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Comparative Effectiveness of New Oral Anticoagulants for ...

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<strong>Comparative</strong> <strong>Effectiveness</strong> <strong>of</strong> <strong>New</strong> <strong>Oral</strong> <strong>Anticoagulants</strong><br />

<strong>for</strong> Thromboprophylaxis<br />

Evidence-based Synthesis Program<br />

TABLE OF CONTENTS<br />

ExEcutivE Summary<br />

Background......................................................................................................................................................1<br />

Methods ...........................................................................................................................................................2<br />

Data Synthesis .................................................................................................................................................2<br />

Rating the Body <strong>of</strong> Evidence...........................................................................................................................2<br />

Peer Review.....................................................................................................................................................3<br />

Results .............................................................................................................................................................3<br />

Recommendations <strong>for</strong> Future Research...........................................................................................................9<br />

Conclusion.......................................................................................................................................................9<br />

Abbreviations Table.......................................................................................................................................10<br />

introduction<br />

Pharmacological Treatment Options <strong>for</strong> VTE Thromboprophylaxis ............................................................11<br />

mEthodS<br />

Topic Development........................................................................................................................................13<br />

Analytic Framework......................................................................................................................................13<br />

Search Strategy..............................................................................................................................................14<br />

Study Selection..............................................................................................................................................14<br />

Data Abstraction ............................................................................................................................................15<br />

Quality Assessment .......................................................................................................................................16<br />

Data Synthesis ...............................................................................................................................................16<br />

Rating the Body <strong>of</strong> Evidence.........................................................................................................................17<br />

Peer Review...................................................................................................................................................18<br />

rESultS<br />

Literature Search ...........................................................................................................................................19<br />

Study Characteristics.....................................................................................................................................20<br />

Participant Characteristics.............................................................................................................................22<br />

KQ 1. <strong>Comparative</strong> effectiveness <strong>of</strong> newer oral anticoagulants and standard drug classes..........................23<br />

KQ 2. <strong>Comparative</strong> effects <strong>of</strong> combined pharmacological and mechanical modalities................................27<br />

KQ 3. <strong>Comparative</strong> efficacy <strong>of</strong> newer oral anticoagulants............................................................................28<br />

Summary and diScuSSion<br />

Summary <strong>of</strong> Evidence by Key Question .......................................................................................................30<br />

Clinical and Policy Implications ...................................................................................................................34<br />

Applicability..................................................................................................................................................36<br />

Strengths and Limitations..............................................................................................................................36<br />

Recommendations <strong>for</strong> Future Research.........................................................................................................36<br />

Conclusion.....................................................................................................................................................37<br />

rEfErEncES ..............................................................................................................................................................38<br />

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