Evidence map›Paper›PMID 39812212›Full record

ArticleClinical cardiology2025

Health Care Resource Utilization With Dronedarone Versus Sotalol Following Catheter Ablation in Adults With Atrial Fibrillation.

Emily P Zeitler, Dara Stein, Ron Preblick, Shaum M Kabadi, David S McKindley, Jason Rashkin, Samuel Huse, Nicole Stamas, Michael H Kim

Abstract readComparative StudyMulticenter Study
In one paragraph

Article in Clinical cardiology, 2025. 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
–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

1 citing paper in PubMed.

  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

9 authors.

Emily P ZeitlerDepartment of Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA.ORCID http://orcid.org/0000-0002-4848-4775
Dara SteinReal-world Evidence, Evidera, London, UK.
Ron PreblickHealth Economics and Outcomes Research, Sanofi, Bridgewater, New Jersey, USA.ORCID http://orcid.org/0000-0002-7923-041X
Shaum M KabadiReal-world Evidence, Sanofi, Bridgewater, New Jersey, USA.ORCID http://orcid.org/0000-0002-9945-6491
David S McKindleyUS Medical, Sanofi, Bridgewater, New Jersey, USA.ORCID http://orcid.org/0000-0002-4402-6814
Jason RashkinUS Medical, Sanofi, Bridgewater, New Jersey, USA.
Samuel HuseReal-world Evidence, Evidera, Cambridge, Massachusetts, USA.
Nicole StamasReal-world Evidence, Evidera, Seattle, Washington, USA.
Michael H KimDepartment of Medicine, Creighton University School of Medicine and CHI Health, Omaha, Nebraska, USA.ORCID http://orcid.org/0000-0002-1458-8234

Funding

This study was funded by Sanofi.
6 · The paper itself

Abstract

backgroundClinical trials support dronedarone use for atrial fibrillation (AF) following catheter ablation (CA); however, comparative data on health care resource utilization (HCRU) with other antiarrhythmic drugs are lacking.

methodsRetrospective analysis of Merative MarketScan databases (January 01, 2012-March 31, 2020) comparatively assessed HCRU in US adults with AF who received dronedarone or sotalol post-CA. Patients with ≥ 12-months' pre-CA data were followed from post-CA index treatment to disenrollment, death, or study end. Sotalol-treated patients were propensity score-matched (1:1) with dronedarone-treated patients. Events/100 patient-years (PY) were analyzed by univariate generalized-linear model with Poisson distribution. Cumulative incidence was analyzed over 12 months by Kaplan-Meier methods. Subgroup analyses were conducted by sex and patients new to dronedarone or sotalol during 12 months pre-CA.

resultsDronedarone and sotalol cohorts were successfully matched (n = 1600 each). Prevalence/100-PY for all-cause, cardiovascular (CV)-related, and atrial tachyarrhythmia (ATA)/AF-related HCRU was lower in dronedarone versus sotalol cohort (all p < 0.05). Cumulative incidence for all-cause, CV-related, ATA/AF-related hospitalizations, and pacemaker implantation was lower in dronedarone versus sotalol cohort (all p < 0.05). Incidence of all-cause and CV-related hospitalizations was lower in dronedarone versus sotalol cohorts in females (n = 460) and males (n = 1115) (all p < 0.05) after rematching. Incidence of ATA/AF-related hospitalization was lower in males versus females receiving dronedarone. For patients new to dronedarone or sotalol (n = 549), HCRU results were generally consistent with primary analyses.

conclusionPost-CA dronedarone, versus sotalol, lowered CV-related HCRU in all-comers with AF and in sex subgroups. Findings may contribute to clinical decision making post-CA in patients with AF.

Indexed as

Atrial FibrillationCatheter AblationDronedaronePatient Acceptance of Health CareSotalolAdultAgedAnti-Arrhythmia AgentsFemaleFollow-Up StudiesHumansIncidenceMaleMiddle AgedRetrospective StudiesTreatment OutcomeAnti-Arrhythmia AgentsDronedaroneSotalolantiarrhythmic drugsatrial fibrillationcatheter ablationcomparative effectivenesshealth care resource utilizationobservational cohortsex analysis (Max 7)

Identifiers

PMID39812212
PMCPMC11733741

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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.