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  2. Keyword: Oral Anticoagulants
Study Design of a Brazilian Observational Study of Edoxaban in Patients with Atrial Fibrillation (EdoBRA)
ABC
Original Article

Study Design of a Brazilian Observational Study of Edoxaban in Patients with Atrial Fibrillation (EdoBRA)

Dalton Bertolim Précoma et al. Rafael Paletta da Silva Allyson Nakamoto Viviane Mariz Omar … Danilo Lopes José Francisco Kerr Saraiva

Abstract

Background:

Clinical trials showed the safety of Edoxaban, a non-vitamin K-dependent oral anticoagulant (NOAC), and its efficacy to prevent stroke and systemic embolism in non-valvular atrial fibrillation (NVAF) patients and also to prevent and treat venous thromboembolism. However, additional research is needed to evaluate the safety and effectiveness of Edoxaban in a real-world scenario in the Brazilian population.

Objective:

In order to understand the risks and benefits of Edoxaban use in routine clinical settings, the EdoBRA study is being conducted to gain insight into the safety and effectiveness of Edoxaban use in non-preselected patients with NVAF in Brazil.

Methods:

The EdoBRA study is a multicenter, prospective, observational study conducted in 36 sites in Brazil. NVAF patients ≥ 18 years treated with commercially available Edoxaban who initiated treatment for at least 14 days and no longer than 90 days prior to enrollment, and who are not simultaneously participating in any interventional study are eligible for this study. Seven hundred patients are planned to be enrolled and one-year of follow up, with data collections expected at baseline and 3, 6, and 12 months after the study enrollment. The primary safety objective is ISTH Clinically Relevant Bleeding, and the secondary effectiveness objective focuses on relevant cardiovascular outcomes related to NVAF.

Conclusion:

EdoBRA observational study will generate relevant additional information about NOAC Edoxaban on various aspects of patient management in routine care, such as its safety and effectiveness profile in patients with NVAF in Brazil.

  • Edoxaban
  • Efficacy
  • Observational Study
  • Oral Anticoagulants
  • Safety
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Creative Commons Attribution (CC BY) Creative Commons license
26/04/2024 DOI: 10.36660/abc.20230392i Views 1
IJCS
Editorial

Challenging Health Literacy, Patient Knowledge, and Adherence to Oral Anticoagulation in Primary Care Units

Alfredo José Mansur

Care of patients and therapeutics in clinical practice has evolved based on scientific and technological advances, mainly in patients living in societies with appropriate social, educational, and economic conditions, as well as supported facilities that are able to be elicited when needed. However social disparities, whether in social and economic background or in education can vary among population subsets in a way that may hinder the proper care necessary to fulfill expected results. These disparities influence adherence that may be less than optimal. Health literacy is a public concern recognized by different agencies, including the World Health Organization (WHO). Moreover, the healthcare network in different countries may vary.

In Brazil, reports of experiences in primary care facilities, which present interesting opportunities to add to the clinical experience, were evaluated in the city of Divinópolis, in the southeastern region of Brazil, with estimated population of 242,505 inhabitants. Primary care facilities in Divinópolis are organized in 43 primary care units. In the current study, the authors evaluated 162 participants (mean age 64.8±12.7 years-old, 55.6% women) concerning chronic treatments with warfarin, 50% of which were identified due to nonvalvular atrial fibrillation or venous thromboembolism. Participants were evaluated with tests devised to check for oral anticoagulation knowledge, adherence to treatment, health literacy, and the medication complexity index. The relationship of the studied variables with the therapeutic range of INR was unclear; the sample size may well have been a key limitation to estimating associations. The mean follow-up time was 16.5 months after recruitment in March 2020. There were 16 deaths, two of which may have been related to hemorrhage and two possibly related to thromboembolism. The study revealed insufficient knowledge about warfarin therapy and low health literacy in primary care facilities.

[…]

  • Fibrinolytic Agents
  • Health Education
  • Health Status Disparities
  • medication adherence
  • Oral Anticoagulants
  • Warfarin
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Creative Commons Attribution (CC BY) Creative Commons license
15/09/2023 DOI: 10.36660/ijcs.20230095

How to cite this article

EndNote RIS

Electronic Document Format (Vancouver)

Précoma DB, Silva RP, Nakamoto A, Omar VM, Lopes D, Saraiva JFK. Study Design of a Brazilian Observational Study of Edoxaban in Patients with Atrial Fibrillation (EdoBRA). Arquivos Brasileiros de Cardiologia 2024;121(3):e20230392.

Electronic Document Format (ABNT)

Précoma, Dalton Bertolim; Silva, Rafael Paletta da; Nakamoto, Allyson; Omar, Viviane Mariz; Lopes, Danilo; Saraiva, José Francisco Kerr. Study Design of a Brazilian Observational Study of Edoxaban in Patients with Atrial Fibrillation (EdoBRA). Arquivos Brasileiros de Cardiologia, v. 121, n. 3, e20230392, Apr. 2024.

Electronic Document Format (APA)

Précoma, D. B., Silva, R. P. , Nakamoto, A., Omar, V. M., Lopes, D., & Saraiva, J. F. K. (2024). Study Design of a Brazilian Observational Study of Edoxaban in Patients with Atrial Fibrillation (EdoBRA). Arquivos Brasileiros de Cardiologia, 121(3), e20230392.

Electronic Document Format (ISO)

Précoma, Dalton Bertolim and Silva, Rafael Paletta da and Nakamoto, Allyson and Omar, Viviane Mariz and Lopes, Danilo and Saraiva, José Francisco Kerr. Study Design of a Brazilian Observational Study of Edoxaban in Patients with Atrial Fibrillation (EdoBRA). Arquivos Brasileiros de Cardiologia [online]. 2024, vol. 121, n. 3, [cited 2026-10-14], e20230392. Available from: <https://journals.cardiol.br/en/article/study-design-of-a-brazilian-observational-study-of-edoxaban-in-patients-with-atrial-fibrillation-edobra/>. ISSN 0066-782X

EndNote RIS

Electronic Document Format (Vancouver)

Mansur AJ. Challenging Health Literacy, Patient Knowledge, and Adherence to Oral Anticoagulation in Primary Care Units. International Journal of Cardiovascular Sciences 2023;36:e20230095.

Electronic Document Format (ABNT)

Mansur, Alfredo José. Challenging Health Literacy, Patient Knowledge, and Adherence to Oral Anticoagulation in Primary Care Units. International Journal of Cardiovascular Sciences, v. 36, e20230095, Sep. 2023.

Electronic Document Format (APA)

Mansur, A. J. (2023). Challenging Health Literacy, Patient Knowledge, and Adherence to Oral Anticoagulation in Primary Care Units. International Journal of Cardiovascular Sciences, 36, e20230095.

Electronic Document Format (ISO)

Mansur, Alfredo José. Challenging Health Literacy, Patient Knowledge, and Adherence to Oral Anticoagulation in Primary Care Units. International Journal of Cardiovascular Sciences [online]. 2023, vol. 36, [cited 2026-10-14], e20230095. Available from: <https://journals.cardiol.br/en/article/challenging-health-literacy-patient-knowledge-and-adherence-to-oral-anticoagulation-in-primary-care-units/>. ISSN 2359-4802

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