Evidence map›Paper›PMID 40245061›Full record

ArticlePloS one2025

Oral anticoagulant use among Medicare patients newly diagnosed with venous thromboembolism (VTE): Factors associated with treatment status.

James C Coons, Aolin Wang, Dominick Latremouille-Viau, Cristina Russ, Dong Cheng, Robert Stellhorn, Feng Dai, David R Steffen, Abigail Zion, Serina Deeba and 1 more

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
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.

James C CoonsDepartment of Pharmacy, UPMC Presbyterian Hospital, Pittsburgh, Pennsylvania, United States of America.ORCID 0000-0002-7193-3751
Aolin WangAnalysis Group, Inc., New York, New York, United States of America.ORCID 0000-0002-3490-648X
Dominick Latremouille-ViauAnalysis Group, Inc., Montreal, Quebec, Canada.
Cristina RussPfizer Inc., New York, New York, United States of America.
Dong ChengBristol Myers Squibb, Lawrenceville, New Jersey, United States of America.
Robert StellhornBristol Myers Squibb, Lawrenceville, New Jersey, United States of America.
Feng DaiPfizer Inc., New York, New York, United States of America.
David R SteffenAnalysis Group, Inc., New York, New York, United States of America.
Abigail ZionAnalysis Group, Inc., Boston, Massachusetts, United States of America.ORCID 0000-0001-6598-394X
Serina DeebaPfizer Inc., New York, New York, United States of America.
Dionne M HinesPfizer Inc., New York, New York, United States of America.ORCID 0009-0002-7669-075X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to describe oral anticoagulant (OAC) use among patients with venous thromboembolism (VTE). MATERIALS AND

methodsThis study included Medicare fee-for-service beneficiaries (data from 1/1/2014-12/31/2019) newly diagnosed with VTE. Factors associated with being untreated with OACs in the first month from VTE (vs. OAC-treated), with receiving direct-acting OACs ([DOACs] vs. warfarin), and with extended OAC treatment (>3 months) were assessed using multivariable logistic regressions.

resultsOverall, 169,928 patients with VTE (50.3% OAC-untreated) were included. Among the 49.7% OAC-treated patients, 74.0% used DOACs and 62.5% had extended OAC treatment. Factors associated with being untreated with OACs in the first month from VTE (odds ratio; 95% confidence interval) included Hispanic ethnicity (vs. White;1.35; 1.29-1.42), having part D low-income subsidy (1.14; 1.07, 1.20), and comorbidities such as cardiovascular diseases. Among the OAC-treated cohort, patients with index VTE diagnosis in the emergency room (vs. outpatient) setting had higher odds of receiving DOAC vs. warfarin; patients with pulmonary embolism diagnosis (vs. deep vein thrombosis) had higher odds of extended OAC treatment.

conclusionsIn this study of Medicare patients newly diagnosed with VTE, half of the patients were not treated with OAC in the first month from initial diagnosis. Factors such as Hispanic ethnicity, having low-income subsidy, and comorbidity burden were found to be associated with being untreated with OAC. Among OAC-treated patients, the majority were treated with DOAC vs. warfarin. Interestingly, more than a third of OAC-treated patients were not treated beyond 3 months, which warrants further investigation.

Indexed as

AnticoagulantsVenous ThromboembolismAdministration, OralAgedAged, 80 and overFemaleHumansMaleMedicareUnited StatesWarfarinAnticoagulantsWarfarin

Identifiers

PMID40245061
PMCPMC12005561

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.