Evidence map›Paper›PMID 41887762›Full record

ArticleAmerican journal of hematology2026

Comparative Effectiveness of Oral Anticoagulants and Home Time After Venous Thromboembolism in Frail and Non-Frail Older Adults.

Chan Mi Park, Sandra Shi, Xiecheng Chen, Anna L Parks, Dae Hyun Kim

Abstract readComparative Study
In one paragraph

Article in American journal of hematology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Chan Mi ParkMarcus Institute for Aging Research, Hebrew SeniorLife, Boston, Massachusetts, USA.
Sandra ShiMarcus Institute for Aging Research, Hebrew SeniorLife, Boston, Massachusetts, USA.ORCID 0000-0001-6801-5602
Xiecheng ChenMarcus Institute for Aging Research, Hebrew SeniorLife, Boston, Massachusetts, USA.
Anna L ParksDivision of Hematology and Hematologic Malignancies University of Utah, Salt Lake City, Utah, USA.ORCID 0000-0003-1377-5406
Dae Hyun KimMarcus Institute for Aging Research, Hebrew SeniorLife, Boston, Massachusetts, USA.ORCID 0000-0001-7290-6838

Funding

Applications of Claims-Based Frailty Index to Advance Evidence for Frailty-Guided Decision-Making - Extension to ADRDR01AG071809 · NIA · HEBREW REHABILITATION CENTER FOR AGED · PI KIM, DAE HYUN · 2021 to 2025
$3.5M
Mid-Career Mentoring Award For Patient-Oriented Research in Frailty and Health OutcomesK24AG073527 · NIA · HEBREW REHABILITATION CENTER FOR AGED · PI Dae Hyun Kim · 2022 to 2026
$862k
NIA NIH HHS K24 AG073527NIA NIH HHS K24AG073527NIA NIH HHS R01 AG071809NIA NIH HHS R01AG071809
6 · The paper itself

Abstract

In this retrospective cohort of 18 066 Medicare fee-for-service beneficiaries ≥ 65 years with acute VTE (2015-2019), we compared apixaban, rivaroxaban, and warfarin using propensity score (PS) overlap weighting and intention-to-treat analyses across total, non-frail, and frail strata defined by a claims-based frailty index. After PS weighting (all SMDs < 0.10), apixaban versus warfarin was associated with a lower 1-year composite of recurrent VTE or death in the total population (189.1 versus 216.1 per 1000 PY; HR 0.86, 95% CI 0.77-0.96), with benefit evident in non-frail patients (114.5 versus 143.6; HR 0.78, 0.66-0.92) and attenuated in frail patients (330.9 versus 349.9; HR 0.93, 0.82-1.07). Recurrent VTE rates favored apixaban but were not statistically significant overall (40.5 versus 54.8; HR 0.86, 0.68-1.08). Major bleeding was lower with apixaban (19.4 versus 26.0; HR 0.73, 0.53-1.00). Home-time loss was reduced with apixaban compared with warfarin in the total population (mean 54.9 versus 67.0 days; RR 0.89, 0.83-0.96) and was directionally similar across both frailty strata. Rivaroxaban showed no clear advantage over warfarin for the composite (216.9 versus 216.1; HR 1.00, 0.90-1.11) or bleeding (HR 0.99, 0.73-1.32) and yielded greater home-time loss than apixaban (RR 1.08, 1.01-1.17). Overall, apixaban demonstrated the most favorable balance of effectiveness, safety, and patient-centered benefit, with patterns generally consistent across frailty levels.

Indexed as

AnticoagulantsFrail ElderlyVenous ThromboembolismAdministration, OralAgedAged, 80 and overFemaleHemorrhageHumansMalePyrazolesPyridonesRetrospective StudiesRivaroxabanTreatment OutcomeWarfarinAnticoagulantsapixabanPyrazolesPyridonesRivaroxabanWarfarin

Identifiers

PMID41887762
PMCPMC13091488

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.