Summary of Rivaroxaban versus
Warfarin
Rationale for Study of Rivaroxaban versus Warfarin
In general, atrial fibrillation is
related to an increase in the likelihood of ischemic stroke by a four to five
factor. In addition to it, it accounts for approximately fifteen percent of
strokes in individuals of all ages while thirty percent in people of more than
the age of eighty years. The utilisation of antagonists of vitamin K is quite
efficient for the prevention of stroke in patients who are suffering from
nonvalvular atrial fibrillation and it is recommended for people who are at the
risk of it. It is, however, important to note that drug and food interactions
need frequent dose adjustments and coagulation monitoring, requirements which
serve to make it quite tough for many people to utilise such drugs. Thus, this
study compares warfarin and rivaroxaban in the treatment of nonvalvular atrial
fibrillation.
Type of Study of Rivaroxaban versus Warfarin
In order to carry out this research,
primary method of research was considered. For instance, patients suffering
from nonvalvular atrial fibrillation were recruited who were at high to
moderate risk of experiencing a stroke. In addition to it, patients were
assigned randomly to receive a specific rivaroxaban or warfarin dose. In each
group, patients received a tablet of placebo as well for the maintenance of
blinding. Using an automated and computerised voice-response system,
randomisation was carried out. Similarly, a device was utilised for generating
encrypted values that were delivered to an independent monitor that offered
sites with sham values of real INR values. Sham results were created through
the means of an authentic algorithm that reflected value distribution in
patients treated with warfarin with characteristics similar to the characteristics
in the study participants.
Control Aim of Study of Rivaroxaban versus Warfarin
The control aim of the study is to
determine whether warfarin is more effective in the treatment of atrial
fibrillation or rivaroxaban is more effective in the treatment of patients
suffering from atrial fibrillation.
Hazard Ratio of Rivaroxaban versus Warfarin
In
general, hazard ratio refers to the rates of hazards corresponding to the
patient’s conditions described by two variables. For instance, if there are two
groups and patients in the second group are dying twice as fast as those in the
first group then it would mean that the hazard ratio of second group is 2. For
this study, hazard ratio was more than just a little important because it
determined which method of treatment was more effective in saving lives and not
harming the patients.
Main Conclusions of Rivaroxaban versus Warfarin
In the study, it has been determined
that the utilisation of warfarin decreases the ischemic stroke’s risk but it
needs more dose adjustments and frequent monitoring. Meanwhile, rivaroxaban
that is an oral Xa factor inhibitor might offer more predictable and consistent
anticoagulation than warfarin.
What is “non-inferiority” and why was this important
in this study?
Non-inferiority
studies are related to the medical term with the increasing frequency that must
be introduced with the intent of such ready to give negative result. The
information is required to clinical assess to get in on Infinity, trailed in
the highlighted context of the study. The rationale for woman of Non-inferiority
Trail is regulatory setting to efficiency of the new treatment that is usually
shown in the control of the trail, such as a different kind of situation. It is
significant to use non Infinity in the selected study areas to investigate such
kinds of problems in the research. In order to loot resetting, there are formal
methods that are used to check the clinical and medical staff to increase the
efficiency of the acceptable potential benefit in the treatments of the
disease. Every method of non-inferiority is related to the incorporation of the
historical study about the specific disease to treat the patients and the
medical requirements.