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August 28, 2026Bleeding Thrombosis and Vascular BiologyOpen Access

Provided text is a scientific writing guide containing no clinical trial data.

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Why the study?

Extended therapy with DOACs is common for unprovoked VTE, but real-world data on dosing decisions and their association with outcomes are limited.

Does reduced-dose DOAC therapy affect recurrent VTE and major bleeding compared to full-dose DOAC therapy in patients with unprovoked VTE on extended therapy?

Population

3749 patients with unprovoked VTE in the RIETE registry who survived 6 months without recurrence or major bleeding

Comparison

Reduced-dose vs full-dose DOACs (rivaroxaban or apixaban)

Design

Registry-based cohort study

Follow-up

Median of 240 days

Key result

The provided text is an instructional guide on how to write and organize a scientific paper and contains no clinical trial data.

Authors

ALAlicia LorenzoHospital Universitario La PazCSCarmine SiniscalchiUniversity of ParmaSMSilvia Natalia MoralesFundación Santa Fe de Bogotá

Discussion

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Overview

Registry data on DOAC dosing in unprovoked VTE should not yet change practice; leaves open optimal selection and outcome associations pending randomized trials.

Structured PICO

Does reduced-dose DOAC therapy affect recurrent VTE and major bleeding compared to full-dose DOAC therapy in patients with unprovoked VTE on extended therapy?

P
Population
3,749 patients with unprovoked VTE in the RIETE registry who survived the first 6 months without recurrent VTE or major bleeding
I
Intervention
Reduced-dose direct oral anticoagulants (rivaroxaban or apixaban)
C
Comparator
Full-dose direct oral anticoagulants (rivaroxaban or apixaban)
O
Outcome
Recurrent VTE and major bleeding over a median of 240 dayshard clinical

In patients on extended DOAC therapy for unprovoked VTE, reduced-dose DOACs were associated with a lower risk of major bleeding compared to full-dose DOACs.

Cite This Study

Lorenzo et al. (2026) studied this question. The provided text is an instructional guide on how to write and organize a scientific paper and contains no clinical trial data.

synapsesocial.com/papers/6aa23223c8d772f3c26ee578https://doi.org/10.4081/btvb.2026.403
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Also Consider

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

  1. 1Evaluation of Dose-Reduced Direct Oral Anticoagulant Therapy2016 · 142 citations
  2. 2Trends in the Use of Oral Anticoagulants for Adults With Venous Thromboembolism in the US, 2010-20202023 · 53 citations
  3. 3Apixaban for Extended Treatment of Venous Thromboembolism2012 · 1,374 citations
  4. 4Rationale, Design and Methodology of the Computerized Registry of Patients with Venous Thromboembolism (RIETE)2018 · 228 citations
  5. 5Clinical Outcomes of Direct Oral Anticoagulants vs Warfarin for Extended Treatment of Venous Thromboembolism2023 · 36 citations