Table 2.

Comparison of thrombosis recurrence/risk reduction and bleeding risk in key studies of comparing VKAs and DOACs in secondary prevention after PV/MPN-related VTE*

Choice of ACOverall recurrenceVKA (N  =  number treated)DOACP valueVKA+CRDOAC + CRP valueBleeding events on VKABleeding events on DOACp-value
Hamulyak et al12
Systematic Review
N   =  1295 patients 
22.6% 36.8%
(N   =  106) 
21.4%
(N   =  14) 
N/R 17.6%
(N   =  313) 
7.9%
(N   =  63) 
N/R N/R 8 events N/R 
Huenerbein et al13
Retrospective Review
N  = 71 
8.0% per py 84.6%**, δ
(N   =  45) 
4%**
(N   =  26) 
0.0003 (N   =  22) (N   =  17) N/R 63.6% 36.4% 0.516 
Fedorov et al14
Retrospective Review
N   =  30 
6.7% 9.1%**
(N    =  11) 
5.3%**
(N   =  19) 
1.0    21.1% 9.1% 0.63 
Choice of ACOverall recurrenceVKA (N  =  number treated)DOACP valueVKA+CRDOAC + CRP valueBleeding events on VKABleeding events on DOACp-value
Hamulyak et al12
Systematic Review
N   =  1295 patients 
22.6% 36.8%
(N   =  106) 
21.4%
(N   =  14) 
N/R 17.6%
(N   =  313) 
7.9%
(N   =  63) 
N/R N/R 8 events N/R 
Huenerbein et al13
Retrospective Review
N  = 71 
8.0% per py 84.6%**, δ
(N   =  45) 
4%**
(N   =  26) 
0.0003 (N   =  22) (N   =  17) N/R 63.6% 36.4% 0.516 
Fedorov et al14
Retrospective Review
N   =  30 
6.7% 9.1%**
(N    =  11) 
5.3%**
(N   =  19) 
1.0    21.1% 9.1% 0.63 
*

Studies included both arterial and venous events as recurrences.

**

Includes patients treated with and without CR and with or without aspirin.

δ

Includes recurrences both on and after stopping AC therapy.

CR, cytoreduction; py, patient-year.

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