Evidence map›Paper›PMID 38496142›Full record

ReviewCureus2024

Assessing the Safety and Efficacy of Rivaroxaban for Stroke Prevention in Patients With Atrial Fibrillation: A Systemic Review and Meta-Analysis.

Ghazala S Virk, Sana Javed, Raheel Chaudhry, Mustafa M Moazam, Arhum Mahmood, Faraz Mahmood, Mohammed Zaheer, Shahroz M Khan, Vedika Rajasekaran

Open access · diamondAbstract readReview
In one paragraph

Review in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.4field-weighted citation impact, top 40% 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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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

9 authors at 1 institution in 4 countries.

Ghazala S VirkInternal Medicine, Avalon University School of Medicine, Ohio, USA.
Sana JavedMedicine, University of Birmingham, Royal College of General Practitioners, Birmingham, GBR.
Raheel ChaudhryMedicine, Baylor College of Medicine, Houston, USA.
Mustafa M MoazamPsychiatry, Texas Tech University Health Sciences Center El Paso, El Paso, USA.
Arhum MahmoodInternal Medicine, Henry Ford Health System, Detroit, USA.
Faraz MahmoodInternal Medicine, Detroit Medical Center/Wayne State University School of Medicine, Detroit, USA.
Mohammed ZaheerInternal Medicine, Deccan College of Medical Sciences, Hyderabad, IND.
Shahroz M KhanMedicine, Kansas Health Science Center (KHSC) College of Osteopathic Medicine, Wichita, USA.
Vedika RajasekaranInternal Medicine, WellStar Hospital System, Marietta, USA.
Texas Tech University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

An effective anticoagulation therapy is required for patients with atrial fibrillation because it presents a significant risk of stroke. The current study evaluates the relative safety as well as efficacy of rivaroxaban in patients who are diagnosed with atrial fibrillation. A thorough literature review of relevant databases was conducted, focusing on academic and clinical studies that were published from 2017 onward. Inclusion criteria comprised randomized controlled trials and other observational studies comparing the incidence of stroke and the safety index of rivaroxaban in atrial fibrillation. We followed the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) for data overview reporting and overview. A total of 21 studies were selected based on the inclusion criteria. A total of 19/21 studies advocated the adoption of rivaroxaban for minimizing stroke incidence. Rivaroxaban also showed superiority in achieving the therapeutic objectives, i.e., reduction in the incidence of stroke. The results for rivaroxaban against warfarin showed an improved safety index and effectiveness of rivaroxaban. The total effect size for the analysis was calculated to be Z=2.62 (p-value=0.009). The individual effect of all studies favored the "rivaroxaban" group. The heterogeneity in the study was as follows: tau

Indexed as

atrial fibrillation (af)direct-acting oral anticoagulants (doacs)embolismmyocardia infarctionoral anticoagulationoral ixa inhibitorsprevention of ischemic strokerivaroxabanstrokethromboembolic events

Identifiers

PMID38496142
PMCPMC10944328
OpenAlexW4391838988

What OpenQuestion holds

Textmetadata
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.