Evidence map›Paper›PMID 39286604›Full record

ArticleResearch and practice in thrombosis and haemostasis2024

Prescription and switching patterns of direct oral anticoagulants in patients with atrial fibrillation.

Tim A C de Vries, Roisin Bavalia, Gordon Chu, Helen Xiong, Kayleigh M van de Wiel, Hanne van Ballegooijen, Menno V Huisman, Martin E W Hemels, Saskia Middeldorp, Joris R de Groot

Abstract read
In one paragraph

Article in Research and practice in thrombosis and haemostasis, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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.

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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Left atrial appendage occlusion vs standard of care in high stroke risk atrial fibrillation patients ineligible for anticoagulation: COMPARE-LAAO.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2026
    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

10 authors.

Tim A C de VriesHeart Center, Department of Clinical and Experimental Cardiology and Cardiothoracic Surgery, Amsterdam University Medical Centers location University of Amsterdam, Amsterdam, the Netherlands.
Roisin BavaliaDepartment of Vascular Medicine, Amsterdam University Medical Centers location University of Amsterdam, Amsterdam, the Netherlands.
Gordon ChuDepartment of Cardiology, Amphia Hospital, Breda, the Netherlands.
Helen XiongIQVIA Nederland, Amsterdam, the Netherlands.
Kayleigh M van de WielIQVIA Nederland, Amsterdam, the Netherlands.
Hanne van BallegooijenIQVIA Nederland, Amsterdam, the Netherlands.
Menno V HuismanDepartment of Thrombosis and Hemostasis, Leiden University Medical Center, Leiden, the Netherlands.
Martin E W HemelsDepartment of Cardiology, Rijnstate Hospital, Arnhem, the Netherlands.
Saskia MiddeldorpDepartment of Vascular Medicine, Amsterdam University Medical Centers location University of Amsterdam, Amsterdam, the Netherlands.
Joris R de GrootHeart Center, Department of Clinical and Experimental Cardiology and Cardiothoracic Surgery, Amsterdam University Medical Centers location University of Amsterdam, Amsterdam, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The patterns of direct oral anticoagulant (DOAC) selection and switching to a different oral anticoagulant (OAC) in patients with atrial fibrillation (AF) are unknown. Objectives: To describe temporal patterns in first DOAC prescriptions, estimate the incidence, and identify predictors of switching to a different OAC within 1 year in OAC-naive AF patients. Methods: In this retrospective cohort study, using a near-nationwide prescription registry (IQVIA, the Netherlands), we determined the number of patients per month initiated on each DOAC and identified predictors of switching within 1 year with robust Poisson regression. Results: We included 94,874 patients. From November 2015 to November 2019, the monthly use of apixaban ( Conclusion: In the Netherlands, factor Xa inhibitors are increasingly being selected for OAC-naive AF patients. Seven percent of patients switch to a different OAC within 1 year, and the initial DOAC type and dose are strong predictors of switching.

Indexed as

anticoagulantsatrial fibrillationbig datadrug substitutionthromboembolism

Identifiers

PMID39286604
PMCPMC11404132

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Registered trials

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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.