Evidence map›Paper›PMID 38409303›Full record

Observational studyJournal of thrombosis and thrombolysis2024

Retrospective, multicenter analysis of the safety and effectiveness of direct oral anticoagulants for the treatment of venous thromboembolism in obesity.

Jeffrey D Sperry, Aletha Loeb, Melissa J Smith, Tessa B Brighton, Julie A Ehret, Joli D Fermo, Morgan E Gentili, Jason W Lancaster, Jennifer N Mazur, Katherine Spezzano and 1 more

Abstract readObservational StudyMulticenter Study
PubMed Publisher
In one paragraph

Observational study 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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
2.7field-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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. The Influence of High Body Mass Index (BMI > 35 kg/mAmerican journal of cardiovascular drugs : drugs, devices, and other interventions · 2025
    Article
  2. Review
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

11 authors at 9 institutions in 1 country.

Jeffrey D SperryUC Health Memorial Hospital, Department of Pharmacy, Colorado Springs, CO, USA.
Aletha LoebDepartment of Pharmacy, University of California, Davis, Sacramento, CA, USA.
Melissa J SmithDepartment of Biostatistics, University of Alabama at Birmingham, Birmingham, AL, USA.
Tessa B BrightonDepartment of Pharmacy, University of Massachusetts Chan Medical School, Worcester, MA, USA.
Julie A EhretDepartment of Pharmacy Services, Medical University of South Carolina, Charleston, SC, USA.
Joli D FermoDepartment of Pharmacy Services, Medical University of South Carolina, Charleston, SC, USA.
Morgan E GentiliDepartment of Pharmacy Services, Beth Israel Lahey Health, Burlington, MA, USA.
Jason W LancasterSchool of Pharmacy and Pharmaceutical Sciences, Northeastern University, Boston, MA, USA.
Jennifer N MazurDepartment of Pharmacy Services, Medical University of South Carolina, Charleston, SC, USA.
Katherine SpezzanoDepartment of Pharmacy, University of Kentucky HealthCare, Lexington, KY, USA.
Jennifer A SzwakDepartment of Pharmacy, The Johns Hopkins Hospital, Baltimore, MD, USA. jszwak1@jhmi.edu.ORCID http://orcid.org/0000-0002-9911-5750
Medical University of South Carolina · USJohns Hopkins Hospital · USLahey Medical Center · USNortheastern University · USUniversity of Alabama at Birmingham · USUniversity of California, Davis · USUniversity of Colorado Hospital · USUniversity of Kentucky HealthCare · USUniversity of Massachusetts Chan Medical School · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDirect oral anticoagulants (DOACs) are the preferred treatment for venous thromboembolism (VTE). However, DOAC use in patients with a BMI greater than 40 kg/m

methodsThis multicenter, retrospective, observational study evaluated patients 18 years and older who received DOACs for acute VTE treatment. Patients receiving DOACs for recurrent VTE or for failure of another agent were excluded. The primary efficacy outcome was recurrent VTE and the primary safety outcome was major bleeding within 12 months (or one month after stopping anticoagulation therapy). A propensity score analysis was performed to balance patient characteristics and evaluate the primary endpoints by BMI group. Time-to-event outcomes were analyzed using weighted Kaplan-Meier curves.

resultsThere were 165 patients with a BMI of at least 40 kg/m

conclusionThere was no significant difference in VTE recurrence or major bleeding related to BMI among patients treated with DOACs. This study showed that DOACs may be a safe and effective VTE treatment option in patients with obesity.

Indexed as

Venous ThromboembolismAdministration, OralAnticoagulantsHemorrhageHumansObesityRetrospective StudiesAnticoagulantsApixabanDirect oral anticoagulantsMajor bleedingObesityRivaroxabanVenous thromboembolism

Identifiers

PMID38409303
OpenAlexW4392155066

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.