Evidence map›Paper›PMID 35807073›Full record

ReviewJournal of clinical medicine2022

Effectiveness and Safety of Apixaban in over 3.9 Million People with Atrial Fibrillation: A Systematic Review and Meta-Analysis.

Benjamin J R Buckley, Deirdre A Lane, Peter Calvert, Juqian Zhang, David Gent, C Daniel Mullins, Paul Dorian, Shun Kohsaka, Stefan H Hohnloser, Gregory Y H Lip

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 7% of its field
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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. 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

10 authors at 5 institutions in 6 countries.

Benjamin J R BuckleyLiverpool Centre for Cardiovascular Science, University of Liverpool and Liverpool Heart & Chest Hospital, Liverpool L14 3PE, UK.ORCID 0000-0002-1479-8872
Deirdre A LaneLiverpool Centre for Cardiovascular Science, University of Liverpool and Liverpool Heart & Chest Hospital, Liverpool L14 3PE, UK.ORCID 0000-0002-5604-9378
Peter CalvertLiverpool Centre for Cardiovascular Science, University of Liverpool and Liverpool Heart & Chest Hospital, Liverpool L14 3PE, UK.ORCID 0000-0002-8401-4033
Juqian ZhangLiverpool Centre for Cardiovascular Science, University of Liverpool and Liverpool Heart & Chest Hospital, Liverpool L14 3PE, UK.ORCID 0000-0002-9653-8635
David GentLiverpool Centre for Cardiovascular Science, University of Liverpool and Liverpool Heart & Chest Hospital, Liverpool L14 3PE, UK.ORCID 0000-0002-0365-913X
C Daniel MullinsPHSR Department, School of Pharmacy, University of Maryland, Baltimore, MD 20742, USA.ORCID 0000-0003-4322-2490
Paul DorianDivision of Cardiology, St Michael's Hospital, University of Toronto, Toronto, ON M5S 1A1, Canada.
Shun KohsakaDepartment of Cardiology, Keio University, Tokyo 108-8345, Japan.ORCID 0000-0003-3779-2972
Stefan H HohnloserDepartment of Cardiology, J.W. Goethe University, 60590 Frankfurt, Germany.
Gregory Y H LipLiverpool Centre for Cardiovascular Science, University of Liverpool and Liverpool Heart & Chest Hospital, Liverpool L14 3PE, UK.ORCID 0000-0002-7566-1626
University of Liverpool · GBGoethe University Frankfurt · DEKeio University · JPSt. Michael's Hospital · CAUniversity of Maryland, Baltimore · US

Funding

BMS/Pfizer Inc Research Grant
6 · The paper itself

Abstract

backgroundThere is a plethora of real-world data on the safety and effectiveness of direct-acting oral anticoagulants (DOACs); however, study heterogeneity has contributed to inconsistent findings. We compared the effectiveness and safety of apixaban with those of other direct-acting oral anticoagulants (DOACs) and vitamin K antagonists (VKA e.g., warfarin).

methodsA systematic review and meta-analysis was conducted retrieving data from PubMed, SCOPUS and Web of Science from January 2009 to December 2021. Studies that evaluated apixaban (intervention) prescribed for adults (aged 18 years or older) with AF for stroke prevention compared to other DOACs or VKAs were identified. Primary outcomes included stroke/systemic embolism (SE), all-cause mortality, and major bleeding. Secondary outcomes were intracranial haemorrhage (ICH) and ischaemic stroke. Randomised controlled trials and non-randomised trials were considered for inclusion.

resultsIn total, 67 studies were included, and 38 studies were meta-analysed. Participants taking apixaban had significantly lower stroke/SE compared to patients taking VKAs (relative risk (RR) 0.77, 95% confidence interval (CI) 0.64-0.93, I

conclusionsApixaban was associated with a better overall safety and effectiveness profile compared to VKAs and other DOACs.

Indexed as

anticoagulantapixabanatrial fibrillationmajor bleedingsecondary preventionstroke

Identifiers

PMID35807073
PMCPMC9267894
OpenAlexW4283749204

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.