Evidence map›Paper›PMID 39729166›Full record

SynthesisCardiovascular drugs and therapy2025

Comparative Safety and Efficacy of Non-vitamin K Antagonist Oral Anticoagulants (NOACs) Versus Warfarin in Deep Vein Thrombosis (DVT) Treatment: A Meta-analysis.

Manwei Hao, Zhongchao Wang, Han Gao, Haicheng Gao, Zhihua Cheng

Abstract readComparative StudyMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Cardiovascular drugs and therapy, 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. Article
  2. Review
  3. Article
  4. Article
  5. 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

5 authors.

Manwei Hao *Department of Clinical Pharmacy, School of Pharmaceutical Sciences, Jilin University, Changchun City, Jilin Province, P.R. China.
Zhongchao Wang *Basic Medical Department, Changchun Medical College, Changchun City, Jilin Province, P.R. China.
Han GaoBasic Medical Department, Changchun Medical College, Changchun City, Jilin Province, P.R. China.
Haicheng GaoDepartment of Clinical Pharmacy, School of Pharmaceutical Sciences, Jilin University, Changchun City, Jilin Province, P.R. China. gaohc@jlu.edu.cn.ORCID 0000-0001-6679-2731
Zhihua ChengVascular Surgery Department, General Surgery Center, First Hospital of Jilin University, Changchun City, Jilin Province, P.R. China. chengzh@jlu.edu.cn.

Funding

Jilin Province Science and Technology Development Plan Project 20210204157YY
6 · The paper itself

Abstract

purposeThis meta-analysis aimed to conduct a systematic evaluation of the comparative efficacy and safety of new oral anticoagulants (NOACs) versus warfarin for the treatment of deep venous thrombosis (DVT).

methodsA systematic computerized search of databases including PubMed, Medline, Web of Science, Embase, Cochrane Library, and www. CLINICALTRIALS: gov . was performed to gather research on the efficacy and safety of NOACs versus warfarin in the treatment of DVT, encompassing all records from the inception of each database through September 2024. The discrete data were presented as odds ratios (ORs) with their corresponding 95% confidence intervals (CIs), and the meta-analysis was executed utilizing the Review Manager 5.4.1 and Stata 16 softwares.

resultsA comprehensive analysis of 16 studies encompassing 10,084 patients was conducted, with 6704 individuals in the experimental group receiving NOACs and 3380 in the control group treated with warfarin. The findings are as follows: (1) NOACs demonstrated enhanced treatment efficacy over warfarin, particularly in achieving vascular patency (OR = 1.57, 95% CI (1.09, 2.24), P = 0.01). (2) Regarding the incidence of major bleeding events (OR = 0.65, 95% CI (0.54, 0.78), P < 0.00001), other clinical adverse events-including pulmonary embolism, mortality, stroke, myocardial infarction and recurrent thrombosis (OR = 0.77, 95% CI (0.67, 0.88), P = 0.0002), and post-thrombotic syndrome (PTS) (OR = 0.62, 95% CI (0.47, 0.80), P = 0.0003); NOACs offered improved safety profiles in comparison to warfarin. Furthermore, subgroup analysis revealed that the preventive efficacy of NOACs against PTS improves with longer follow-up periods (P = 0.02).

conclusionNOACs have demonstrated superior efficacy and safety profiles in the treatment of DVT compared to traditional warfarin anticoagulant therapy. CLINICAL

trial registrationThis project did not involve any clinical data collection; the data utilized were derived from articles published in PubMed.

Indexed as

AnticoagulantsFactor Xa InhibitorsVenous ThrombosisWarfarinAdministration, OralHemorrhageHumansRisk FactorsTreatment OutcomeAnticoagulantsFactor Xa InhibitorsWarfarinDeep vein thrombosisMeta-analysisNew oral anticoagulantWarfarin

Identifiers

PMID39729166

What OpenQuestion holds

Textmetadata
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.