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Direct oral anticoagulants versus vitamin K antagonists in patients with atrial fibrillation and cancer a meta-analysis.


ABSTRACT:

Background

Direct oral anticoagulants (DOACs) are recommended as first-line anticoagulants in patients with atrial fibrillation (AF). However, in patients with cancer and AF the efficacy and safety of DOACs are not well established.

Objective

We performed a meta-analysis comparing available data regarding the efficacy and safety of DOACs vs vitamin K antagonists (VKAs) in cancer patients with non-valvular AF.

Methods

An online search of Pubmed and EMBASE libraries (from inception to May, 1 2020) was performed, in addition to manual screening. Nine studies were considered eligible for the meta-analysis involving 46,424 DOACs users and 182,797 VKA users.

Results

The use of DOACs was associated with reduced risks of systemic embolism or any stroke (RR 0.65; 95% CI

SUBMITTER: Mariani MV 

PROVIDER: S-EPMC7886836 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature

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