| Literature DB >> 35592813 |
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Abstract
[This corrects the article DOI: 10.1002/rth2.12643.].Entities:
Year: 2022 PMID: 35592813 PMCID: PMC9101590 DOI: 10.1002/rth2.12717
Source DB: PubMed Journal: Res Pract Thromb Haemost ISSN: 2475-0379
Baseline characteristics of patients with VTE initiating concomitant use of oral anticoagulants and antiplatelet agents before and after propensity score weighting (InGef database)
| Characteristic | Before weighting | After weighting | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| DOACs + APs (n = 1234) | VKAs + APs (n = 493) | SMD | DOACs + APs (n = 1235) | VKAs + APs (n = 489) | SMD | |||||
| Age, in years (mean, SD) | 74.8 | 11.8 | 72.7 | 11.1 | 0.181 | 74.2 | 11.6 | 74.0 | 11.5 | 0.016 |
| Female sex | 549 | 44.5 | 201 | 40.8 | 0.075 | 535 | 43.3 | 209 | 42.6 | 0.014 |
| Comorbidities | ||||||||||
| Obesity | <5 | – | 0 | 0.0 | NA | – | – | – | – | NA |
| Varicose veins/PTS | 36 | 2.9 | 12 | 2.4 | 0.029 | 35 | 2.9 | 15 | 3.1 | −0.016 |
| Arterial hypertension | 1,140 | 92.4 | 449 | 91.1 | 0.048 | 1,135 | 91.9 | 448 | 91.6 | 0.011 |
| Congestive heart failure | 479 | 38.8 | 189 | 38.3 | 0.010 | 477 | 38.6 | 182 | 37.3 | 0.028 |
| Myocardial infarction | 174 | 14.1 | 63 | 12.8 | 0.038 | 170 | 13.8 | 65 | 13.3 | 0.013 |
| Stroke | 293 | 23.7 | 91 | 18.5 | 0.127 | 275 | 22.3 | 112 | 22.8 | −0.013 |
| Diabetes mellitus | 513 | 41.6 | 210 | 42.6 | −0.021 | 519 | 42.1 | 210 | 43.0 | −0.018 |
| Chronic kidney disease | 320 | 25.9 | 179 | 36.3 | −0.230 | 357 | 28.9 | 141 | 28.9 | 0.000 |
| Moderate to severe liver disease | 11 | 0.9 | 5 | 1.0 | NA | – | – | – | – | NA |
| Inflammatory bowel disease | 20 | 1.6 | 16 | 3.3 | −0.114 | 26 | 2.1 | 10 | 2.1 | 0.002 |
| Cancer | 298 | 24.2 | 109 | 22.1 | 0.048 | 291 | 23.6 | 113 | 23.1 | 0.011 |
| Bleeding | 234 | 19.0 | 91 | 18.5 | 0.013 | 233 | 18.9 | 90 | 18.4 | 0.012 |
| Fracture | 81 | 6.6 | 18 | 3.7 | 0.126 | 71 | 5.7 | 27 | 5.4 | 0.013 |
| Major surgery | 472 | 38.3 | 209 | 42.4 | −0.085 | 486 | 39.4 | 189 | 38.6 | 0.017 |
| Comedications | ||||||||||
| APs, duration in days (mean, SD) | 195.8 | 125.7 | 179.6 | 127.0 | 0.128 | 190.6 | 126.3 | 188.6 | 126.5 | 0.015 |
| Oral contraceptives | 9 | 0.7 | 6 | 1.2 | NA | – | – | – | – | NA |
| Hormone replacement therapy | 0 | 0.0 | 0 | 0.0 | NA | – | – | – | – | NA |
| Tamoxifen | 7 | 0.6 | 7 | 1.4 | NA | – | – | – | – | NA |
| Systemic corticosteroids | 248 | 20.1 | 96 | 19.5 | 0.016 | 244 | 19.8 | 95 | 19.4 | 0.010 |
| SSRIs | 133 | 10.8 | 45 | 9.1 | 0.054 | 127 | 10.3 | 49 | 10.1 | 0.007 |
| Proton pump inhibitors | 756 | 61.3 | 277 | 56.2 | 0.104 | 739 | 59.8 | 293 | 59.9 | −0.002 |
| NSAIDs | 470 | 38.1 | 191 | 38.7 | −0.013 | 474 | 38.4 | 193 | 39.5 | −0.021 |
| Proxies of overall health | ||||||||||
| Number of hospitalizations | ||||||||||
| 0 | 417.00 | 33.79 | 158.00 | 32.05 | 0.037 | 411.31 | 33.32 | 164.10 | 33.53 | −0.005 |
| 1 | 356.00 | 28.85 | 146.00 | 29.61 | −0.017 | 359.76 | 29.14 | 142.18 | 29.05 | 0.002 |
| 2 | 195.00 | 15.80 | 96.00 | 19.47 | −0.098 | 208.73 | 16.91 | 82.40 | 16.84 | 0.002 |
| >2 | 266.00 | 21.56 | 93.00 | 18.86 | 0.066 | 254.71 | 20.63 | 100.69 | 20.58 | 0.001 |
| Number of non‐antithrombotic drugs | ||||||||||
| 0–10 | 561.00 | 45.46 | 235.00 | 47.67 | −0.044 | 568.90 | 46.08 | 225.64 | 46.11 | −0.001 |
| 11–15 | 386.00 | 31.28 | 129.00 | 26.17 | 0.112 | 366.87 | 29.72 | 142.12 | 29.04 | 0.015 |
| ≥16 | 287.00 | 23.26 | 129.00 | 26.17 | −0.068 | 298.73 | 24.20 | 121.60 | 24.85 | −0.015 |
S Suppressed due to small numbers (<5) as per confidentiality agreement with the data custodians contributing data to the InGef database.
Abbreviations: APs, antiplatelet agents; DOACs, direct oral anticoagulants; InGef, Institute for Applied Health Research Berlin;NA, not applicable; NSAIDs, non‐steroidal anti‐inflammatory drugs; PTS, post‐thrombotic syndrome; SD, standard deviation; SMD; SSRIs, selective serotonin reuptake inhibitors; standardized mean difference; VKAs, vitamin K antagonists.
Values are numbers (percentages) unless stated otherwise.
Association between concomitant use of DOACs and antiplatelet agents and the risk of all‐cause mortality compared with concomitant use of VKAs and antiplatelet agents among patients with VTE (secondary analyses)
| Stratification factor | Analysis | Weighted |
|
|---|---|---|---|
| Sex | Male | ||
| RAMQ | 0.94 (0.48 to 1.82) | ||
| InGef |
| ||
| Overall |
|
| |
| Female | |||
| RAMQ | 1.66 (0.88 to 3.13) | ||
| InGef |
| ||
| Overall |
|
| |
| Age | ≤80 years | ||
| RAMQ | 0.51 (0.20 to 1.27) | ||
| InGef | 1.17 (0.52 to 2.61) | ||
| Overall | 0.80 (0.35 to 1.79) | 0.43 | |
| >80 years | |||
| RAMQ | 1.94 (1.11 to 3.38) | ||
| InGef | 1.39 (0.56 to 3.42) | ||
| Overall | 1.77 (1.10 to 2.84) | 0.00 |
Abbreviations: DOACs, direct oral anticoagulants; VKAs, vitamin K antagonists; VTE, venous thromboembolism; HR, hazard ratio; CI, confidence interval; RAMQ, Régie de l'assurance maladie du Québec; InGef, Institute for Applied Health Research Berlin.
After propensity score based inverse probability of treatment weighting.
Association between concomitant use of DOACs and antiplatelet agents and the risk of major bleeding compared with concomitant use of VKAs and antiplatelet agents among patients with VTE (secondary analyses)
| Stratification factor | Analysis | Weighted |
|
|---|---|---|---|
| Sex | Male | ||
| RAMQ | 0.50 (0.26 to 0.97) | ||
| InGef |
| ||
| Overall |
|
| |
| Female | |||
| RAMQ | 0.84 (0.41 to 1.72) | ||
| InGef |
| ||
| Overall |
|
| |
| Age | ≤80 years | ||
| RAMQ | 0.56 (0.30 to 1.06) | ||
| InGef | 1.63 (0.69 to 3.84) | ||
| Overall | 0.92 (0.32 to 2.60) | 0.74 | |
| >80 years | |||
| RAMQ | 0.75 (0.35 to 1.60) | ||
| InGef | 0.59 (0.20 to 1.73) | ||
| Overall | 0.69 (0.37 to 1.29) | 0.00 | |
| Type of bleeding | Gastrointestinal bleeding | ||
| RAMQ | 0.85 (0.45 to 1.63) | ||
| InGef | 1.19 (0.47 to 3.05) | ||
| Overall | 0.95 (0.56 to 1.61) | 0.00 | |
| Other major bleeding | |||
| RAMQ | 0.40 (0.18 to 0.88) | ||
| InGef | 1.22 (0.46 to 3.26) | ||
| Overall | 0.67 (0.23 to 2.00) | 0.67 |