Evidence map›Paper›PMID 40901486›Full record

ReviewEuropean cardiology2025

Systematic Scoping on Point-of-care Monitoring of Direct Oral Anticoagulants in Patients with Non-valvular Atrial Fibrillation: Current Status and Future Perspectives in Malaysia.

Shirley Siang Ning Tan, Wei Hong Lai, Lee Len Tiong, Lawrence Anchah, Edmund Ui Hang Sim, Alan Yean Yip Fong

Abstract readReview
In one paragraph

Review in European 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

6 authors.

Shirley Siang Ning TanClinical Research Centre, Sarawak General Hospital, Institute for Clinical Research, National Institutes of Health Ministry of Health Kuching, Sarawak, Malaysia.ORCID https://orcid.org/0000-0003-1426-5117
Wei Hong LaiClinical Research Centre, Sarawak General Hospital, Institute for Clinical Research, National Institutes of Health Ministry of Health Kuching, Sarawak, Malaysia.ORCID https://orcid.org/0000-0002-6433-4259
Lee Len TiongClinical Research Centre, Sarawak General Hospital, Institute for Clinical Research, National Institutes of Health Ministry of Health Kuching, Sarawak, Malaysia.ORCID https://orcid.org/0000-0003-0233-5165
Lawrence AnchahFaculty of Medicine and Health Sciences, Universiti Malaysia Sarawak Samarahan, Sarawak, Malaysia.ORCID https://orcid.org/0000-0002-3510-1181
Edmund Ui Hang SimFaculty of Resource Science and Technology, Universiti Malaysia Sarawak Samarahan, Sarawak, Malaysia.ORCID https://orcid.org/0000-0001-8652-8495
Alan Yean Yip FongClinical Research Centre, Sarawak General Hospital, Institute for Clinical Research, National Institutes of Health Ministry of Health Kuching, Sarawak, Malaysia.ORCID https://orcid.org/0000-0002-6675-1312

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This review explores the use of point-of-care (POC) monitoring of direct oral anticoagulants (DOACs) in patients with non-valvular AF globally and in Malaysia. As patent protection measures for innovative medicines come to an end, and generic alternatives become available, we expect a greater uptake of DOACs than warfarin by patients due to cost advantages. However, the anticoagulation effect of DOACs has been shown to vary from patient to patient and is associated with thrombotic and bleeding risks. Despite the availability of laboratory technology, including at POC, that can monitor the pharmacological effects of DOACs, it has not achieved any substantial traction in clinical use to date. Future efforts should focus on establishing the therapeutic window or 'sweet spot' of DOAC therapy for the POC assays and ensuring adherence before implementation of POC monitoring. This is crucial for the tailoring of anticoagulation therapy, potentially reducing overall healthcare costs and improving patient health outcomes.

Indexed as

Direct oral anticoagulantnon-valvular AFpoint-of-care testing

Identifiers

PMID40901486
PMCPMC12400176

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.