Evidence map›Paper›PMID 35881467›Full record

Observational studyEuropean heart journal. Cardiovascular pharmacotherapy2022

Edoxaban for stroke prevention in atrial fibrillation and age-adjusted predictors of clinical outcomes in routine clinical care.

Paulus Kirchhof, Ladislav Pecen, Ameet Bakhai, Carlo de Asmundis, Joris R de Groot, Jean Claude Deharo, Peter Kelly, Pierre Levy, Esteban Lopez-de-Sa, Pedro Monteiro and 7 more

Registry-linked trialOpen access · bronzeAbstract readObservational Study
In one paragraph

Observational study in European heart journal. Cardiovascular pharmacotherapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02944019 (Non-Interventional Study on Edoxaban Treatment in Routine Clinical Practice for Patients With Non Valvular Atrial Fibrillation), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
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.

NCT02944019 completednot on this map

Non-Interventional Study on Edoxaban Treatment in Routine Clinical Practice for Patients With Non Valvular Atrial Fibrillation

TypeobservationalSponsorDaiichi SankyoRan2015 to 2022Enrolled13,980ConditionsAtrial FibrillationArmsEdoxaban
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 21 citations in OpenAlex.

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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

17 authors at 15 institutions in 12 countries.

Paulus KirchhofInstitute of Cardiovascular Sciences, University of Birmingham, IBR 136, Wolfson Drive, Birmingham B15 2TT, UK.ORCID 0000-0002-1881-0197
Ladislav PecenDepartment of Statistical Modelling, Institute of Computer Science of the Czech Academy of Sciences, Pod Vodarenskou vezi 271/2, 182 07 Prague, Czech Republic.ORCID 0000-0001-9827-3178
Ameet BakhaiDepartment of Cardiology, Royal Free London NHS Foundation Trust, Pond Street, London NW3 2QG, UK.
Carlo de AsmundisHeart Rhythm Management Centre, Postgraduate Program in Cardiac Electrophysiology and Pacing, Vrije Universiteit Brussel, Universitair Ziekenhuis Brussel, Laarbeeklaan 101, 1090 Jette, Brussels, Belgium.
Joris R de GrootAmsterdam UMC location University of Amsterdam, Cardiology, Meibergrdreef 9, 1105 AZ Amsterdam, the Netherlands.
Jean Claude DeharoAP-HM, Aix Marseille University, Hospital Timone, Cardiologie, Rythmologie, 264 rue Saint-Pierre, 13005, Marseille, France.
Peter KellyDepartment of Neurology, HRB Stroke Clinical Trials Network Ireland, University College Dublin/Mater Misericordiae University Hospital, Eccles St, Northside, D07 R2WY Dublin, Ireland.
Pierre LevyDepartment of Economics, Universite Paris-Dauphine, PSL Research University, LEDa-LEGOS, 75775 Paris, France.
Esteban Lopez-de-SaCardiological Intensive Care Unit, Cardiology Service, Hospital Universitario La Paz, IDIPAZ, CIBERCV, 28046 Madrid, Spain.
Pedro MonteiroDepartment of Cardiology, Centro Hospitalar e Universitario de Coimbra, Praceta Mota Pinto 3000-075 Coimbra, Portugal.
Jan SteffelDepartment of Cardiology and Invasive Electrophysiology, Heart Clinic Hirslanden, Witellikerstrasse 40, 8032 Zürich, Switzerland.ORCID 0000-0002-1477-9153
Johannes WaltenbergerChair of Cardiology and Vascular Medicine, University of Munster, Schlossplatz 2, 48149 Munster, Germany.ORCID 0000-0002-2417-9880
Thomas W WeissInstitute for Cardiometabolic Diseases, Karl Landsteiner Society, 3100 St. Polten, Austria.
Petra LaeisDaiichi Sankyo Europe GmbH, Zielstattstr. 48, 81379 Munich, Germany.
Marius Constantin ManuDaiichi Sankyo Europe GmbH, Zielstattstr. 48, 81379 Munich, Germany.
José SouzaDaiichi Sankyo Europe GmbH, Zielstattstr. 48, 81379 Munich, Germany.
Raffaele De CaterinaDepartment of Surgical, Medical, Molecular Pathology and Critical Care Medicine, University of Pisa, First Division of Cardiology, Pisa University Hospital, 56124 Pisa, Italy; and Fondazione VillaSerena per la Ricerca, Città Sant'Angelo, Pescara, Italy.ORCID 0000-0003-1637-574X
Daiichi Sankyo (Germany) · DEAix-Marseille Université · FRAmsterdam University Medical Centers · NLCzech Academy of Sciences · CZHospitais da Universidade de Coimbra · PTHospital Universitario La Paz · ESKarl Landsteiner Society · ATKlinik Hirslanden · CHRoyal Free London NHS Foundation Trust · GBUniversität Hamburg · DEUniversité Paris Sciences et Lettres · FRUniversity College Dublin · IEUniversity of Münster · DEUniversity of Pisa · ITVrije Universiteit Brussel · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsPatients with atrial fibrillation (AF) treated with oral anticoagulation still suffer from cardiovascular complications including cardiovascular death, stroke, and major bleeding. To identify risk factors for predicting stroke and bleeding outcomes in anticoagulated patients, we assessed 2-year outcomes in patients with AF treated with edoxaban in routine care. We also report the age-adjusted risk predictors of clinical outcomes. METHODS AND

resultsThe Edoxaban Treatment in Routine Clinical Practice for Patients With Non-Valvular Atrial Fibrillation (ETNA-AF) Europe (NCT02944019) is a prospective, multi-centre, post-authorisation, observational study with an overall 4-year follow-up conducted in 825 centres enrolling edoxaban-treated patients in 10 European countries. Of the 13 133 patients with AF (mean age: 73.6 ± 9.5 years), 5682 (43.3%) were female. At the 2-year follow-up, 9017/13 133 patients were still on edoxaban; 1830 discontinued treatment including 937 who died (annualised event rate of all-cause death was 3.87%). 518 (2.14%) patients died of cardiovascular causes; 234 (0.97%) experienced major bleeding and 168 (0.70%) experienced stroke or systemic embolic events (SEE). Intracranial haemorrhage was noted in 49 patients (0.20%). History of transient ischaemic attack (TIA) at baseline was the strongest predictor of ischaemic stroke or SEE (Wald χ2: 73.63; P < 0.0001). Low kidney function at baseline was the strongest predictor of major bleeding (Wald χ2: 30.68; P < 0.0001). History of heart failure (HF) was the strongest predictor of all-cause (Wald χ2: 146.99; P < 0.0001) and cardiovascular death (Wald χ2: 100.38; P < 0.0001).

conclusionPatients treated with edoxaban in ETNA-AF-Europe reported low 2-year event rates in unselected AF patients. Prior stroke, reduced kidney function, and HF identify patients at high risk of stroke, bleeding and all-cause/cardiovascular death, respectively.

Indexed as

Atrial FibrillationBrain IschemiaEmbolismHeart FailureStrokeAgedAged, 80 and overAnticoagulantsFactor Xa InhibitorsFemaleHemorrhageHumansMaleMiddle AgedProspective StudiesPyridinesAnticoagulantsedoxabanFactor Xa InhibitorsPyridinesThiazolesAtrial fibrillationEdoxabanNon-vitamin K oral anticoagulantReal-worldRegistry

Identifiers

PMID35881467
PMCPMC9753092
OpenAlexW4288041132

What Socratic holds

Textmetadata
LicenceCC BY-NC
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Registered trials

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.