher
In one paragraph

Synthesis in Journal of thrombosis and thrombolysis, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 8% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Rivaroxaban Versus Apixaban: A Comparison Without a Simple Solution.Mayo Clinic proceedings. Innovations, quality & outcomes · 2024
    Review
  8. Do We Need A CML-Specific Bleeding Tool? Concerns About The Proposed BAT-CML.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Article
  9. Cost-Consequence Analysis of Apixaban Versus Rivaroxaban for Managing Patients with Venous Thromboembolism in Saudi Arabia.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    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

6 authors at 1 institution in 1 country.

Danielle FredmanInternal Medicine Department A, Rabin Medical Center, Beilinson Hospital, Petah-Tikva, Israel. danielle.fredman@gmail.com.ORCID http://orcid.org/0000-0001-7472-8449
Rotem McNeilInternal Medicine Department A, Rabin Medical Center, Beilinson Hospital, Petah-Tikva, Israel.
Ofir EldarInternal Medicine Department A, Rabin Medical Center, Beilinson Hospital, Petah-Tikva, Israel.
Avi LeaderSackler Faculty of Medicine, Tel Aviv University, Tel Aviv-Yafo, Israel.
Anat Gafter-GviliInternal Medicine Department A, Rabin Medical Center, Beilinson Hospital, Petah-Tikva, Israel.
Tomer AvniInternal Medicine Department A, Rabin Medical Center, Beilinson Hospital, Petah-Tikva, Israel.
Tel Aviv University · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDirect-acting oral anticoagulants (DOACs) including rivaroxaban and apixaban are preferred over vitamin K antagonists for the treatment of venous thromboembolism (VTE). We conducted a systematic review and a meta-analysis to compare the efficacy and safety of rivaroxaban versus apixaban in the treatment of VTE.

methodsWe conducted an electronic search for studies that directly compared treatment with rivaroxaban and apixaban in adult patients with VTE. The relative risks (RRs) and 95% confidence intervals (CIs) were estimated and pooled using a fixed-effect model unless significant heterogeneity was present (I

resultsNine observational studies were included in our meta-analysis, assessing 24,156 patients for apixaban and 38,847 for rivaroxaban. Pooling of data for our primary efficacy outcome showed a trend towards lower risk of rVTE with apixaban compared to rivaroxaban (RR 0.77, 95% CI 0.57-1.04, I

conclusionsApixaban is associated with a significantly lower risk of major bleeding compared to rivaroxaban for treatment of VTE. Given the limitations of the existing evidence, further interventional studies comparing the two drugs are needed.

Indexed as

Factor Xa InhibitorsHemorrhagePyrazolesPyridonesRivaroxabanVenous ThromboembolismHumansObservational Studies as TopicTreatment OutcomeapixabanFactor Xa InhibitorsPyrazolesPyridonesRivaroxabanAdultsFactor Xa inhibitorsThrombosisVenous thromboembolism

Identifiers

PMID38127261
OpenAlexW4390049377

What OpenQuestion holds

Textmetadata
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.