Evidence map›Paper›PMID 41358859›Full record

SynthesisClinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis

Direct Oral Anticoagulants Versus Vitamin K Antagonists in Cerebral Venous Thrombosis: A Systematic Review and Meta-Analysis of 4,929 Patients.

Muhammad Hassan Waseem, Zain Ul Abideen, Areeba Shoaib, Nohela Rehman, Muhammad Osama, Barka Sajid, Muhammad Mukhlis, Sania Aimen, Muhammad Wajih Ansari, Rowaid Ahmad and 4 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Comparing Efficacy and Safety of Different Anticoagulants in Cerebral Venous Thrombosis: A Systematic Review and Network Meta-Analysis.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Pooled it
  2. Article
  3. 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

14 authors.

Muhammad Hassan WaseemDepartment of Neurology, Allama Iqbal Medical College, Lahore, Pakistan.ORCID 0009-0002-4521-3256
Zain Ul AbideenDepartment of Neurology, King Edward Medical University, Lahore, Pakistan.
Areeba ShoaibDepartment of Neurology, Dow University of Health Sciences, Karachi, Pakistan.
Nohela RehmanDepartment of Neurology, Dow University of Health Sciences, Karachi, Pakistan.
Muhammad OsamaDepartment of Neurology, Hayatabad Medical Complex, Peshawar, Pakistan.
Barka SajidDepartment of Neurology, Jinnah Sindh Medical University, Karachi, Pakistan.
Muhammad MukhlisDepartment of Neurology, Ayub Medical College, Abbottabad, Pakistan.
Sania AimenDepartment of Neurology, Quetta Institute of Medical Sciences, Quetta, Pakistan.
Muhammad Wajih AnsariDepartment of Neurology, University of Texas Medical branch, Galveston, Texas, USA.
Rowaid AhmadDepartment of Neurology, University of Texas Medical branch, Galveston, Texas, USA.
Zara FahimDepartment of Neurology, King Edward Medical University, Lahore, Pakistan.
Ameer Haider CheemaDepartment of Internal Medicine, UT Southwestern Medical Center, Dallas, Texas, USA.
Muhammad Bilal ZahidDepartment of Neurology, Allama Iqbal Medical College, Lahore, Pakistan.
Pawan Kumar ThadaDepartment of Neurology, Sotang Primary Hospital, Solukhumbu, Nepal.ORCID 0000-0002-2085-8739

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundCerebral venous thrombosis (CVT), a rare cause of stroke, primarily occurs in young individuals. The established treatment regimen involves anticoagulation with low molecular weight heparin (LMWH) and vitamin K antagonists (VKA). Although direct oral anticoagulants (DOACs) have emerged as a promising alternative, their efficacy and safety remain unclear. This meta-analysis compared the efficacy and safety of DOACs versus VKA in managing CVT.MethodsElectronic databases, including PubMed, Cochrane Library, and ScienceDirect, were searched from inception until April 2025. Risk ratios (RR) with a 95% Confidence interval (CI) were pooled under the random effects model in the Review Manager 5.4.1. Quality assessment was done through the Cochrane risk of bias (RoB 2.0) tool and the Newcastle Ottawa Scale (NOS). Subgroup analyses based on study design and different types of DOACs were carried out.ResultsThirty-one studies, including five randomized controlled trials (RCTs) and 26 observational studies, were included in this meta-analysis. Our analysis showed a significant reduction in the risk of recurrent venous thromboembolism (VTE) in the DOACs arm compared to VKA (RR = 0.84; 95%CI: [0.71,0.99]; p = 0.04; I

Indexed as

AnticoagulantsIntracranial ThrombosisVenous ThrombosisVitamin KAdministration, OralHumansAnticoagulantsVitamin Kanticoagulationcerebral venous thrombosisdirect oral anticoagulantsvitamin K antagonistwarfarin

Identifiers

PMID41358859
PMCPMC12686367

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.