Evidence map›Paper›PMID 40766275›Full record

ArticleBlood vessels, thrombosis & hemostasis2025

Low incidence of thromboembolism with Fiix-monitored warfarin compared to conventional warfarin and DOACs in patients with AF.

Arnar B Ingason, Brynja R Gudmundsdottir, Ragnar Palsson, Johann P Hreinsson, Sigrun H Lund, Loic R Letertre, Edward Rumba, Arnar S Agustsson, Einar S Bjornsson, Pall T Onundarson

Abstract read
In one paragraph

Article in Blood vessels, thrombosis & hemostasis, 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. 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

10 authors.

Arnar B IngasonDepartment of Surgery, University of Vermont Larner College of Medicine, Burlington, VT.
Brynja R GudmundsdottirDepartments of Medicine and Laboratory Medicine, Landspitali National University Hospital of Iceland, Reykjavik, Iceland.
Ragnar PalssonDepartments of Medicine and Laboratory Medicine, Landspitali National University Hospital of Iceland, Reykjavik, Iceland.
Johann P HreinssonDivision of Biostatistics, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Sigrun H LundFaculty of Medicine, University of Iceland, Reykjavik, Iceland.
Loic R LetertreDepartments of Medicine and Laboratory Medicine, Landspitali National University Hospital of Iceland, Reykjavik, Iceland.
Edward RumbaDepartments of Medicine and Laboratory Medicine, Landspitali National University Hospital of Iceland, Reykjavik, Iceland.
Arnar S AgustssonDepartments of Medicine and Laboratory Medicine, Landspitali National University Hospital of Iceland, Reykjavik, Iceland.
Einar S BjornssonDepartments of Medicine and Laboratory Medicine, Landspitali National University Hospital of Iceland, Reykjavik, Iceland.
Pall T OnundarsonDepartments of Medicine and Laboratory Medicine, Landspitali National University Hospital of Iceland, Reykjavik, Iceland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mixed population studies suggest that monitoring only coagulation factors II and X (Fiix) instead of conventional prothrombin time improves clinical outcomes in patients on warfarin. We hypothesized that Fiix-monitored warfarin (Fiix-warfarin) provides better real-world clinical outcomes than PT based international normalized ratio (PT-INR) monitored warfarin (PT-warfarin), apixaban, dabigatran, and rivaroxaban in non-valvular atrial fibrillation (AF) patients. We performed a retrospective population cohort study over a 5-year period including all long-term orally anticoagulated adult AF patients in the Greater Reykjavik area. Baseline characteristics differences were adjusted using inverse probability of treatment weighting. Principal outcomes were rates of total thromboembolism (TE), all-cause death, and major bleeding. Outcomes with Fiix-warfarin were used as reference. The study population consisted of 6417 patients anticoagulated long-term for 12 914 person-years (py), ie, Fiix-warfarin (n = 1257/py = 2514), PT-warfarin (n = 1904/py = 3998), apixaban (n = 1171/py = 1639), rivaroxaban (n = 1536/py = 3226) or dabigatran (n = 549/py = 1537). PT-warfarin (1.9% per py; hazard ratio (HR) 1.86 [

Identifiers

PMID40766275
PMCPMC12320442

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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.