Evidence map›Paper›PMID 38694373›Full record

ReviewAnnals of medicine and surgery (2012)2024

Factor Xa inhibitors vs. warfarin in patients with Hughes syndrome: a systematic review and meta-analysis of randomized controlled trials.

Ali Mohtashim, Aima Azhar, Saad Mazhar, Deepa Devi, Muhammad Danial, Dhruvilkumar Patel, Owais Khan, Anushka Andani, Muhammad Mohib Khan, Shahzaib Samad and 4 more

Open access · diamondAbstract readReview
In one paragraph

Review in Annals of medicine and surgery (2012), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 37% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

14 authors at 11 institutions in 4 countries.

Ali MohtashimDepartment of Medicine, Allama Iqbal Medical College.
Aima AzharDepartment of Medicine, Fatima Jinnah Medical University.
Saad MazharDepartment of Medicine, King Edward Medical University, Lahore.
Deepa DeviDepartment of Medicine, Ziadduddin University.
Muhammad DanialDepartment of Medicine, Dow Medical College.
Dhruvilkumar PatelDepartment of Medicine, DY Patil University School of Medicine, Navi Mumbai, Maharashtra, India.
Owais KhanDepartment of Medicine, Dow Medical College.
Anushka AndaniDepartment of Medicine, Liaqat National Medical College.
Muhammad Mohib KhanDepartment of Medicine, Jinnah Medical and Dental College.
Shahzaib SamadDepartment of Medicine, Jinnah Sindh Medical University, Karachi.
Aena QureshiDepartment of Medicine, Liaqat National Medical College.
Hafsa AliDepartment of Medicine, Jinnah Sindh Medical University, Karachi.
Umer EjazDepartment of Medicine, Rawalpindi Medical College, Rawalpindi, Pakistan.
Sayed JawadDepartment of Medicine, Kabul University of Medical Sciences, Kabul, Afghanistan.
Dow University of Health Sciences · PKJinnah Sindh Medical University · PKLiaquat National Hospital · PKAllama Iqbal Medical College · PKD.Y. Patil University · INFatima Jinnah Medical University · PKJinnah Medical & Dental College · PKKabul University · AFKing Edward Medical University · PKRawalpindi Medical University · PKSalahaddin University-Erbil · IQ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The optimal treatment regimen for patients with Hughes syndrome remains unclear. Therefore, the authors sought to compare the outcomes of warfarin vs. factor Xa inhibitors in patients with Hughes syndrome. Methods: MEDLINE, Embase, and Cochrane Central databases were searched for randomized controlled trials (RCTs) comparing 8 efficacy and safety of warfarin and factor Xa inhibitors in patients with Hughes syndrome. Recurrent thrombosis, all-cause mortality, stroke, adverse reactions, and bleeding were among 10 outcomes of interest. Mantel-Haenszel weighted random-effects model was used to calculate 11 relative risks (RRs) with 95% CIs. Results: The analysis included 625 patients from four RCTs and one post-hoc analysis. Meta-analysis showed a statistically non-significant difference between factor Xa inhibitors and warfarin in the recurrent thrombosis risk (arterial or venous) [RR 2.77 (95%, CI 0.79, 9.65); Conclusion: Factor Xa inhibitors exhibited an increased risk of stroke among patients with Hughes syndrome. In addition, although not significant, the higher RRs among patients on factor Xa inhibitors may indicate a higher risk of thrombotic events associated with factor Xa inhibitors.

Indexed as

factor xahughesmeta-analysiswarfarin

Identifiers

PMID38694373
PMCPMC11060306
OpenAlexW4394795776

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.