Evidence map›Paper›PMID 40243853›Full record

Observational studyArquivos brasileiros de cardiologia2025

Effectiveness and Safety of Edoxaban in the Routine Clinical Care of Atrial Fibrillation Patients in Brazil: Prospective 1-Year Follow-Up Study - EdoBRA.

Dalton Bertolim Precoma, Rafael Paletta da Silva, Luiz Carlos Santana Passos, Conrado Roberto Hoffman Filho, Fábio Serra Silveira, José Tarcísio Medeiros de Vasconcelos, Sérgio Luiz Zimmermann, Artur Haddad Herdy, Alessandra Ritter, Daniely Freitas-Alves and 1 more

Abstract readObservational StudyMulticenter Study
In one paragraph

Observational study in Arquivos brasileiros de cardiologia, 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

11 authors.

Dalton Bertolim PrecomaSociedade Hospitalar Angelina Caron, Campina Grande do Sul, PR - Brasil.ORCID 0000-0002-1187-8690
Rafael Paletta da SilvaDaiichi Sankyo Brasil Farmaceutica LTDA, São Paulo, SP - Brasil.
Luiz Carlos Santana PassosUniversidade Federal da Bahia, Salvador, BA - Brasil.
Conrado Roberto Hoffman FilhoHospital Regional Hans Dieter Schmidt, Joinville, SC - Brasil.
Fábio Serra SilveiraJMF Clínica do Coração, Aracaju, SE - Brasil.ORCID 0000-0002-2924-7328
José Tarcísio Medeiros de VasconcelosReal e Benemérita Associação Portuguesa de Beneficência, São Paulo, SP - Brasil.
Sérgio Luiz ZimmermannInstituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP - Brasil.ORCID 0000-0002-9444-9209
Artur Haddad HerdyInstituto de Cardiologia de Santa Catarina, São José, SC - Brasil.ORCID 0000-0001-9263-5916
Alessandra RitterIQVIA Brasil, São Paulo, SP - Brasil.
Daniely Freitas-AlvesIQVIA Brasil, São Paulo, SP - Brasil.ORCID 0000-0002-3304-9922
José Francisco Kerr SaraivaPontifícia Universidade Católica de Campinas, Campinas, SP - Brasil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEdoxaban, an orally administered anticoagulant, has been shown to be safe and effective in preventing stroke in atrial fibrillation (AF) patients. Given its widespread use since approval, evaluating edoxaban's real-world performance in the Brazilian clinical context is crucial.

objectiveThe study aimed to report the one-year safety and effectiveness of edoxaban in AF patients in Brazil.

methodsEdoBRA is a multi-center, prospective, observational investigation conducted across 30 Brazilian research sites. Bleeding events were considered as safety measures and cardiovascular events were considered for effectiveness measures. Descriptive analyses were performed. Kaplan-Meier curves were generated for time-to-event analysis and a 95% confidence interval was used as appropriate.

resultsAmong the 705 enrolled participants, 590 were included in the analysis for having at least one follow-up or one reported event. Mean (±SD) CHA2DS2-VASc risk score was 3 (3.3 ± 1.6) and the mean HAS-BLED risk score was 2 (1.8 ± 1.2). During the one-year follow-up period, nine major bleedings events were reported, including five cases of gastrointestinal bleeding (IP 0.85 [95% CI =0.82; 0.88]). Among the cardiovascular events recorded (N = 68), there were four stroke events (IP 0.68 [CI 95% 0.65;0.71]), one transient ischemic attack (IP 0.17 [CI 95% (0.16;0.18]) and 1 event was Venous Thromboembolic Events (IP 0.17 [CI 95% (0.16;0.18]). No systemic embolic event was exhibited by any patient.

conclusionIn an elderly population with several comorbidities routinely treated with edoxaban for AF, the rates of cardiovascular event and major bleeding were low.

Indexed as

AnticoagulantsAtrial FibrillationFactor Xa InhibitorsPyridinesStrokeThiazolesAgedAged, 80 and overBrazilFemaleFollow-Up StudiesHemorrhageHumansMaleMiddle AgedProspective StudiesAnticoagulantsedoxabanFactor Xa InhibitorsPyridinesThiazoles

Identifiers

PMID40243853
PMCPMC12058141

What OpenQuestion holds

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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.