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Comparative Effectiveness and Safety of Standard or Reduced Dose Dabigatran vs. Rivaroxaban in Nonvalvular Atrial Fibrillation
dc.rights.license | open | en_US |
dc.contributor.author | BLIN, Patrick | |
dc.contributor.author | DUREAU-POURNIN, C. | |
dc.contributor.author | COTTIN, Y. | |
hal.structure.identifier | Bordeaux population health [BPH] | |
dc.contributor.author | BENICHOU, Jacques | |
dc.contributor.author | MISMETTI, P. | |
dc.contributor.author | ABOUELFATH, A. | |
dc.contributor.author | LASSALLE, Regis | |
dc.contributor.author | DROZ, C. | |
hal.structure.identifier | Bordeaux population health [BPH] | |
dc.contributor.author | MOORE, Nicholas | |
dc.date.accessioned | 2020-05-19T08:35:52Z | |
dc.date.available | 2020-05-19T08:35:52Z | |
dc.date.issued | 2019 | |
dc.identifier.issn | 1532-6535 (Electronic) 0009-9236 (Linking) | en_US |
dc.identifier.uri | https://oskar-bordeaux.fr/handle/20.500.12278/7636 | |
dc.description.abstractEn | Dabigatran and rivaroxaban at standard (SD) or reduced doses (RD) have been compared to warfarin in non-valvular atrial fibrillation (NVAF), but not to each other. This was a new user study of SD and RD dabigatran or rivaroxaban for NVAF in the French healthcare database, matched on gender, age, date of first dispensing, and high-dimensional propensity score, followed 2 years. Hazard ratios [95% Confidence Intervals] of stroke or systemic embolism (SSE), major bleeding (MB) or death, were computed. In matched SD patients (8,290 per arm), mean age 67, HR for dabigatran vs. rivaroxaban were SSE 0.92 [0.67-1.26], MB 0.59 [0.39-0.90], death 0.84 [0.65-1.11]. In RD patients (7639 per arm), mean age 80, HR for dabigatran vs. rivaroxaban were SSE 0.73 [0.59-0.94], MB 0.74 [0.57-0.96], death 0.95 [0.83-1.09]. In conclusion, at either dose dabigatran had similar or better effectiveness than rivaroxaban, but lower bleeding risk. Death rates were not different. This article is protected by copyright. All rights reserved. | |
dc.language.iso | EN | en_US |
dc.subject.en | PharmacoEpi-Drugs | |
dc.title.en | Comparative Effectiveness and Safety of Standard or Reduced Dose Dabigatran vs. Rivaroxaban in Nonvalvular Atrial Fibrillation | |
dc.title.alternative | Clin Pharmacol Ther | en_US |
dc.type | Article de revue | en_US |
dc.identifier.doi | 10.1002/cpt.1318 | en_US |
dc.subject.hal | Sciences du Vivant [q-bio]/Santé publique et épidémiologie | en_US |
dc.identifier.pubmed | 30499605 | en_US |
bordeaux.journal | Clinical Pharmacology and Therapeutics | en_US |
bordeaux.page | 1439-1455 | en_US |
bordeaux.volume | 105 | en_US |
bordeaux.hal.laboratories | Bordeaux Population Health Research Center (BPH) - UMR 1219 | en_US |
bordeaux.issue | 6 | en_US |
bordeaux.institution | Université de Bordeaux | en_US |
bordeaux.peerReviewed | oui | en_US |
bordeaux.inpress | non | en_US |
hal.identifier | hal-03209375 | |
hal.version | 1 | |
hal.date.transferred | 2021-04-27T08:46:16Z | |
hal.export | true | |
bordeaux.COinS | ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Clinical%20Pharmacology%20and%20Therapeutics&rft.date=2019&rft.volume=105&rft.issue=6&rft.spage=1439-1455&rft.epage=1439-1455&rft.eissn=1532-6535%20(Electronic)%200009-9236%20(Linking)&rft.issn=1532-6535%20(Electronic)%200009-9236%20(Linking)&rft.au=BLIN,%20Patrick&DUREAU-POURNIN,%20C.&COTTIN,%20Y.&BENICHOU,%20Jacques&MISMETTI,%20P.&rft.genre=article |
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