Evidence map›Paper›PMID 39324035›Full record

ReviewInternational journal of cardiology. Heart & vasculature2024

Real-world evidence of direct oral anticoagulants in patients with atrial fibrillation and cancer: A

Xiuying Li, Runkai Li, Wengen Zhu, Dexi Wu

Abstract readReview
In one paragraph

Review in International journal of cardiology. Heart & vasculature, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Recent highlights from theInternational journal of cardiology. Heart & vasculature · 2025
    Article
  5. Recent highlights from theInternational journal of cardiology. Heart & vasculature · 2025
    Article
  6. Review
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

4 authors.

Xiuying LiDepartment of Gynecologic Oncology, Chongqing University Cancer Hospital & Chongqing Cancer Institute & Chongqing Cancer Hospital, Chongqing 400030, China.
Runkai LiDepartment of Cardiology, the First Affiliated Hospital of Sun Yat-Sen University, 510080, Guangzhou, Guangdong, China.
Wengen ZhuDepartment of Cardiology, the First Affiliated Hospital of Sun Yat-Sen University, 510080, Guangzhou, Guangdong, China.
Dexi WuDepartment of Cardiology, the First Affiliated Hospital of Sun Yat-Sen University, 510080, Guangzhou, Guangdong, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Several observational cohort studies have been conducted to investigate the effectiveness and safety of direct oral anticoagulants (DOACs) compared with vitamin K antagonists (VKAs) in patients who have both atrial fibrillation (AF) and cancer. Herein, we conducted a Methods: A comprehensive search strategy was performed in PubMed and Embase until February 2024 for studies that enrolled AF patients with cancer who received DOACs or VKAs. The adjusted risk ratios (RRs) and 95% confidence intervals (CIs) of each outcome were extracted and pooled by a random-effects model. Results: Seven observational cohort studies were eligible for data extraction. The random-effects model analysis indicated that compared with VKA use, the use of DOACs was significantly associated with reduced risks of stroke or systemic embolism (RR=0.79, 95 % CI 0.64---0.97), major bleeding (RR=0.84, 95 % CI 0.71---0.99), intracranial bleeding (RR=0.61, 95 % CI 0.54---0.69), and gastrointestinal bleeding (RR=0.87, 95 % CI 0.80---0.95) in AF patients with concurrent cancer. Conclusions: Compared with VKAs, the use of DOACs was associated with decreased risks of thrombotic and bleeding events in AF patients with cancer. Data from real-world scenarios support the use of DOACs as a favorable treatment option for this specific patient population.

Indexed as

Atrial fibrillationCancerDirect oral anticoagulantsMetaOutcomes

Identifiers

PMID39324035
PMCPMC11421282

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.