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January 1, 2016The Tohoku Journal of Experimental MedicineOpen Access

Study Design and Baseline Characteristics of the EXPAND Study: Evaluation of Effectiveness and Safety of Xa Inhibitor, Rivaroxaban for the Prevention of Stroke and Systemic Embolism in a Nationwide Cohort of Japanese Patients Diagnosed as Non-Valvular Atrial Fibrillation

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Why the study?

Does rivaroxaban prevent ischemic stroke and systemic embolism in Japanese patients with non-valvular atrial fibrillation in real-world practice?

Population

7,178 Japanese patients with non-valvular atrial fibrillation, 32.2% female, enrolled across 684 medical…

Design

Cohort

Follow-up

mean approximately 2.5 years

Authors

Takanori Ikeda
Takanori IkedaElectrophysiology
HAHirotsugu AtarashiElectrophysiologyHIHiroshi InoueKanazawa University

Discussion

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Overview

Real-world rivaroxaban use in Japanese NVAF patients shows low event rates; leaves open need for randomized confirmation before practice change.

Structured PICO

Does rivaroxaban prevent ischemic stroke and systemic embolism in Japanese patients with non-valvular atrial fibrillation in real-world practice?

P
Population
7,178 Japanese patients with non-valvular atrial fibrillation, 32.2% female, enrolled across 684 medical institutes.
I
Intervention
Rivaroxaban
O
Outcome
Effectiveness (prevention of ischemic stroke and systemic embolism) and safetycomposite

The EXPAND study describes the baseline characteristics of a large, real-world Japanese cohort of non-valvular AF patients treated with rivaroxaban.

Cite This Study

Ikeda et al. (2016) studied this question.

synapsesocial.com/papers/6a70ea9d75498292b70a681fhttps://doi.org/10.1620/tjem.240.259

Topics

Atrial fibrillationPersistent AF managementAnticoagulation in AF
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Secular trends in the prevalence of atrial fibrillation: The Framingham study1996 · 449 citations
  2. 2Model-based Dose Selection for Phase III Rivaroxaban Study in Japanese Patients with Non-valvular Atrial Fibrillation2012 · 108 citations
  3. 3Rivaroxaban vs. Warfarin in Japanese Patients With Atrial Fibrillation2012 · 645 citations
  4. 4Rivaroxaban versus Warfarin in Nonvalvular Atrial Fibrillation2011 · 9,489 citations
  5. 5Present Status of Anticoagulation Treatment in Japanese Patients With Atrial Fibrillation - A Report From the J-RHYTHM Registry -2011 · 200 citations