Characteristics of patients with atrial fibrillation prescribed edoxaban in Belgium and The Netherlands: insights from the ETNA-AF-Europe study.


Journal

Acta cardiologica
ISSN: 1784-973X
Titre abrégé: Acta Cardiol
Pays: England
ID NLM: 0370570

Informations de publication

Date de publication:
Jun 2021
Historique:
pubmed: 8 1 2021
medline: 6 11 2021
entrez: 7 1 2021
Statut: ppublish

Résumé

Studies on the use of non-vitamin K antagonist oral anticoagulants in unselected patients with atrial fibrillation (AF) show that clinical characteristics and dosing practices differ per region, but lack data on edoxaban. With data from Edoxaban Treatment in routiNe clinical prActice for patients with AF in Europe (ETNA-AF-Europe), a large prospective observational study, we compared clinical characteristics (including the dose reduction criteria for edoxaban: creatinine clearance 15-50 mL/min, weight ≤60 kg, and/or use of strong p-glycoprotein inhibitors) of patients from Belgium and the Netherlands (BeNe) with those from other European countries (OEC). Of all 13,639 patients in ETNA-AF-Europe, 2579 were from BeNe. BeNe patients were younger than OEC patients (mean age: 72.3 vs 73.9 years), and had lower CHA There were several notable differences between BeNe and OEC regarding clinical characteristics and dosing practices in patients prescribed edoxaban, which are relevant for the local implementation of dose evaluation and optimisation. NCT02944019; Date of registration: October 24, 2016.

Sections du résumé

BACKGROUND BACKGROUND
Studies on the use of non-vitamin K antagonist oral anticoagulants in unselected patients with atrial fibrillation (AF) show that clinical characteristics and dosing practices differ per region, but lack data on edoxaban.
METHODS METHODS
With data from Edoxaban Treatment in routiNe clinical prActice for patients with AF in Europe (ETNA-AF-Europe), a large prospective observational study, we compared clinical characteristics (including the dose reduction criteria for edoxaban: creatinine clearance 15-50 mL/min, weight ≤60 kg, and/or use of strong p-glycoprotein inhibitors) of patients from Belgium and the Netherlands (BeNe) with those from other European countries (OEC).
RESULTS RESULTS
Of all 13,639 patients in ETNA-AF-Europe, 2579 were from BeNe. BeNe patients were younger than OEC patients (mean age: 72.3 vs 73.9 years), and had lower CHA
CONCLUSION CONCLUSIONS
There were several notable differences between BeNe and OEC regarding clinical characteristics and dosing practices in patients prescribed edoxaban, which are relevant for the local implementation of dose evaluation and optimisation.
TRIAL REGISTRATION BACKGROUND
NCT02944019; Date of registration: October 24, 2016.

Identifiants

pubmed: 33406996
doi: 10.1080/00015385.2020.1746095
doi:

Substances chimiques

Anticoagulants 0
Factor Xa Inhibitors 0
Pyridines 0
Thiazoles 0
edoxaban NDU3J18APO

Banques de données

ClinicalTrials.gov
['NCT02944019']

Types de publication

Journal Article Observational Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

431-439

Auteurs

Tim A C de Vries (TAC)

Department of Cardiology, Rijnstate Hospital, Arnhem, The Netherlands.
Department of Cardiology, Amsterdam Medical Centres/University of Amsterdam, Amsterdam, The Netherlands.

Martin E W Hemels (MEW)

Department of Cardiology, Rijnstate Hospital, Arnhem, The Netherlands.
Department of Cardiology, Radboud University Medical Centre, Nijmegen, The Netherlands.

Frank Cools (F)

Department of Cardiology, General Hospital Klinieken Noord-Antwerpen, Brasschaat, Belgium.

Harry J G M Crijns (HJGM)

Department of Cardiology, Maastricht University Medical Centre, Maastricht, The Netherlands.

Laetitia Yperzeele (L)

Department of Neurosurgery, University Hospital Antwerp, Antwerp, Belgium.

Peter Vanacker (P)

Department of Neurosurgery, University Hospital Antwerp, Antwerp, Belgium.
Department of Neurology, General Hospital Groeninge, Kortrijk, Belgium.

Ivan Blankoff (I)

Department of Cardiology, Civil Hospital Marie Curie, Charleroi, Belgium.

Patrizio Lancellotti (P)

Department of Cardiology, University Hospital of Liège, Liège, Belgium.

Georges H Mairesse (GH)

Department of Cardiology, Cliniques du Sud-Luxembourg, Arlon, Belgium.

Anne de Veer (A)

Department of Cardiology, St. Antonius Hospital, Nieuwegein, The Netherlands.

Ruben Casado Arroyo (R)

Department of Cardiology, Hospital Erasme, Anderlecht, Belgium.

Emmanuel Catez (E)

Department of Cardiology, Brugmann University Hospital, Brussels, Belgium.

Michel de Pauw (M)

Department of Cardiology, Ghent University Hospital, Ghent, Belgium.

Thomas Vanassche (T)

Department of Cardiology, Leuven University Hospital, Leuven, Belgium.

Carlo de Asmundis (C)

Department of Cardiology, University Hospital Brussels, Brussels, Belgium.

Paulus Kirchhof (P)

Institute of Cardiovascular Sciences, University of Birmingham, Birmingham, UK.
The Atrial Fibrillation NETwork (AFNET), Münster, Germany.

Raffaele De Caterina (R)

Department of Cardiology, University of Pisa, Pisa, Italy.

Joris R de Groot (JR)

Department of Cardiology, Amsterdam Medical Centres/University of Amsterdam, Amsterdam, The Netherlands.

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