Evidence map›Paper›PMID 38939389›Full record

ArticleJACC. Advances2024

Rivaroxaban vs Vitamin K Antagonist in Patients With Atrial Fibrillation and Advanced Chronic Kidney Disease.

Reinhold Kreutz, Gilbert Deray, Jürgen Floege, Marianne Gwechenberger, Kai Hahn, Andreas R Luft, Pontus Persson, Christoph Axthelm, Juerg Hans Beer, Jutta Bergler-Klein and 5 more

Registry-linked trialAbstract read
In one paragraph

Article in JACC. Advances, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02663076 (Factor XA - Inhibition in RENal Patients With Non-valvular Atrial Fibrillation - Observational Registry), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

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

NCT02663076 completednot on this map

Factor XA - Inhibition in RENal Patients With Non-valvular Atrial Fibrillation - Observational Registry

Typeobservational_patient_registrySponsorGWT-TUD GmbHRan2016 to 2022Enrolled1,700ConditionsNon-valvular Atrial Fibrillation (NVAF), Chronic Kidney Disease (CKD)
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. A double paradox: end-stage renal disease-high thromboembolic and bleeding risk management using a device with risks of thromboembolism and bleeding.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2025
    Article
  5. Review
  6. Review
  7. Treatment strategies of the thromboembolic risk in kidney failure patients with atrial fibrillation.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2024
    Review
  8. 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

15 authors.

Reinhold KreutzCharité - Universitätsmedizin Berlin, Institute of Clinical Pharmacology and Toxicology, Berlin, Germany.
Gilbert DerayDepartment of Nephrology, Pitié-Salpêtrière Hospital, Paris, France.
Jürgen FloegeDivision of Nephrology and Clinical Immunology, RWTH Aachen University Hospital, Aachen, Germany.
Marianne GwechenbergerDivision of Cardiology, University Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria.
Kai HahnNephrologische Praxis, Dortmund, Germany.
Andreas R LuftKlinik für Neurologie, Universitätsspital Zürich, Zürich, Switzerland.
Pontus PerssonInstitut für Vegetative Physiologie, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Christoph AxthelmCardiologicum Pirna & Dresden, Dresden, Germany.
Juerg Hans BeerDepartment Innere Medizin, Kantonsspital Baden, Baden, Switzerland.
Jutta Bergler-KleinDivision of Cardiology, University Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria.
Nicolas LelloucheService de Cardiologie 1, Centre Hospitalier Universitaire Henri Mondor, Créteil, France.
Jens TaggesellePraxis Dr med. Jens Taggeselle, Markkleeberg, Germany.
Craig I ColemanDepartment of Pharmacy Practice, University of Connecticut School of Pharmacy, Storrs, Connecticut, USA.
Jan Beyer-WestendorfDepartment of Medicine I, Division Thrombosis & Hemostasis, University Hospital Carl Gustav Carus Dresden, Dresden, Germany.
XARENO registry

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Treatment with vitamin K antagonists (VKAs) has been linked to worsening of kidney function in patients with atrial fibrillation (AF). Objectives: XARENO (Factor XA-inhibition in RENal patients with non-valvular atrial fibrillation Observational registry; NCT02663076) is a prospective observational study comparing adverse kidney outcomes in patients with AF and advanced chronic kidney disease receiving rivaroxaban or VKA. Methods: Patients with AF and an estimated glomerular filtration rate (eGFR) of 15 to 49 mL/min/1.73 m Results: There were 1,455 patients (764 rivaroxaban; 691 VKA; mean age 78 years; 44% females). The mean eGFR was 37.1 ± 9.0 in those receiving rivaroxaban and 36.4 ± 10.1 mL/min/1.73 m Conclusions: In patients with AF and advanced chronic kidney disease, those receiving rivaroxaban had less adverse kidney events and lower all-cause mortality compared to those receiving VKA, supporting the use of rivaroxaban in this high-risk group of patients.

Indexed as

bleedingelderlykidney failureoral anticoagulation

Identifiers

PMID38939389
PMCPMC11198259

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Registered trials

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.