Evidence map›Paper›PMID 39592137›Full record

SynthesisThrombosis and haemostasis2025

Usual On-therapy Ranges of Drug Concentrations in Patients with Atrial Fibrillation Treated with Direct Oral Anticoagulants: A Systematic Review and Meta-analysis.

Tim A C de Vries, Imaad U Mallick, Vinai C Bhagirath, John W Eikelboom, Calvin Gomes, Qilong Yi, Sean McGrath, Jack Hirsh, Noel C Chan

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Thrombosis and haemostasis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Trial
  2. Observational
  3. Review
  4. Observational
  5. 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

9 authors.

Tim A C de VriesDepartment of Clinical and Experimental Cardiology and Cardiothoracic Surgery, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, The Netherlands.ORCID 0000-0003-1392-8193
Imaad U MallickSchool of Medicine, St. George's University, Grenada, West Indies.ORCID 0009-0006-5829-0348
Vinai C BhagirathDivision of Hematology and Thromboembolism, Department of Medicine, Population Health Research Institute, Hamilton, Ontario, Canada.
John W EikelboomDivision of Hematology and Thromboembolism, Department of Medicine, Population Health Research Institute, Hamilton, Ontario, Canada.
Calvin GomesSchool of Medicine, Poznan University of Medical Sciences, Poznan, Poland.
Qilong YiSchool of Epidemiology and Public Health, University of Ottawa, Ottawa, Ontario, Canada.
Sean McGrathDepartment of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, United States.ORCID 0000-0002-7281-3516
Jack HirshDivision of Hematology and Thromboembolism, Department of Medicine, McMaster University, Hamilton, Ontario, Canada.
Noel C ChanDivision of Hematology and Thromboembolism, Department of Medicine, Population Health Research Institute, Hamilton, Ontario, Canada.ORCID 0000-0001-9491-6172

Funding

National Science Foundation Graduate Research Fellowship Program DGE2140743
6 · The paper itself

Abstract

Although most patients with atrial fibrillation (AF) receiving a direct oral anticoagulant (DOAC) do not require drug concentration measurements, there are situations where such information could be useful. Existing guidance documents provide usual on-therapy ranges for drug concentrations, but these have important limitations.This is a systematic review and meta-analysis of studies reporting trough and peak levels of DOAC regimens approved for stroke prevention in AF. We used random effects models and the quantile estimation method to estimate the median and a usual on-therapy range (10

Indexed as

AnticoagulantsAtrial FibrillationFactor Xa InhibitorsStrokeAdministration, OralDabigatranDrug MonitoringHumansPyrazolesPyridinesPyridonesRivaroxabanThiazolesAnticoagulantsapixabanDabigatranedoxabanFactor Xa InhibitorsPyrazolesPyridinesPyridonesRivaroxabanThiazoles

Identifiers

PMID39592137
PMCPMC12115550

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.