Key result
Rivaroxaban for thromboembolism prevention after major joint arthroplasty was well tolerated in real clinical practice, with drug-associated adverse effects occurring in only 0.48% of patients.
Why the study?
Is rivaroxaban safe and effective for the prevention of thromboembolism after major joints arthroplasty in real-world clinical practice?
Observational (n=2,293)
Yes
Is rivaroxaban safe and effective for the prevention of thromboembolism after major joints arthroplasty in real-world clinical practice?
Real-world data from Russia confirms that rivaroxaban is safe, effective, and well-tolerated for VTE prophylaxis following major joint arthroplasty.
Answers are grounded in this paper and cite their sources.
Supports rivaroxaban tolerability after arthroplasty in routine care; hypothesis-generating and requires randomized confirmation before practice change.
Results of first Russian local prospective multicenter observational study with participation of 2293 patients who received rivaroxaban for prevention of thromboembolism after major joints arthroplasty are presented. The study was performed under conditions of “real clinical practice”, i.e. without any changes in postoperative management. Demographic indices, prevalence of aggravating anamnestic factors that determined the risk of thromboembolism development, and adverse effects (AE) against the background of drug intake were studied. Interruptions of rivaroxaban intake were noted in 5% of patients. The number of AE made up 52 in 45 patients and only in 11 cases AE were associated with rivaroxaban intake. Drug efficacy and tolerance was assessed by physicians as excellent and good in 97.9% and 98.8% of patients, respectively. The overwhelming majority (98.4%) of patients appreciated the convenience of oral anticoagulant intake. It was stated that under conditions of the organizational peculiarities of medical care in Russia the efficacy of rivaroxaban was comparable to that, demonstrated in foreign studies.
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Zagorodniy et al. (2015) conducted an observational in Thromboembolism after major joints arthroplasty (n=2,293). Rivaroxaban was evaluated on Adverse effects associated with rivaroxaban intake. Rivaroxaban for thromboembolism prevention after major joint arthroplasty was well tolerated in real clinical practice, with drug-associated adverse effects occurring in only 0.48% of patients.
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