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MAC项目-监测抗凝治疗观察性研究:原理与方案

MAC Project-Monitoring Anticoagulant Therapy Observational Study: Rationale and Protocol.

作者信息

Camporese Giuseppe, Bernardi Enrico, Bortoluzzi Cristiano, Noventa Franco, Hong Ngoc Vo, Callegari Elena, Villalta Sabina, Tonello Chiara, Nardin Michela, Campello Elena, Spiezia Luca, Simioni Paolo

机构信息

Unit of Angiology, Department of Cardiac, Thoracic and Vascular Sciences, University Hospital of Padua, Padua, Italy.

Emergency Room, Department of Emergency and Accident Medicine, Conegliano Civic Hospital, Conegliano, Italy.

出版信息

Front Med (Lausanne). 2021 Jan 28;7:584459. doi: 10.3389/fmed.2020.584459. eCollection 2020.

DOI:10.3389/fmed.2020.584459
PMID:33585500
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7876063/
Abstract

Real-life studies complement data from registrative trials. Because of the delayed registration of direct oral anticoagulants in Italy, scarce real-life data on such treatments is available for the Italian population. The aim of the MAC project is to collect real-life clinical information in unselected patients given oral anticoagulants for venous thromboembolism, during a 5-year follow-up period. This is a prospective-cohort, multi-center, observational study performed in four Italian centers. The estimated samples size is 4,000 patients. The efficacy outcomes are: incidence of symptomatic recurrent venous thromboembolism and of post-thrombotic syndrome. The safety outcomes are: incidence of major bleeding, clinically relevant non-major bleeding, minor bleeding, serious adverse events, and mortality. The MAC project has the potential to improve our understanding of the epidemiology and of the therapeutic strategies adopted in Italian patients with venous thromboembolism. : WWW.ClinicalTrials.Gov, identifier: NCT0432939.

摘要

真实世界研究补充了注册试验的数据。由于意大利直接口服抗凝剂的注册延迟,该国人群中关于此类治疗的真实世界数据稀缺。MAC项目的目的是在5年随访期内,收集接受口服抗凝剂治疗静脉血栓栓塞的未选择患者的真实世界临床信息。这是一项在意大利四个中心进行的前瞻性队列、多中心观察性研究。估计样本量为4000名患者。疗效指标包括:有症状的复发性静脉血栓栓塞和血栓后综合征的发生率。安全性指标包括:大出血、临床相关非大出血、小出血、严重不良事件和死亡率的发生率。MAC项目有可能增进我们对意大利静脉血栓栓塞患者的流行病学和治疗策略的了解。:WWW.ClinicalTrials.Gov,标识符:NCT0432939

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e23e/7876063/a783938861cc/fmed-07-584459-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e23e/7876063/a783938861cc/fmed-07-584459-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e23e/7876063/a783938861cc/fmed-07-584459-g0001.jpg

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本文引用的文献

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Anticoagulation in Italian patients with venous thromboembolism and thrombophilic alterations: findings from START2 register study.意大利静脉血栓栓塞和血栓形成倾向改变患者的抗凝治疗:来自 START2 注册研究的结果。
Blood Transfus. 2020 Nov;18(6):486-495. doi: 10.2450/2020.0091-20. Epub 2020 Sep 18.
2
Design and rationale of the non-interventional, edoxaban treatment in routiNe clinical prActice in patients with venous ThromboEmbolism in Europe (ETNA-VTE-Europe) study.欧洲静脉血栓栓塞症患者常规临床实践中依度沙班非介入治疗的设计与原理(ETNA-VTE-Europe研究)
Thromb J. 2018 May 1;16:9. doi: 10.1186/s12959-018-0163-7. eCollection 2018.
3
The 2018 European Heart Rhythm Association Practical Guide on the use of non-vitamin K antagonist oral anticoagulants in patients with atrial fibrillation.
2018 年欧洲心脏病学会关于非维生素 K 拮抗剂口服抗凝剂在心房颤动患者中应用的实用指南。
Eur Heart J. 2018 Apr 21;39(16):1330-1393. doi: 10.1093/eurheartj/ehy136.
4
Comparative safety of direct oral anticoagulants and warfarin in venous thromboembolism: multicentre, population based, observational study.直接口服抗凝剂与华法林在静脉血栓栓塞症中的安全性比较:基于人群的多中心观察性研究。
BMJ. 2017 Oct 17;359:j4323. doi: 10.1136/bmj.j4323.
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