Evidence map›Paper›PMID 37762897›Full record

ReviewJournal of clinical medicine2023

Management of Patients Treated with Direct Oral Anticoagulants in Clinical Practice and Challenging Scenarios.

Fabiana Lucà, Fabrizio Oliva, Maurizio Giuseppe Abrignani, Stefania Angela Di Fusco, Iris Parrini, Maria Laura Canale, Simona Giubilato, Stefano Cornara, Martina Nesti, Carmelo Massimiliano Rao and 14 more

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
10.3field-weighted citation impact, top 1% 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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. DOACs vs Warfarin for Post-myocardial Infarction Left Ventricular Thrombus: A GRADE-assessed Meta-Analysis With Trial Sequential Analysis of Randomized Trials.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Pooled it
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  3. ANMCO position paper E-health integration in cardiology clinical care framework.European heart journal supplements : journal of the European Society of Cardiology · 2026
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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

24 authors at 17 institutions in 2 countries.

Fabiana LucàCardiology Department, Grande Ospedale Metropolitano, AO Bianchi Melacrino Morelli, 89129 Reggio Calabria, Italy.ORCID 0000-0002-5369-5382
Fabrizio OlivaCardiology Department De Gasperis Cardio Center, Niguarda Hospital, 20162 Milan, Italy.
Maurizio Giuseppe AbrignaniOperative Unit of Cardiology, P. Borsellino Hospital, 91025 Marsala, Italy.ORCID 0000-0002-0237-7157
Stefania Angela Di FuscoClinical and Rehabilitation Cardiology Department, San Filippo Neri Hospital, ASL Roma 1, 00135 Roma, Italy.ORCID 0000-0002-8586-9930
Iris ParriniCardiology Department, Ospedale Mauriziano, 10128 Turin, Italy.ORCID 0000-0002-0038-9445
Maria Laura CanaleCardiology Department, Nuovo Ospedale Versilia Lido di Camaiore Lucca, 55049 Camaiore, Italy.
Simona GiubilatoCardiology Department, Cannizzaro Hospital, 95126 Catania, Italy.
Stefano CornaraArrhytmia Unit, Division of Cardiology, Ospedale San Paolo, Azienda Sanitaria Locale 2, 17100 Savona, Italy.ORCID 0000-0002-4311-2139
Martina NestiFondazione Toscana G. Monasterio, 56124 Pisa, Italy.ORCID 0000-0001-8995-3884
Carmelo Massimiliano RaoCardiology Department, Grande Ospedale Metropolitano, AO Bianchi Melacrino Morelli, 89129 Reggio Calabria, Italy.
Andrea PozziCardiology Division Valduce Hospital, 22100 Como, Italy.
Giulio BinaghiDepartment of Cardiology, Azienda Ospedaliera Brotzu, 09047 Cagliari, Italy.ORCID 0000-0003-3782-2852
Alessandro MalobertiCardiology Department De Gasperis Cardio Center, Niguarda Hospital, 20162 Milan, Italy.ORCID 0000-0002-2612-6264
Roberto CeravoloCardiology Unit, Giovanni Paolo II Hospital, 88046 Lamezia, Italy.
Irma BiscegliaIntegrated Cardiology Services, Department of Cardio-Thoracic-Vascular, Azienda Ospedaliera San Camillo Forlanini, 00152 Rome, Italy.
Roberta RossiniCardiology Unit, Ospedale Santa Croce e Carle, 12100 Cuneo, Italy.
Pier Luigi TemporelliDivision of Cardiac Rehabilitation, Istituti Clinici Scientifici Maugeri, IRCCS, 28010 Gattico-Veruno, Italy.
Antonio Francesco AmicoCardiovascular Prevention and Ortokinesis Clinics of Lecce, 73043 Lecce, Italy.
Raimondo CalvaneseCardiology Unit, Ospedale del Mare, 80147 Napoli, Italy.
Sandro GelsominoCardiovascular Research Institute, Maastricht University, 6211 LK Maastricht, The Netherlands.ORCID 0000-0002-7746-989X
Carmine RiccioCardiovascular Department, Sant'Anna e San Sebastiano Hospital, 81100 Caserta, Italy.
Massimo GrimaldiDepartment of Cardiology, General Regional Hospital "F. Miulli", 70021 Bari, Italy.ORCID 0000-0002-9347-8884
Furio ColivicchiClinical and Rehabilitation Cardiology Department, San Filippo Neri Hospital, ASL Roma 1, 00135 Roma, Italy.ORCID 0000-0001-7187-2234
Michele Massimo GuliziaCardiology Department, Garibaldi Nesima Hospital, 95122 Catania, Italy.
ASL Roma · ITAzienda ospedaliera "Bianchi-Melacrino-Morelli" · ITAzienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda · ITA. O. Ordine Mauriziano di Torino · ITAzienda Ospedaliera G. Brotzu · ITAzienda Ospedaliera San Camillo-Forlanini · ITAzienda Sanitaria Ospedaliera S.Croce e Carle Cuneo · ITFondazione Toscana Gabriele Monasterio · ITIstituti Clinici Scientifici Maugeri · ITMaastricht University · NLOspedale Cannizzaro · ITOspedale Garibaldi · ITOspedale Generale Regionale Francesco Miulli · ITOspedale San Paolo · ITOspedale Sant'Anna · ITOspedale Valduce · ITOspedale Versilia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

It is well established that direct oral anticoagulants (DOACs) are the cornerstone of anticoagulant strategy in atrial fibrillation (AF) and venous thromboembolism (VTE) and should be preferred over vitamin K antagonists (VKAs) since they are superior or non-inferior to VKAs in reducing thromboembolic risk and are associated with a lower risk of intracranial hemorrhage (IH). In addition, many factors, such as fewer pharmacokinetic interactions and less need for monitoring, contribute to the favor of this therapeutic strategy. Although DOACs represent a more suitable option, several issues should be considered in clinical practice, including drug-drug interactions (DDIs), switching to other antithrombotic therapies, preprocedural and postprocedural periods, and the use in patients with chronic renal and liver failure and in those with cancer. Furthermore, adherence to DOACs appears to remain suboptimal. This narrative review aims to provide a practical guide for DOAC prescription and address challenging scenarios.

Indexed as

adherenceatrial fibrillation (AF)cancerCatheter Ablation of Atrial Fibrillation (CAAF)chronic kidney disease (CKD)chronic liver disease (CLD)direct oral anticoagulants (DOACs)drug–drug interactions (DDIs)dual antiplatelet therapy (DAPT)elderlyfrailtyimplantable cardioverter-defibrillator (ICD) implantationmalignancynon-cardiac surgeryobesityOver-Weight Patientspacemakertriple antithrombotic therapy (TAT)Under-Weight Patientsvitamin K antagonists (VKAs)

Identifiers

PMID37762897
PMCPMC10531873
OpenAlexW4386744077

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.