Protocol to assess the effectiveness and safety of novel oral anticoagulants (NOAC) vs warfarin in real world settings: cohort study in primary care

Anticoagulants are used to treat thrombosis and to prevent thrombosis and stroke among those at high risk. Older anticoagulants such as warfarin can be effective but require regular monitoring and may lead to major bleeding and even death. Newer anticoagulants may not need blood tests but they are q...

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Main Authors: Hippisley-Cox, Julia, Coupland, Carol
Format: Monograph
Published: University of Nottingham 2016
Subjects:
Online Access:https://eprints.nottingham.ac.uk/35133/
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author Hippisley-Cox, Julia
Coupland, Carol
author_facet Hippisley-Cox, Julia
Coupland, Carol
author_sort Hippisley-Cox, Julia
building Nottingham Research Data Repository
collection Online Access
description Anticoagulants are used to treat thrombosis and to prevent thrombosis and stroke among those at high risk. Older anticoagulants such as warfarin can be effective but require regular monitoring and may lead to major bleeding and even death. Newer anticoagulants may not need blood tests but they are quite expensive. There is a lack of information on how safe these new treatments are in the longer term since the original trials were done over relatively short periods of time. Also the trials were done in selected patients who may be different from patients in real world settings. So there is a need to establish how safe the new anticoagulants are compared with the older ones when used in real world settings over longer periods of time. Our aim is use a large primary care research database (QResearch) to investigate the unintended effects of novel anticoagulants (NOACS) in primary care populations compared with warfarin. Our specific objective is to evaluate bleeding, stroke and thrombosis outcomes associated with NOACs (both individual drugs & class effect) compared with warfarin in NHS patients.
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spelling nottingham-351332020-05-04T18:01:17Z https://eprints.nottingham.ac.uk/35133/ Protocol to assess the effectiveness and safety of novel oral anticoagulants (NOAC) vs warfarin in real world settings: cohort study in primary care Hippisley-Cox, Julia Coupland, Carol Anticoagulants are used to treat thrombosis and to prevent thrombosis and stroke among those at high risk. Older anticoagulants such as warfarin can be effective but require regular monitoring and may lead to major bleeding and even death. Newer anticoagulants may not need blood tests but they are quite expensive. There is a lack of information on how safe these new treatments are in the longer term since the original trials were done over relatively short periods of time. Also the trials were done in selected patients who may be different from patients in real world settings. So there is a need to establish how safe the new anticoagulants are compared with the older ones when used in real world settings over longer periods of time. Our aim is use a large primary care research database (QResearch) to investigate the unintended effects of novel anticoagulants (NOACS) in primary care populations compared with warfarin. Our specific objective is to evaluate bleeding, stroke and thrombosis outcomes associated with NOACs (both individual drugs & class effect) compared with warfarin in NHS patients. University of Nottingham 2016-07-15 Monograph NonPeerReviewed Hippisley-Cox, Julia and Coupland, Carol (2016) Protocol to assess the effectiveness and safety of novel oral anticoagulants (NOAC) vs warfarin in real world settings: cohort study in primary care. Documentation. University of Nottingham. (Unpublished) warfarin novel anticoagulants incident user design stroke prevention atrial fibrillation drug safety primary care primary care databases
spellingShingle warfarin
novel anticoagulants
incident user design
stroke prevention
atrial fibrillation
drug safety
primary care
primary care databases
Hippisley-Cox, Julia
Coupland, Carol
Protocol to assess the effectiveness and safety of novel oral anticoagulants (NOAC) vs warfarin in real world settings: cohort study in primary care
title Protocol to assess the effectiveness and safety of novel oral anticoagulants (NOAC) vs warfarin in real world settings: cohort study in primary care
title_full Protocol to assess the effectiveness and safety of novel oral anticoagulants (NOAC) vs warfarin in real world settings: cohort study in primary care
title_fullStr Protocol to assess the effectiveness and safety of novel oral anticoagulants (NOAC) vs warfarin in real world settings: cohort study in primary care
title_full_unstemmed Protocol to assess the effectiveness and safety of novel oral anticoagulants (NOAC) vs warfarin in real world settings: cohort study in primary care
title_short Protocol to assess the effectiveness and safety of novel oral anticoagulants (NOAC) vs warfarin in real world settings: cohort study in primary care
title_sort protocol to assess the effectiveness and safety of novel oral anticoagulants (noac) vs warfarin in real world settings: cohort study in primary care
topic warfarin
novel anticoagulants
incident user design
stroke prevention
atrial fibrillation
drug safety
primary care
primary care databases
url https://eprints.nottingham.ac.uk/35133/